Postoperative Endodontic Pain after Treatment Using XP-endo Finisher: A Randomized Clinical Trial.

Q3 Dentistry

Iranian Endodontic Journal Pub Date : 2023-01-01 DOI:10.22037/iej.v18i3.33925

Leonardo Alexandre Fernandes, Cristiane Flaviana de Sousa Santos, Vania Portela Ditzel Westphalen, Ulisses Xavier da Silva Neto, Everdan Carneiro

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引用次数: 0

Abstract

Introduction: This randomized clinical trial aimed to determine whether the XP-endo finisher combined with or without foraminal enlargement has any significant effect on the incidence and intensity of postoperative pain in necrotic pulps.

Materials and methods: Clinical pain levels were measured after 6, 12, 24, 48, and 72 hours and at 7 postoperative days. All treatments were performed by an endodontist in a single visit. One hundred and twenty patients were included. All patients had a single tooth treated. The patients were divided into four groups: No FE (None Foraminal Enlargement) (n=30), FE (Foraminal Enlargement) (n=30), No FE+XPF (None Foraminal Enlargement+XP-endo Finisher) (n=30) and XPF+FE (XP-endo Finisher and Foraminal Enlargement) (n=30). The canals were irrigated with sodium hypochlorite, shaped using WaveOne Gold Medium file, and then filled by using a matching single cone and AH-Plus sealer. The cavity was filled using glass ionomer cement. Pain intensity was assessed using the visual analog scale. The data were analyzed with the ANOVA and Games-Howell test. The significance level was 5%.

Results: The XPF+FE group experienced a higher level of pain, being classified on the visual analog scale as moderate for 48 postoperative hours and mild for 7 postoperative days (P<0.05). In the other groups, the pain was mild, only with different time intervals (P>0.05).

Conclusions: Foraminal enlargement associated with XP-endo Finisher may cause moderate postoperative pain.

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XP-endo治疗牙髓术后疼痛:一项随机临床试验。

本随机临床试验旨在确定XP-endo补牙剂合并或不合并椎间孔扩大是否对坏死牙髓术后疼痛的发生率和强度有显著影响。材料与方法:分别于术后6、12、24、48、72小时及术后7天测量临床疼痛水平。所有治疗均由牙髓医生在一次就诊中完成。纳入120例患者。所有患者只治疗了一颗牙齿。将患者分为4组:No FE(无椎间孔增大)(n=30)、FE(椎间孔增大)(n=30)、No FE+XPF(无椎间孔增大+XP-endo Finisher) (n=30)和XPF+FE (XP-endo Finisher +椎间孔增大)(n=30)。用次氯酸钠冲洗，用WaveOne Gold Medium锉塑形，然后用匹配的单锥体和AH-Plus密封剂填充。用玻璃离子水门合剂填充空腔。采用视觉模拟量表评估疼痛强度。采用方差分析和Games-Howell检验对数据进行分析。显著性水平为5%。结果:XPF+FE组疼痛程度较高，术后48小时视觉模拟评分为中度，术后7天为轻度(PP>0.05)。结论:与XP-endo Finisher相关的椎间孔扩大可能导致中度术后疼痛。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Iranian Endodontic Journal Dentistry-Dentistry (all)

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Iranian Endodontic Journal (IEJ) is an international peer-reviewed biomedical publication, the aim of which is to provide a scientific medium of communication for researchers throughout the globe. IEJ aims to publish the highest quality articles, both clinical and scientific, on all aspects of Endodontics. The journal is an official Journal of the Iranian Center for Endodontic Research (ICER) and the Iranian Association of Endodontists (IAE). The Journal welcomes articles related to the scientific or applied aspects of endodontics e.g. original researches, systematic reviews, meta-analyses, review articles, clinical trials, case series/reports, hypotheses, letters to the editor, etc. From the beginning (i.e. since 2006), the IEJ was the first open access endodontic journal in the world, which gave readers free and instant access to published articles and enabling them faster discovery of the latest endodontic research.