Postoperative Pain After Using Reciprocating Motion with Reciproc Files Versus Adaptive Motion with Twisted File Adaptive in Instrumentation of Necrotic Mandibular Molars: A Randomized Clinical Trial

OBJECTIVE: The objective of the present study was to assess the effect of using Reciproc (RC), (VDW GmbH, Munich, Germany) files with reciprocating motion versus Twisted File Adaptive (TFA, Kerr, Orange, California, USA) system with adaptive motion on post-instrumentation and post-obturation pain of necrotic mandibular molars. METHODS: Fifty-eight patients with mandibular molar assessed at 3 intervals; 6, 12 and, 24 hrs. Mann Whitney U and Friedman test was used for data analysis, and the significance level was set to (P≤0.05). RESULTS: There was no statistically significant difference in the mean values of post-instrumentation pain at each time interval for the RC and TFA groups (P>0.05). Pain decreased in each group with a statistically significant difference from preoperative condition to all six post-instrumentation time intervals (P<0.001). In each group, post-instrumentation mean pain values at 6, 12, and 24 hrs were higher than post-obturation pain values at 6, 12, and 24 hrs with a statistically significant difference (P<0.001). CONCLUSION: TFA and RC had a similar impact on post-instrumentation and post-obturation pain. The post-instrumentation pain was higher than post-obturation pain in both groups.