Evaluation of Post-operative Pain During Retreatment in Different Visits

Armed Forces Institute of Dentistry, Pakistan

Status: Completed

Conditions: Post Operative Pain

Treatments: Procedure: single visit re-endo; Procedure: multi visit re-endo

Study type: Interventional

Funder types: Other

Identifiers

NCT07014228

Re-endo pain comparison

Details and patient eligibility

About

Endodontic retreatment is performed to alleviate symptoms of recurring infection, post-treatment disease after primary endodontic therapy. Retreatment can be performed in either single or multiple visits. and have their own implications. it is important to compare the patient response and post-op pain after single vs multi-visit reendo treatment.

Full description

Introduction:

Treating endodontic failure cases has always been a challenge for the clinician due to the complex nature of disease which includes resistant microorganisms, iatrogenic errors and cleaning and shaping of un-instrumented areas. Endodontic retreatment can be done in either single or multiple visits. Multiple visits have the added advantage of placement of intracanal medicament resulting in decreased bacterial load and reduced pain, whereas single visit endodontic retreatment reduces chances of inter appointment microbial contamination. This study aims to evaluate post operative pain among both groups.

Objective:

To evaluate frequency of post-operative pain in endodontic retreatment cases after single vs multiple (two) visits root canal therapy.

Materials and Methods:

STUDY SETTING: Department of Operative Dentistry, AFID Rawalpindi.

Enrollment: 116 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients with unremarkable/ noncontributory medical history
• Age range between 15-45 years
• Cases of failed endodontic treatment resulting from inadequate root filling
• No systemic disease
• No periodontal disease

Exclusion criteria

• Patients having teeth with periodontal pathology
• root fractures
• Immature root apices
• Endodontic posts
• Root perforations
• Immunocompromised health were excluded from the study.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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116 participants in 2 patient groups

Single visit group

Experimental group

Description:

Endodontic retreatment in this group will be performed in a single visit. Initiated, deobturated, disinfection done and completed during the same visit.

Treatment:

Procedure: single visit re-endo

Multi visit Group

Active Comparator group

Description:

Endodontic retreatment in this group will be performed in more than 1 visit. The retreatment will be initiated, deobturated, and disinfection done and completed in second or third visits..

Treatment:

Procedure: multi visit re-endo