Abstract

Introduction: This clinical study examined the influence of periapical pathosis of pulpal origin upon postoperative pain following root canal treatment in a single session approach in comparison to those with irreversible pulpal diseases and healthy periodontium.

Methods: Thirty patients, between 20-65 years old with thirty molars indicated for primary non-surgical root canal treatment were divided into two groups; group I with irreversible pulpal inflammation and group II with periapical pathosis of pulpal origin. Access cavity preparation performed followed by chemo-mechanical disinfection through hybridization in preparation technique and irriga-tion protocol. Obturation performed using Resin sealer and cold lateral compaction technique. The primary outcome was postopera-tive pain which was recorded using a verbal rating scale (VRS) with well-defined categories at the 2-time intervals after root canal treatment: 12 hours and 24 hours. The secondary outcome was analgesics intake. Data was analyzed using the Mann-Whitney U, Fisher’s exact, Chi-square tests, and Student’s t-test (P ≤ 0.05).

Result: There was no statistically significant difference between median pain scores after 12 (P-value = 0.307) and 24 hours (P-value = 0.630) for both groups. There was no statistically significant difference in the intake of analgesics between the two groups (P-value = 1.000). There was a statistically significant decrease in pain scores after 12 hours followed by non-statistically significant change in pain scores from 12 to 24 hours in both groups.

Conclusion: Neither postoperative pain nor analgesics intake were influenced by presence of periapical pathosis. However single session root canal treatment resulted in a dramatic decrease in pain intensity irrespective to presence or absence of periapical pa-thosis.

Keywords: Postoperative Pain; Root Canal Treatment; Single Session; Pulpal Pathosis; Periapical Pathosis

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Citation

Citation: Mostafa I Negm. “Influence of Periapical Pathosis Upon Postoperative Pain Following Primary Root Canal Treatment in a Single Session Approach". Acta Scientific Dental Sciences 5.2 (2021): 52-63.

Copyright

Copyright: © 2021 Mostafa I Negm. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.