Comparative evaluation of post-operative pain after using manual irrigation and EDDY during root canal irrigation

Sara Paixão; Liliana Grenho; Cláudia Rodrigues

doi:10.24873/J.RPEMD.2022.06.868

Comparative evaluation of post-operative pain after using manual irrigation and EDDY during root canal irrigation

Título traduzido da contribuição: Avaliação comparativa da dor pós-operatória após o uso de irrigação manual e EDDY durante a irrigação canalar

Sara Paixão^*, Liliana Grenho, Cláudia Rodrigues

^*Autor correspondente para este trabalho

Resultado de pesquisa › revisão de pares

Resumo

Objetivos: A dor pós-operatória representa um desafio tanto para médicos dentistas como pacientes. Esta dor pode piorar a qualidade de vida do paciente bem como a função dentária. Este estudo comparou o risco de dor pós-operatória entre a irrigação usando o sistema sónico EDDY e a irrigação convencional manual, em pacientes que necessitavam de tratamento inicial endodôntico não cirúrgico. Métodos: Este foi um estudo clínico prospetivo controlado randomizado, conduzido na Clínica Dentária da Faculdade de Medicina Dentária da Universidade do Porto, Portugal. Foram incluídos pacientes diagnosticados com pulpite irreversível ou necrose pulpar. Foram selecionados 80 dentes monorradiculares que foram atribuídos de forma randomizada ao grupo EDDY ou ao grupo de irrigação manual com seringa e agulha com movimentos de vaivém (grupo controlo). A dor pós endodôntica foi avaliada às 8, 24 e 48 horas pós-operatórias, usando a escala visual analógica. Foram usados o teste t de Student, o teste de Kruskal-Wallis, o teste do qui- -quadrado de Pearson com o teste exato de Fisher, e o teste de post-hoc de Friedman. Resultados: Oito horas após a irrigação, o grupo EDDY sofreu uma maior incidência estatisticamente significativa de dor (p=0,041) (52,5%) relativamente ao grupo da irrigação manual (30%). Não houve diferença estatisticamente significativa entre grupos relativamente à dor pós-operatória às 24 h (p=0,068) e às 48 h (p=0,433) depois do tratamento canalar. Conclusões: A irrigação com EDDY durante o tratamento canalar está associada a uma maior incidência de dor pós-operatória, principalmente nas 24h após o tratamento, comparativamente à irrigação manual. Após esse período, a incidência de dor foi similar entre grupos, com um declínio gradual da intensidade da dor.

Título traduzido da contribuição	Avaliação comparativa da dor pós-operatória após o uso de irrigação manual e EDDY durante a irrigação canalar
Idioma original	English
Páginas (de-até)	59-67
Número de páginas	9
Revista	Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial
Volume	63
Número de emissão	2
DOIs	https://doi.org/10.24873/J.RPEMD.2022.06.868
Estado da publicação	Publicado - 2022
Publicado externamente	Sim

Keywords

Desinfeção
Dor pós-operatória
Estudo controlado randomizado
Terapia do canal radicular

Acesso ao documento

10.24873/J.RPEMD.2022.06.868Licença:

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Link to publication in Scopus

Citação

@article{469917e55457482ab8d3f22888450c21,

title = "Comparative evaluation of post-operative pain after using manual irrigation and EDDY during root canal irrigation",

abstract = "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.",

keywords = "Disinfection, Post-operative pain, Randomized controlled trial, Root canal therapy, Desinfe{\c c}{\~a}o, Dor p{\'o}s-operat{\'o}ria, Estudo controlado randomizado, Terapia do canal radicular",

author = "Sara Paix{\~a}o and Liliana Grenho and Cl{\'a}udia Rodrigues",

note = "Publisher Copyright: {\textcopyright} 2022 Sociedade Portuguesa de Estomatologia e Medicina Dent{\'a}ria. 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/)",

year = "2022",

doi = "10.24873/J.RPEMD.2022.06.868",

language = "English",

volume = "63",

pages = "59--67",

journal = "Revista Portuguesa de Estomatologia, Medicina Dent{\'a}ria e Cirurgia Maxilofacial",

issn = "1646-2890",

publisher = "Sociedade Portguesa de Estomatologia e Medicina Dentaria",

number = "2",

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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

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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 -

Comparative evaluation of post-operative pain after using manual irrigation and EDDY during root canal irrigation

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