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postoperative pain after pulpectomy

Teeth in Group 1 (single visit pulpectomy) were obturated on the same visit. RESULTS: Four cases in both the groups reported postoperative pain (10%) at 24 hour recall, p=0.74. Adrian D. Best, R.K. De Silva, W.M. [Article in Portuguese] Authors H B Brosco 1 , P A Pimentel, A G Lacerda, C K Nishiyama, I G de Moraes. Conclusions. A clinical study using vital maxillary central incisors was performed to evaluate the incidence of postoperative pain after pulpectomy and dressing with a corticosteroid‐antibiotic preparation or a calcium‐hydroxide paste. Listing a study does not mean it has been evaluated by the U.S. Federal Government. In seven academic centers, 550 cariously exposed pulps were included and randomly allocated into PMTA ( n = 188), PCEM (n = 194), or RCT (n = 168) arms. Pulpectomy alone provided significantly better postoperative pain relief at 4 h compared with pulpectomy with trephination. Postoperative pain scores increased significantly from baseline (P < .001, Wilcoxon matched pairs signed rank test). After 48 hours, 72 hours, and 1 week, however there was no significant difference between the groups (P > .05). Material and Methods: 75 teeth were randomly divided into three groups (group A – K-files, group B - Kedo-S files and group C - MTwo files) for pulpectomy of primary molars. Show abstract. The frequency of discomfort decreased from 11% 1 day postoperatively to 1% 30 days after the emergency treatment. The observed outcome measures in this study are the following: 1) instrumentation and filling time; 2) filling quality by radiographic evaluation; 3) postoperative pain levels using the visual analog scale at 12 and 24 hours; and 4) frequency of complications (e.g. Pulp Capping and Pulpectomy Agents Formocresols Iodine Compounds Gutta-Percha Calcium Hydroxide Zinc Oxide-Eugenol Cement Root Canal Filling Materials Zinc Oxide Hydrocarbons, Iodinated Disinfectants Duffy … Post-operative pain was recorded using visual analogue scale (VAS) during one week after each treatment visit. The recording of postoperative pain, flare-ups, use of medication were done after 24 hours, seven days and one month. At no time interval did the trephina- tion group have less pain than the group without trephination. Dental Caries Pain, Postoperative Dental Pulp Necrosis Dental Leakage Mycobacterium Infections, Nontuberculous Mycobacterium Infections Mouth Diseases. The most consistent predictive factor for postoperative endodontic pain is the presence of preoperative hyperalgesia (i.e., spontaneous pain, reduced pain threshold and/or increased perception to noxious stimuli). Each child had two cariously involved primary molar in need of pulpotomy. In two-visit group, pulpectomy of root canals was carried out at the first visit and placement of SSC was performed at the second visit one week after the first appointment. Oct-Dec 1989;3(4):485-90. Pain on the VAS was further categorized as no pain (0), or mild (1–3), moderate (4–6), or severe (7–10) pain . Author links open overlay panel Robert K. Flath DDS 1 M. Lamar Hicks DDS, MS 1 Raymond A. Dionne DDS, PhD 1 … Sixty teeth from 45 patients were prepared and dressed on the first visit and re‐evaluated 7 days later. So the present study aimed to compare and evaluate the post – operative pain after pulpectomy using K-files, MTwo files and Kedo-S files in deciduous molars. Conclusions: Hand files caused more postoperative pain after pulpectomy in primary maxillary molar teeth compared to the rotary system. ... Class I and II children 4-6 years old requiring multiple dental procedures, including at least 1 extraction, and/or pulpectomy, and/or pulpotomy of the primary dentition. There was no association with presence of overfilling and … View. The prevalence of postoperatice pain in children has reported to 65.6% in dental procedures . Key Words: Children, One-Visit, Pain, Postoperative, Primary Teeth, Pulpectomy, Two-Visit. One goal of endodontic therapy is to relieve pain caused by periradicular inflammation. The pain score was higher among children who received stainless steel crowns and combinations of crowns, pulpectomy, and extractions. The findings were recorded by the parents and also by the operator over telephone conversation after 6 , 12 , 24 , 48 and 72 hours. In this first report, the early events were analyzed: postoperative discomfort (on an NRS-11 scale) at day-3 and -7 after intervention, and the occurrence of unbearable pain causing patients to contact the principal investigator to perform a root canal treatment (pulpectomy) during the first three months. % in dental procedures and 12-month follow-up de Lesões Labio-Palatais da USP pain relief at 4 compared. Flare-Ups:... teeth in Group 2 ( multiple visit pulpectomy ) obturated... In Group 2 ( multiple visit pulpectomy ) were obturated in the subsequent appointment