Evaluation of Post-operative Pain During Retreatment in Different Visits

Armed Forces Institute of Dentistry, Pakistan116 enrolled

Overview

Endodontic retreatment is performed to alleviate symptoms of recurring infection, post-treatment disease after primary endodontic therapy. Retreatment can be performed in either single or multiple visits. and have their own implications. it is important to compare the patient response and post-op pain after single vs multi-visit reendo treatment.

Introduction: Treating endodontic failure cases has always been a challenge for the clinician due to the complex nature of disease which includes resistant microorganisms, iatrogenic errors and cleaning and shaping of un-instrumented areas. Endodontic retreatment can be done in either single or multiple visits. Multiple visits have the added advantage of placement of intracanal medicament resulting in decreased bacterial load and reduced pain, whereas single visit endodontic retreatment reduces chances of inter appointment microbial contamination. This study aims to evaluate post operative pain among both groups. Objective: To evaluate frequency of post-operative pain in endodontic retreatment cases after single vs multiple (two) visits root canal therapy. Materials and Methods: STUDY SETTING: Department of Operative Dentistry, AFID Rawalpindi.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

TRIPLE

Enrollment

116

Conditions

Post Operative Pain

Interventions

single visit re-endoPROCEDURE

In this group, a single visit re-endodontic treatment will be performed and completed in the same visit, including all the steps.

multi visit re-endoPROCEDURE

In this group, a multi-visit re-endodontic treatment will be performed and completed over different visits, including all the steps.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with unremarkable/ noncontributory medical history * Age range between 15-45 years * Cases of failed endodontic treatment resulting from inadequate root filling * No systemic disease * No periodontal disease Exclusion Criteria: * Patients having teeth with periodontal pathology * root fractures * Immature root apices * Endodontic posts * Root perforations * Immunocompromised health were excluded from the study.

Locations (1)

Armed Forces Institute of dentistry

Rawalpindi, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Post operative pain after re-endo

Post-operative pain after single vs multi visit re-endo treatment to be compared. The patients will be guided in detail about the procedure and how to document their response to the treatment. The Visual Analog Scale (VAS). numbered from 0-10, with 0 being no pain, 1 - 3: mild pain, 4-6: moderate pain, and 7-10 severe pain, will be used to record pain experienced by the patients and notified to the investigator.

Time frame: 6 hours - 72 hours

Data from ClinicalTrials.gov

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