Postoperative Pain Intensity Associated With the Use of Different Nickel Titanium Instrumentation Systems

Medipol Health Group

Status: Completed

Conditions: Endodontically Treated Teeth; Pain, Postoperative

Treatments: Device: Group 1: single file rotary motion; Device: Group 3: single file reciprocal motion; Device: Group 2: multiple file rotary motion

Study type: Interventional

Funder types: Other

Identifiers

NCT03478241

481

Details and patient eligibility

About

In this study the effect of different engine-driven nickel titanium (Ni-Ti) instrumentation systems (OneShape, Revo S and WaveOne) on postoperative dental pain in patients with asymptomatic teeth after a single-appointment root canal retreatment was evaluated.

Full description

The aim of this clinical study was to evaluate the effect of different engine-driven nickel titanium (Ni-Ti) instrumentation systems (OneShape, Revo S and WaveOne) on postoperative dental pain in patients with asymptomatic teeth after a single-appointment root canal retreatment. A total of a hundred thirty nine patients with asymptomatic teeth and with no contradictory medical history who were indicated for non-surgical retreatment at the Endodontic Clinic, Faculty of Dentistry, Istanbul Medipol University, between September and December 2016 were included in this study. All of the patients have been recruited from the Istanbul Medipol University Dental Clinics in Istanbul. Out of a hundred thirty nine patients, a total of ninety-nine patients who met the inclusion criteria and agreed to participate was enrolled for the study and were divided into three groups (n=33). Consent was obtained from all study participants before the treatment. After removing previous root canal filling, instrumentation was performed using One Shape, Revo-S, and WaveOne in groups 1, 2, and 3, respectively. All retreatments were performed in a single appointment by one endodontist before permanent coronal restoration. Postoperative pain intensity was assessed at 6, 12, 18, 24, 48, and 72 h; 7 days; and 1 month after the retreatment. The teeth was examined according to for pain intensity, percussion & palpation sensitivity, swelling, analgesic intake and clinical status.

Enrollment: 99 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Asymptomatic teeth
• Patients with no contradictory medical history
• Patients who were indicated for non-surgical retreatment and
• Patients who were above 18 years old

Exclusion criteria

• Patients aged below 18 years;
• Symptomatic teeth,
• Teeth with vertical root fractures
• Teeth with excessive periodontal disease;
• Patients who received or required surgical endodontic treatment
• Patients diagnosed with systemic diseases
• Patients who used analgesics 12 h before or
• Patients who used antibiotics 1 month before the retreatment

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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99 participants in 3 patient groups

Group 1: single file rotary motion

Active Comparator group

Description:

after the previous root canal filling was removed, the shaping procedure of the root canal system was carried out using OneShape Ni-Ti system.

Treatment:

Device: Group 1: single file rotary motion

Group 2: multiple file rotary motion

Active Comparator group

Description:

after the previous root canal filling was removed, the shaping procedure of the root canal system was carried out using Revo S Ni-Ti system.

Treatment:

Device: Group 2: multiple file rotary motion

Group 3: single file reciprocal motion

Active Comparator group

Description:

after the previous root canal filling was removed, the shaping procedure of the root canal system was carried out using WaveOne Ni-Ti system.

Treatment:

Device: Group 3: single file reciprocal motion