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ORIGINAL ARTICLE
Year : 2013  |  Volume : 2  |  Issue : 1  |  Page : 8-15

Post-operative Pain Analysis between Single Visit and Two Visit Root Canal Treatments using Visual Analogue Scale: An In Vivo Study


Assistant Professor,Department of Conservative Dentistry & Endodontics, Sinhgad Dental College & Hospital, Pune - 411041, Maharashtra, India

Correspondence Address:
Kavita Tarale
Assistant Professor,Department of Conservative Dentistry & Endodontics, Sinhgad Dental College & Hospital, Pune - 411041, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2277-4696.159256

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The purpose of this clinical study was to evaluate post-operative pain, after root canal therapy, performed in one appointment versus two appointment using calcium hydroxide intracanal medicament. Study design: In this in-vivo study, 60 patients requiring root canal therapy on permanent 1st molars were included. Patients were randomly divided into two experimental and one control group. Group1: One visit therapy (n=20) Group2: Two visit therapy with 1 week of calcium hydroxide dressing (n=20) Group3(Control): Two visit therapy with 1 week of sterile dry cotton pellet dressing (n=20) Materials and method : The standard protocol for all the patients included local anaesthesia, isolation & access cavity preparation, chemomechanical preparation with Rotary Protaper NiTi instruments, and irrigation with 3% sodium hypochlorite, 17% EDTA, 0.9%saline and 2% chlorhexidine. Teeth in group1 (n=20) were obturated on the same appointment using single cone technique (6% gutta percha points) and AH Plus sealer. Teeth in group 2(n=20) and group 3(n=20) were given a dressing of calcium hydroxide and dry cotton pellet respectively for a week followed by double seal with Cavit G and IRM. These teeth were obturated on the 2nd appointment using same material and techniques as in group 1. Teeth in all three groups were restored with dual cure composite resin. A modified Visual Analogue Scale was used to measure preoperative pain and postoperative pain after 6, 12, 24 & 48hrs interval. Statistical analysis was performed using an independent-sample t test. There was no statistically significant difference between groups at any of the four postoperative intervals. There was no significant difference among all the three groups studied after 12, 24hrs & 48hrs. Conclusion : Within the limitations of this in vivo study, it may be concluded that Single Visit Endodontics provides excellent results, if care in diagnosis and proper case selection is given importance. Calcium hydroxide has no relation in eliminating or reducing postoperative pain.


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