TY - JOUR
T1 - Comparative evaluation of post-operative pain after using manual irrigation and EDDY during root canal irrigation
AU - Paixão, Sara
AU - Grenho, Liliana
AU - Rodrigues, Cláudia
N1 - Publisher Copyright:
© 2022 Sociedade Portuguesa de Estomatologia e Medicina Dentária. Published by SPEMD. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
PY - 2022
Y1 - 2022
N2 - Objectives: Post-endodontic pain (PEP) represents a significant challenge for dentists and patients. It can worsen patients' quality of life and teeth function. This study compared the risk of PEP between irrigations using an EDDY device and a conventional endodontic needle among patients seeking initial non-surgical root canal treatment. Methods: This prospective single-center randomized controlled clinical trial was conducted at the Dental Clinic of the Faculty of Dental Medicine of the University of Porto, Portugal. The participants were diagnosed with irreversible pulpitis or pulp necrosis. Eighty single-rooted teeth were randomly assigned to one of two irrigation groups: EDDY or manual syringe irrigation with needles with up-and-down movement (control group). PEP was assessed at 8, 24, and 48 hours postoperatively using the visual analog scale. Student's t-test, Kruskal-Wallis test, Pearson's chi-square test with Fisher's exact test, and Friedman's post-hoc sign test were used. Results: Eight hours after irrigation, the EDDY group experienced a statistically significant higher incidence of pain (p=0.041) (52.5%) compared to the manual irrigation group (30%). There was no statistically significant difference between groups regarding the PEP 24 hours (p=0.068) and 48 hours (p=0.433) after RCT. Conclusions: EDDY irrigation during initial RCT is associated with a higher incidence of PEP, mainly in the first 24 hours, compared to manual irrigation. Afterward, the rate of PEP was similar between groups, with a gradual decline in pain intensity.
AB - Objectives: Post-endodontic pain (PEP) represents a significant challenge for dentists and patients. It can worsen patients' quality of life and teeth function. This study compared the risk of PEP between irrigations using an EDDY device and a conventional endodontic needle among patients seeking initial non-surgical root canal treatment. Methods: This prospective single-center randomized controlled clinical trial was conducted at the Dental Clinic of the Faculty of Dental Medicine of the University of Porto, Portugal. The participants were diagnosed with irreversible pulpitis or pulp necrosis. Eighty single-rooted teeth were randomly assigned to one of two irrigation groups: EDDY or manual syringe irrigation with needles with up-and-down movement (control group). PEP was assessed at 8, 24, and 48 hours postoperatively using the visual analog scale. Student's t-test, Kruskal-Wallis test, Pearson's chi-square test with Fisher's exact test, and Friedman's post-hoc sign test were used. Results: Eight hours after irrigation, the EDDY group experienced a statistically significant higher incidence of pain (p=0.041) (52.5%) compared to the manual irrigation group (30%). There was no statistically significant difference between groups regarding the PEP 24 hours (p=0.068) and 48 hours (p=0.433) after RCT. Conclusions: EDDY irrigation during initial RCT is associated with a higher incidence of PEP, mainly in the first 24 hours, compared to manual irrigation. Afterward, the rate of PEP was similar between groups, with a gradual decline in pain intensity.
KW - Disinfection
KW - Post-operative pain
KW - Randomized controlled trial
KW - Root canal therapy
KW - Desinfeção
KW - Dor pós-operatória
KW - Estudo controlado randomizado
KW - Terapia do canal radicular
UR - http://www.scopus.com/inward/record.url?scp=85134579367&partnerID=8YFLogxK
U2 - 10.24873/J.RPEMD.2022.06.868
DO - 10.24873/J.RPEMD.2022.06.868
M3 - Article
AN - SCOPUS:85134579367
SN - 1646-2890
VL - 63
SP - 59
EP - 67
JO - Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial
JF - Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial
IS - 2
ER -