Original Research
Volume 2022, Article ID 22071208, 10 pages.
Comparative evaluation of rotary and reciprocating single file systems on post-operative pain – a randomised controlled clinical trial
T. Vigneshwar Sambandam1, Deepak Selvam2, Manish Ranjan31,2,3Department of Conservative Dentistry and Endodontics, Saveetha Institute of Medical and Technical sciences, Chennai, India
Address for Correspondence:
Dr. T.Vigneshwar Sambandam
Department of Conservative Dentistry & Endodontics, Saveetha Institute of Medical and Technical Sciences, Chennai, India.
Ph No : 979078761
Email:dr.vigneshwart@gmail.com
ABSTRACT
Introduction
Post endodontic pain is intelligibly multifactorial, and the instrumentation procedure has been identified as a significant contributor. Debris and bacterial extrusion during chemo-mechanical preparation may be the cause of this, which exacerbates the inflammatory response and results in periradicular inflammation. Depending on the instrument design and instrumentation technique, the amount of extruded debris varies.
Aim
To compare and evaluate post-operative pain using rotary and reciprocating single file system
Methodology
Two groups of 27 reciprocating files (WAVEONE GOLD) and 27 rotary files, totaling 54 teeth, were created (One Shape). The entire root canal procedure was completed in a single appointment. VAS pain score was used to measure and evaluate post-operative pain at 6, 12, 24, 36, 48, and 72 hours.
Results
No discernible difference was found between the two groups' pre-operative mean pain levels when compared across various time periods (P>0.05). However, no significant difference in pain levels was found between the groups at 6, 12, 24, 48, or 72 hours after surgery.
Conclusion
In this investigation, there was no substantial difference in post-operative outcomes across the groups. The amount of pressure exerted on a tooth during cleaning and shaping with a single file is more than with a multiple file system, which will lead to post-operative discomfort. As the number of files decreases, debris extrusion decreases. Therefore, further research is required to fully understand the advantages and disadvantages of a single file system against numerous file systems.
Keywords: Root canal treatment, post-operative pain, Waveone gold, One shape
Financial support and sponsorship
Nil
Conflicts of interest
Nil
How to cite: Vigneshwar S, Deepak S, Manish R. Comparative evaluation of rotary and reciprocating single-file systems on post-operative pain –a randomized controlled clinical trial. IntJ Endodnd Rehabil Volume2022, Article ID 22071208, 10pages
