Marian Shenoda Fathy1*, Hebatallah Mohamed Maged ELFar2 and Shaimaa Ismail Gawdat3
1Master Degree in Endodontics, Oral and Dental Medicine, Cairo University, Giza, Egypt
2Professor of Endodontics, Faculty of Dentistry, Cairo University, Giza, Egypt
3Assistant Professor of Endodontics, Faculty of Dentistry, Cairo University, Giza, Egypt
*Corresponding Author: Marian Shenoda Fathy, Master Degree in Endodontics, Oral and Dental Medicine, Cairo University, Giza, Egypt.
Received: June 28, 2021; Published: August 07, 2021
Introduction: Evaluation of pain intensity after endodontic instrumentation and obturation after occlusal reduction in mandibular posterior teeth associated with symptomatic irreversible pulpitis and symptomatic apical periodontitis.
Aim of the Study: To assess the effect of occlusal reduction on post-operative pain after endodontic instrumentation and obturation in patients with symptomatic irreversible pulpitis and symptomatic apical periodontitis in mandibular posterior teeth in a randomized clinical trial.
Methods: Forty-four patients diagnosed with symptomatic irreversible pulpitis and symptomatic apical periodontitis in mandibular posterior teeth were included in this trial. Participants were randomly allocated into two equal groups. In the group A, all occlusal contacts on the functional and non-functional cusps as well as on the marginal ridges of the teeth were reduced by 2 mm, while in group B, no modification was done. Canal instrumentation was completed on the first visit using Revo-S rotary files. Post-instrumentation pain intensity was assessed at 6, 12, 24 and 48 hrs using visual analogue. Canal obturation was completed 7days later and pain was recorded at 12 and 24 hours. In case of severe postoperative pain, analgesics and placebo were prescribed to the participants.
All demographic data, post obturation radiographic findings, VAS scores and analgesic intake were statistically analyzed.
Result: Results showed that occlusal reduction has no significant difference in pain reduction at 6 hours, 12 hours, 24 hours, and 48 hours post-instrumentation and at 6 hours and 12 hours post-obturation. There was a decrease in the median VAS score through the follow up periods in the two groups with a maximum decrease at 48 hours following root canals instrumentation. There was no significant difference in incidence of analgesic intake between the two groups.
Conclusion: Within the limitations of this study, we conclude that occlusal reduction in teeth with irreversible pulpitis and with tenderness to percussion had no significant influence on postoperative pain after root canal preparation when compared with teeth with no occlusal reduction. Pain intensity gradually decreases by time following endodontic treatment.
Keywords: Apical Periodontitis; Occlusal Reduction; Pulpitis; Postoperative Pain; Randomized Clinical Trial
Citation: Marian Shenoda Fathy., et al. “Effect of Occlusal Reduction on Postoperative Pain After Endodontic Treatment in Teeth with Irreversible pulpitis and Symptomatic Apical Periodontitis: A Randomized Clinical Trial”. Acta Scientific Dental Sciences 5.9 (2021): 46-54.
Copyright: © 2021 Marian Shenoda Fathy., et al. 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.