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. 2018 May-Jun;21(3):333-338.
doi: 10.4103/JCD.JCD_336_17.

Comparison of the incidence of postoperative pain after using a continuous rotary system, a reciprocating system, and a Self-Adjusting File system in single-visit endodontics: A prospective randomized clinical trial

Suparna Ganguly Saha  1 , Rudra Kumar Gupta  1 , Anuj Bhardwaj  1 , Abhinav Misuriya  1 , Mainak Kanti Saha  2 , Amit Singh Nirwan  3
Affiliations

Comparison of the incidence of postoperative pain after using a continuous rotary system, a reciprocating system, and a Self-Adjusting File system in single-visit endodontics: A prospective randomized clinical trial

Suparna Ganguly Saha et al. J Conserv Dent. 2018 May-Jun.

Abstract

Aim: The aim of this study is to compare the incidence of postoperative pain using the ProTaper Next (PTN), WaveOne Gold (WOG), and Self-Adjusting File (SAF) systems.

Materials and methods: Two hundred and fourteen patients with irreversible pulpitis were selected for single-visit endodontics. The teeth were blindly assigned to three groups based on the instrumentation system used: Group A (PTN), Group B (WOG), and Group C (SAF). Participants were asked to note the incidence of the pre- and postoperative pain on a visual analog scale at different time intervals. Paired t-test and one-way ANOVA were used along with post hoc Tukey's test.

Results: The greatest mean pain in Group A (PTN) and Group B (WOG) was found to be maximum in the first 24 h with a significant reduction in pain at the subsequent observation time points of 48 h, 72 h, and 7 days. Group C (SAF) showed minimum pain followed by Group B followed by Group A which showed comparatively higher pain scores even at the end of 7 days.

Conclusions: In single-visit endodontics, SAF system may prove to be a better system compared with PTN and WOG as it produces minimal postoperative pain, thus improving the overall acceptance of endodontic treatment.

Keywords: Continuous rotation; ProTaper Next; Self-Adjusting File; WaveOne Gold; postoperative pain; reciprocation; single-visit endodontics.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Consolidated Standards of Reporting Trials flow diagram for randomized clinical trials
Figure 2
Figure 2
Comparison of mean VAS Scores among PTN, WOG & SAF systems at different time intervals (Data can be obtained from Table 2)
See this image and copyright information in PMC

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