Aim: The aim of this study was to compare the effectiveness of rotary instrumentation over manual instrumentation with ultrasonic irrigation on incidence, duration, and intensity of postendodontic pain (PEP).
Subjects And Methods: Eighty patients, with asymptomatic irreversible pulpitis in maxillary anterior teeth, were selected and treated with single-visit endodontic treatment. Patients were randomly divided into 2 groups (40 each), Group A (K files using step-back technique) and Group B (ProTaper Next using crown-down technique) along with passive ultrasonic irrigation. Patients were recalled, examined, and asked to fill up questionnaire after 24 h, 48 h, and 7 days. On the basis of response given in the feedback forms, incidence, duration, and intensity of PEP were evaluated.
Results: Statistical analysis of the data was carried out using Chi-square test, and level of significance ( < 0.05) was evaluated. More incidence of pain was noticed in Group A when compared with Group B. Significant difference found between two groups ( = 22.759; = 0.001). There was also statistically significant difference between two groups at different time intervals.
Conclusion: Both instrumentation techniques under investigation cause PEP. The incidence of pain was more in manual technique than rotary technique. The duration of pain was higher in manual group than rotary group at different time intervals.
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http://dx.doi.org/10.4103/jpbs.jpbs_208_21 | DOI Listing |
J Conserv Dent Endod
November 2024
Department of Conservative Dentistry and Endodontics, Chhattisgarh Dental College and Research Institute, Rajnandgaon, Chhattisgarh, India.
Background: Intracanal medicament (ICM) eliminates remaining bacteria and their toxins that were not removed by chemomechanical preparation during endodontic treatment.
Aim: The aim of this study was to compare and evaluate the removal of ozonated oil-based, silicone oil-based, and distilled water-based ICM with two calcium chelators, i.e.
J Esthet Restor Dent
January 2025
Magne Education, Beverly Hills, California, USA.
Objective: Chemicals used during canal disinfection and endodontic sealers have a deleterious effect on dentin bond strength. The aim of this study was to evaluate a novel clinical sequence to improve the resin-dentin microtensile bond strength (μTBS) to endodontically treated teeth.
Materials And Methods: Twenty human molars were distributed in four experimental groups (n = 5, N = 20): C-control group without exposure to any endodontic chemical substances (2.
PLoS One
December 2024
Department of Endodontics, School of Health and Biosciences, Pontifical Catholic University of Paraná -PUC/PR, Curitiba, Paraná, Brazil.
Aim: This study evaluated the smear layer removal provided by conventional, sonic, and ultrasonic irrigation techniques.
Methodology: Forty extracted human mandibular first premolars were selected and instrumented using the ProTaper Next System files and 2.5% sodium hypochlorite.
Front Bioeng Biotechnol
December 2024
Department of Cariology and Endodontology, Qingdao Stomatological Hospital Affiliated to Qingdao University, Qingdao, Shandong, China.
Objective: To compare the effect of syringe irrigation technique, passive ultrasonic activation technique, EDDY activation technique and Er,Cr,YSGG laser activation technique on smear layer removal in root canals .
Methods: Forty mandibular first premolars with single canal were collected from patients in Qingdao Stomatological Hospital affiliated to Qingdao University. After root canal preparation with ProTaper Universal to F3, they were randomly divided into four groups (n = 10) according to different activation irrigations for the final washing: syringe irrigation (SI), passive ultrasonic activation (PU), EDDY activation (EDDY) and Er,Cr,YSGG laser activation (YSGG).
Cureus
November 2024
Conservative Dentistry and Endodontics, Government Dental College and Hospital, Patiala, IND.
Background The structural properties of dentin, including its microhardness, can be affected by exposure to endodontic irrigating solutions and ultrasonic activation. Aim The current study aimed to assess the effect of three different irrigation regimens, with and without ultrasonic activation, on the microhardness of the dentin. Methodology The research was conducted on 120 mandibular premolars randomly divided into four groups (n=30) based on the irrigation regimen, with each group further divided into two subgroups (n=15).
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