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. 2016 May;10(5):ZC09-12.
doi: 10.7860/JCDR/2016/16465.7724. Epub 2016 May 1.

Incidence of Postoperative Pain after Single Visit and Two Visit Root Canal Therapy: A Randomized Controlled Trial

Avinash A Patil  1 , Sonal B Joshi  2 , S V Bhagwat  3 , Sanjana A Patil  4
Affiliations

Incidence of Postoperative Pain after Single Visit and Two Visit Root Canal Therapy: A Randomized Controlled Trial

Avinash A Patil et al. J Clin Diagn Res. 2016 May.

Abstract

Introduction: Root Canal Treatment (RCT) has become a mainstream procedure in dentistry. A successful RCT is presented by absence of clinical signs and symptoms in teeth without any radiographic evidence of periodontal involvement. Completing this procedure in one visit or multiple visits has long been a topic of discussion.

Aim: To evaluate the incidence of postoperative pain after root canal therapy performed in single visit and two visits.

Material and methods: An unblinded/ open label randomized controlled trial was carried out in the endodontic department of the Dental Institute, where 78 patients were recruited from the regular pool of patients. A total of 66 maxillary central incisors requiring root canal therapy fulfilled the inclusion and exclusion criteria. Using simple randomization by biased coin randomization method, the selected patients were assigned into two groups: group A (n=33) and group B (n=33). Single visit root canal treatment was performed for group A and two visit root canal treatment for group B. Independent sample t-test was used for statistical analysis.

Results: Thirty three patients were allotted to group A where endodontic treatment was completed in single visit while 33 patients were allotted to group B where endodontic treatment was completed in two visits. One patient dropped-out from Group A. Hence in Group A, 32 patients were analysed while in Group B, 33 patients were analysed. After 6 hours, 12 hours and 24 hours of obturation, pain was significantly higher in Group B as compared to Group A. However, there was no significant difference in the pain experienced by the patients 48 hours after treatment in both the groups.

Conclusion: Incidence of pain after endodontic treatment being performed in one-visit or two-visits is not significantly different.

Keywords: Calcium hydroxide; Multiple-visits; Root canal treatment; Visual analog scale.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
Visual Analog Scale (VAS).
[Table/Fig-3]:
[Table/Fig-3]:
Graph showing comparison of pain between Group A and Group B at different time intervals.
[Table/Fig-6]:
[Table/Fig-6]:
Participant flow diagram.
See this image and copyright information in PMC

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