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In Vivo Evaluation of Painful Symptomatology after Endodontic Treatment Performed Using Two Different Irrigation Needle Insertion Depths

Objective  The main purpose of this study was to evaluate pain symptoms in patients after endodontic treatment performed in a single session in teeth with vitality or pulp necrosis, comparing two depths of insertion of the NaviTip irrigation needle. Materials and Methods  One-hundred upper uniradicu...

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Autores principales: Tavares, Sarah Gutierrez, Fontana, Carlos Eduardo, Martin, Alexandre Sigrist De, Pinheiro, Sérgio Luiz, Pelegrine, Rina Andrea, Rocha, Daniel Guimarães Pedro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Private Ltd. 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7274829/
https://www.ncbi.nlm.nih.gov/pubmed/32396975
http://dx.doi.org/10.1055/s-0040-1709930
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author Tavares, Sarah Gutierrez
Fontana, Carlos Eduardo
Martin, Alexandre Sigrist De
Pinheiro, Sérgio Luiz
Pelegrine, Rina Andrea
Rocha, Daniel Guimarães Pedro
author_facet Tavares, Sarah Gutierrez
Fontana, Carlos Eduardo
Martin, Alexandre Sigrist De
Pinheiro, Sérgio Luiz
Pelegrine, Rina Andrea
Rocha, Daniel Guimarães Pedro
author_sort Tavares, Sarah Gutierrez
collection PubMed
description Objective  The main purpose of this study was to evaluate pain symptoms in patients after endodontic treatment performed in a single session in teeth with vitality or pulp necrosis, comparing two depths of insertion of the NaviTip irrigation needle. Materials and Methods  One-hundred upper uniradicular teeth were selected and divided into four groups ( n = 25), namely Bio group 1 (live pulp/1 mm from the foramen), Bio group 3 (live pulp/3 mm from the foramen), Necro group 1 (pulp necrosis/1 mm from the foramen), and Necro group 3 (pulp necrosis/3 mm from the foramen). All canals were instrumented with Wave One Gold System. Irrigation was performed using 2.5% NaOCl. The teeth were filled using the single-cone technique with AH Plus sealer using a McSpadden compactor. After treatment, patients answered a questionnaire with a visual analog scale scored from 0 to 10 at 1, 3, and 7 days after treatment. Statistical Analysis  Data were analyzed using Mann–Whitney U, Wilcoxon, and Friedman tests. Results  There was a decrease in average pain levels at the three time points for both vital and necrotic teeth ( p < 0.05). There were no significant differences in postoperative pain levels comparing needle depth, or vitality and pulp necrosis ( p > 0.05). The percentage of mild pain increased over time and moderate pain decreased, regardless of pulp condition. There was no incidence of acute pain at any time. Conclusions  Post-treatment endodontic pain levels in upper uniradicular teeth with or without pulp vitality resulted in similar pain scores, regardless of the depth of insertion of the irrigation needle in relation to the apical foramen.
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spelling pubmed-72748292020-06-10 In Vivo Evaluation of Painful Symptomatology after Endodontic Treatment Performed Using Two Different Irrigation Needle Insertion Depths Tavares, Sarah Gutierrez Fontana, Carlos Eduardo Martin, Alexandre Sigrist De Pinheiro, Sérgio Luiz Pelegrine, Rina Andrea Rocha, Daniel Guimarães Pedro Eur J Dent Objective  The main purpose of this study was to evaluate pain symptoms in patients after endodontic treatment performed in a single session in teeth with vitality or pulp necrosis, comparing two depths of insertion of the NaviTip irrigation needle. Materials and Methods  One-hundred upper uniradicular teeth were selected and divided into four groups ( n = 25), namely Bio group 1 (live pulp/1 mm from the foramen), Bio group 3 (live pulp/3 mm from the foramen), Necro group 1 (pulp necrosis/1 mm from the foramen), and Necro group 3 (pulp necrosis/3 mm from the foramen). All canals were instrumented with Wave One Gold System. Irrigation was performed using 2.5% NaOCl. The teeth were filled using the single-cone technique with AH Plus sealer using a McSpadden compactor. After treatment, patients answered a questionnaire with a visual analog scale scored from 0 to 10 at 1, 3, and 7 days after treatment. Statistical Analysis  Data were analyzed using Mann–Whitney U, Wilcoxon, and Friedman tests. Results  There was a decrease in average pain levels at the three time points for both vital and necrotic teeth ( p < 0.05). There were no significant differences in postoperative pain levels comparing needle depth, or vitality and pulp necrosis ( p > 0.05). The percentage of mild pain increased over time and moderate pain decreased, regardless of pulp condition. There was no incidence of acute pain at any time. Conclusions  Post-treatment endodontic pain levels in upper uniradicular teeth with or without pulp vitality resulted in similar pain scores, regardless of the depth of insertion of the irrigation needle in relation to the apical foramen. Thieme Medical and Scientific Publishers Private Ltd. 2020-05 2020-05-12 /pmc/articles/PMC7274829/ /pubmed/32396975 http://dx.doi.org/10.1055/s-0040-1709930 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Tavares, Sarah Gutierrez
Fontana, Carlos Eduardo
Martin, Alexandre Sigrist De
Pinheiro, Sérgio Luiz
Pelegrine, Rina Andrea
Rocha, Daniel Guimarães Pedro
In Vivo Evaluation of Painful Symptomatology after Endodontic Treatment Performed Using Two Different Irrigation Needle Insertion Depths
title In Vivo Evaluation of Painful Symptomatology after Endodontic Treatment Performed Using Two Different Irrigation Needle Insertion Depths
title_full In Vivo Evaluation of Painful Symptomatology after Endodontic Treatment Performed Using Two Different Irrigation Needle Insertion Depths
title_fullStr In Vivo Evaluation of Painful Symptomatology after Endodontic Treatment Performed Using Two Different Irrigation Needle Insertion Depths
title_full_unstemmed In Vivo Evaluation of Painful Symptomatology after Endodontic Treatment Performed Using Two Different Irrigation Needle Insertion Depths
title_short In Vivo Evaluation of Painful Symptomatology after Endodontic Treatment Performed Using Two Different Irrigation Needle Insertion Depths
title_sort in vivo evaluation of painful symptomatology after endodontic treatment performed using two different irrigation needle insertion depths
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7274829/
https://www.ncbi.nlm.nih.gov/pubmed/32396975
http://dx.doi.org/10.1055/s-0040-1709930
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