Evaluation of postoperative pain with new heat-treated rotary and reciprocating nickel-titanium files: A randomized controlled clinical trial.

Q2 Dentistry

Journal of Conservative Dentistry Pub Date : 2023-03-01 Epub Date: 2023-03-16 DOI:10.4103/jcd.jcd_566_22

C T Valliappan, B Rahul, E Melvin Gabriel, I Anand Sherwood, James L Gutmann, Bennett Tochukwu Amaechi, Omar Farooq Burhanuddin Mohammed

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引用次数: 0

Abstract

Introduction: A special heat-treated endodontic file (TruNatomy) was recently introduced with the claim of superior flexibility to enhance dentin preservation. The aim of the present study was to assess postoperative pain in single-visit root canal treatment with this newly introduced file, comparing it with other contemporary reciprocating and rotary file systems.

Materials and methods: One hundred seventy patients with acute irreversible pulpitis in maxillary premolars were randomly assigned to four experimental file systems: TruNatomy, HyFlex EDM, EdgeFile, and ProTaper Gold. Pre- and postoperative pain scores were assessed with 10-point visual analog scale. Data were statistically analyzed using Kruskal-Wallis test.

Results: TruNatomy file system had significantly the highest postoperative pain incidence (53.8%), while the EdgeFile system had significantly the least postoperative pain incidence (24%) and 24-h pain score.

Conclusion: The present study demonstrated that the reciprocating multiple-file system, EdgeFile, had significantly reduced postoperative pain incidence compared to other heat-treated rotary nickel-titanium file systems.

Abstract Image

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新型热处理旋转和往复式镍钛锉对术后疼痛的评估：一项随机对照临床试验。

简介：最近推出了一种特殊的热处理牙髓锉（TruNatomy），声称其具有优异的柔韧性，可以增强牙本质的保存。本研究的目的是评估这种新引入的锉刀单次根管治疗的术后疼痛，并将其与其他当代往复式和旋转锉系统进行比较。材料和方法：将170例上颌前磨牙急性不可逆牙髓炎患者随机分为四个实验文件系统：TruNatomy、HyFlex EDM、EdgeFile和ProTaper Gold。采用10分视觉模拟量表评估术前和术后疼痛评分。使用Kruskal-Wallis检验对数据进行统计分析。结果：TruNatomy文件系统的术后疼痛发生率最高（53.8%），而EdgeFile系统的术前疼痛发生率和24小时疼痛评分最低（24%）。结论：本研究表明，与其他热处理的旋转镍钛锉系统相比，往复式多锉系统EdgeFile显著降低了术后疼痛发生率。

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

Journal of Conservative Dentistry Dentistry-Dentistry (all)

CiteScore

2.10

自引率

0.00%

发文量

114

期刊介绍： The Journal of Conservative Dentistry (ISSN - 0972-0707) is the official journal of the Indian Association of Conservative Dentistry and Endodontics (IACDE). Our journal publishes scientific articles, case reports, short communications, invited reviews and comparative studies evaluating materials and methods in the fields of Conservative Dentistry, Dental Materials and Endodontics. J Conserv Dent has a diverse readership that includes full-time clinicians, full-time academicians, residents, students and scientists. Effective communication with this diverse readership requires careful attention to writing style.