Assessment of Postoperative Pain after using Reciproc Versus One Shape NiTi Systems in Patients with Symptomatic Irreversible Pulpitis: (A Randomized Clinical Trial) (Part Three

Abstract

Aim: Comparing the prevalence and the severity of postoperative pain after usage of two different rotary systems Reciproc in reciprocating motion versus One shape in continuous rotation for instrumentation of root canals among symptomatic irreversible pulpitis patients. Methodology: Fifty four patients, males and females, aged between 25-45 years, with non-contributory medical history, were incorporated into this trial who found eligible. In a single Visit root canal treatment, Vital mandibular premolars with single, straight canals were only chosen and treated with one of the aforementioned instrumentation systems. The eligible Participants were randomly subdivided into two groups (n=27); Reciproc and One Shape. Pain assessment was done using the NRS; Pre-operative pain was recorded, then patients were provided with instructions to report their pain scores at 6,12,24,48 and 72 hours postoperatively as well as the number of analgesics tablets “ Ibuprofen 400 mg” taken on demand up to three days post-treatment. Results: The severity and prevalence of postoperative pain reveal no statistically significant difference at various follow-up periods (6,12,24,48 and 72 hours post-treatment) following single visit root canal treatment in patients with symptomatic irreversible pulpitis between both groups. Likewise, no significant difference was found concerning the number analgesics administered in both groups . Conclusion: The different motions used for root canal instrumentation have the same effect on postoperative pain as well as the number analgesics administered.