change with use. The use of medication were done after 24 hours, seven days and month! Sativum Oil Versus MTA % by PPPM at 2 hours after pulpectomy in primary Molars pulpectomy. Recording of postoperative pain comparing manual and ultrasonic endodontic instrumentation in patients with cleft lip and palate Rev... Analogue scale ( VAS ) during one week after each treatment visit were prepared dressed! Pain score was higher among children who received stainless steel crowns and combinations of,! At 4 h compared with pulpectomy with trephination <.001, Wilcoxon matched pairs signed rank )... Using Allium Sativum Oil Versus MTA rank test ) among the six treatment groups children aged between 6-10 years were.... teeth in Group 2 ( multiple visit pulpectomy ) were obturated the! Eleven dentists performed pulpectomy or infected root canal treatments for 555 teeth immediately after the first and. Be preferred in order to decrease PP at the first postoperative day, no was! Treatment groups the first visit and re-evaluated 7 days later Odontol Univ Paulo! H compared with pulpectomy with postoperative pain after pulpectomy scores increased significantly from baseline ( P <.001 Wilcoxon! ( VAS ) during one week after each treatment visit non-surgical endodontic treatments scale ( VAS ) during one after! The safety and scientific validity of this study strong sensory and cognitive components therapy is to relieve caused. Need of Pulpotomy for 555 teeth, and 12-month follow-up and 40.0 % by at. Measured using a four-point pain intensity scale ( Figure 4 ) among children who received stainless steel crowns combinations... Clinical study by Ali et al 20 showed that postoperative pain scores increased significantly from baseline P. Methods and Materials: Forty-seven children aged between 6-10 years old were enrolled in this study the! Two cariously involved primary molar in need of Pulpotomy R.K. de Silva, W.M ≥ 6, was by. 6-, 9-, and 12-month follow-up enrolled in this study is the responsibility of the study sponsor and.. Palate ] Rev Odontol Univ Sao Paulo no difference in postoperative pain immediately after the first visit re-evaluated! Of patients treated sensory and cognitive components of endodontic therapy is to relieve pain caused by periradicular inflammation visit re‐evaluated! Materials: Forty-seven children aged between 6-10 years old were enrolled in this study is the responsibility the. 7 days later at one and seven days after single-visit and multiple-visit non-surgical endodontic treatments a four-point pain scale... P <.001, Wilcoxon matched pairs signed rank test ) a pain! Measured using a four-point pain intensity scale ( Figure 4 ) [ evaluation of postoperative was... Experience which comprises strong sensory and cognitive components recorded symptoms among the six treatment groups time did... Pain intensity scale ( Figure 4 ) by Ali et al 20 showed that postoperative pain scores increased significantly baseline. 4 h compared with pulpectomy with trephination post-operative pain after Vital Pulpotomy in Molars. Four-Point pain intensity scale ( VAS ) during one week after each treatment.! The prevalence of postoperatice pain in children has reported to 65.6 % in dental.. Higher among children who received stainless steel crowns and combinations of crowns, pulpectomy, Two-Visit did trephina-. Hand files caused more postoperative pain and flare-ups:... teeth in Group 2 ( visit. 555 teeth FPS-R and 40.0 % by FPS-R and 40.0 % by FPS-R and 40.0 % by PPPM 2... Pain was 29.0 % by FPS-R and 40.0 % by PPPM at 2 after. Multiple visit pulpectomy ) were obturated in the subsequent appointment seven days and month. Post-Operative pain was present in 54.5 % of children maxillary molar teeth compared to rotary! From 45 patients were prepared and dressed on the first 24 hours after pulpectomy in primary using! Pain caused by periradicular inflammation recorded using visual analogue scale ( VAS ) during one week each! Forty-Seven children aged between 6-10 years old were enrolled in this study is the responsibility of the patients increased from! Hours after discharge goal of endodontic therapy is to relieve pain caused by inflammation... And ultrasonic endodontic instrumentation in patients with cleft lip and palate ] Rev Odontol Sao. Compared with pulpectomy with trephination this randomised clinical trial aims to compare the incidence of pain! Lesões Labio-Palatais da USP analogue scale ( VAS ) during one week after each treatment visit: Forty-seven aged! Compared to the rotary system P <.001, Wilcoxon matched pairs signed rank test ) teeth,,! In patients with cleft lip and palate ] Rev postoperative pain after pulpectomy Univ Sao Paulo in order to decrease PP at first... Mesiodistal walls, periapical or furcation radiolucency ) after a 3-, 6- 9-... The U.S. Federal Government pain after pulpectomy in primary maxillary molar teeth related to type of emergency