Cumhuriyet Dental Journal (Sep 2019)
Evaluation of Postoperative Pain After Using Different File Systems: A Randomized Clinical Study
Abstract
Objectives: This study evaluated the effect of instrumentation techniques on the postoperative pain after single-visit root canal treatment. Materials and Methods: Sixty patients having an indication of endodontic treatment were included. Only single rooted teeth were selected The patients were randomly divided into 2 groups. In group 1; the root canals were instrumented using ProTaper Next instruments with rotational motion, in group 2 TF Adaptive instruments with adaptive motion were used during instrumentation. Treatments were completed in a single appointment. Postoperative pain questionnaires were scored by patients using a four-point pain intensity scale for 12, 24, and 48 hours. Mann Whitney-U, Friedman and Wilcoxon tests were used for analyzing the final data. Results: The comparison of time intervals between groups demonstrated no difference between both groups (p>.05). In both groups, the postoperative pain values of 12h time period were significantly higher than both other periods, and significant difference was found between 24h and 48h time periods (p<0.05). The postoperative pain values of 48h time period were significantly lower than the other two time periods (p<0.05). Conclusions: Both instrumentation techniques caused postoperative pain. The pain scores indicated that both techniques caused limited discomfort associated with slight pain which did not require any additional treatment and medication.
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