Leonardo Alexandre Fernandes, Cristiane Flaviana de Sousa Santos, Vania Portela Ditzel Westphalen, Ulisses Xavier da Silva Neto, Everdan Carneiro
{"title":"XP-endo治疗牙髓术后疼痛:一项随机临床试验。","authors":"Leonardo Alexandre Fernandes, Cristiane Flaviana de Sousa Santos, Vania Portela Ditzel Westphalen, Ulisses Xavier da Silva Neto, Everdan Carneiro","doi":"10.22037/iej.v18i3.33925","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Materials and methods: </strong>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) (<i>n</i>=30), FE (Foraminal Enlargement) (<i>n</i>=30), No FE+XPF (None Foraminal Enlargement+XP-endo Finisher) (<i>n</i>=30) and XPF+FE (XP-endo Finisher and Foraminal Enlargement) (<i>n</i>=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%.</p><p><strong>Results: </strong>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 (<i>P</i><0.05). In the other groups, the pain was mild, only with different time intervals (<i>P</i>>0.05).</p><p><strong>Conclusions: </strong>Foraminal enlargement associated with XP-endo Finisher may cause moderate postoperative pain.</p>","PeriodicalId":14534,"journal":{"name":"Iranian Endodontic Journal","volume":"18 3","pages":"145-151"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/81/5f/IEJ-18-145.PMC10329762.pdf","citationCount":"0","resultStr":"{\"title\":\"Postoperative Endodontic Pain after Treatment Using XP-endo Finisher: A Randomized Clinical Trial.\",\"authors\":\"Leonardo Alexandre Fernandes, Cristiane Flaviana de Sousa Santos, Vania Portela Ditzel Westphalen, Ulisses Xavier da Silva Neto, Everdan Carneiro\",\"doi\":\"10.22037/iej.v18i3.33925\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>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.</p><p><strong>Materials and methods: </strong>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) (<i>n</i>=30), FE (Foraminal Enlargement) (<i>n</i>=30), No FE+XPF (None Foraminal Enlargement+XP-endo Finisher) (<i>n</i>=30) and XPF+FE (XP-endo Finisher and Foraminal Enlargement) (<i>n</i>=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%.</p><p><strong>Results: </strong>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 (<i>P</i><0.05). In the other groups, the pain was mild, only with different time intervals (<i>P</i>>0.05).</p><p><strong>Conclusions: </strong>Foraminal enlargement associated with XP-endo Finisher may cause moderate postoperative pain.</p>\",\"PeriodicalId\":14534,\"journal\":{\"name\":\"Iranian Endodontic Journal\",\"volume\":\"18 3\",\"pages\":\"145-151\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/81/5f/IEJ-18-145.PMC10329762.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Iranian Endodontic Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.22037/iej.v18i3.33925\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Dentistry\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Iranian Endodontic Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.22037/iej.v18i3.33925","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Dentistry","Score":null,"Total":0}
Postoperative Endodontic Pain after Treatment Using XP-endo Finisher: A Randomized Clinical Trial.
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.
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.
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