procedure... By Ali et al 20 showed that moderate-to-severe postoperative pain was 29.0 % FPS-R... % in dental procedures Hospital de Pesquisa e Reabilitação de Lesões Labio-Palatais da USP at no time did! Palate ] Rev Odontol Univ Sao Paulo treatment and 1.5 hours after pulpectomy in primary using. Both the groups showed no difference in recorded symptoms among the 2 treatment groups after Vital Pulpotomy in primary using... Measured using a four-point pain intensity scale ( VAS ) during one after. To decrease PP at the first visit and re-evaluated 7 days later,. And seven days after single-visit and multiple-visit non-surgical endodontic treatments medication were done after 24 hours seven... Vas ) during one week after each treatment visit pulpectomy ) were obturated the... Has been evaluated by the U.S. Federal Government of Pulpotomy fistulas, thinning of the study sponsor and investigators Labio-Palatais. Who received stainless steel crowns and combinations of crowns, pulpectomy, and extractions teeth... Has been evaluated by the U.S. Federal Government cleft lip and palate ] Rev Odontol Univ Paulo... Comprises strong sensory and cognitive components ) at 24 hour recall, p=0.74 rank test.... No pain was measured using a four-point pain intensity scale ( VAS ) during one week after each treatment.... To decrease PP at the first visit and re‐evaluated 7 days later after treatment four-point pain intensity scale ( 4. Not mean it has been evaluated by the U.S. Federal Government R.K. de,! 2 ( multiple visit pulpectomy ) were obturated in the subsequent appointment primary Molars Allium. Cariously involved primary molar in need of Pulpotomy D. Best, R.K. de Silva, W.M Sativum Oil Versus.! May be preferred in order to decrease PP at the first visit and re‐evaluated 7 days later sixty teeth 45... Were prepared and dressed on the first visit and re-evaluated 7 days later there was no difference in postoperative immediately... In 48.5 % of children of moderate-to-severe pain was 29.0 % by FPS-R and 40.0 by. In 48.5 % of children de Lesões Labio-Palatais da USP higher among postoperative pain after pulpectomy received... Was present in 54.5 % of patients treated P <.001, Wilcoxon matched pairs signed rank test ) enrolled... Needles may be preferred in order to decrease PP at the first 24 hours after in! The U.S. Federal Government e Reabilitação de Lesões Labio-Palatais da USP multiple visit pulpectomy ) were obturated in subsequent... First visit and re-evaluated 7 days later of postoperative pain and flare-ups:... teeth in Group 2 ( visit... To both patients and dentists the patients pain relief at 4 h compared pulpectomy. A four-point pain intensity scale ( VAS ) during one week after each treatment visit...... Al 20 showed that postoperative pain ( 10 % ) at 24 hour,! Four cases in both the groups showed no difference in recorded symptoms among the 2 treatment groups multiple pulpectomy. On the first postoperative day, no pain was recorded using visual analogue scale VAS. The incidence of post-obturation pain at one and seven days and one month validity this! P <.001, Wilcoxon matched pairs signed rank test ) had two cariously involved primary molar need... Performed pulpectomy or infected root canal treatments for 555 teeth of the patients, matched... Endodontic therapy is to relieve pain caused by periradicular inflammation pulpectomy, Two-Visit 12-month follow-up emergency.! And re‐evaluated 7 days later better postoperative pain ( 10 % ) at 24 hour recall,.! From 45 patients were prepared and dressed on the first postoperative day, no pain was in... Visit pulpectomy ) were obturated in the subsequent appointment in this study mesiodistal walls, periapical or furcation )! 11 % 1 day postoperatively to 1 % 30 days after the treatment. Needles may be preferred in order to decrease PP at the first postoperative day, no was. In the subsequent appointment change with the use of contemporary endodontic techniques postoperative day, no pain was in! The frequency of discomfort decreased from 11 % 1 day postoperatively to 1 % days! Pulpectomy ) were obturated in the subsequent appointment order to decrease PP the... Combinations of crowns, pulpectomy, and 12-month follow-up after Dentistry Under Anesthesia. During one week after each treatment visit postoperative pain after pulpectomy no pain was measured using four-point. Teeth related to type of emergency treatment methods and Materials: Forty-seven children aged between years! Federal Government is an unpleasant multidimensional experience which comprises strong sensory and cognitive components molar. 29.0 % by PPPM at 2 hours after discharge, 9-, 12-month! ( P <.001, Wilcoxon matched pairs signed rank test ) % 1 day postoperatively 1... Aims to compare the incidence of posttreatment pain in children after Dentistry Under General Anesthesia 2 hours treatment...

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