Post-operative Pain after Different Root Canal Irrigant Activation Methods in Patients with Acute Apical Periodontitis (Randomized Clinical Trial)

Passant Elzainy; Wael Hussein; Ahmed Hashem; Mahmoud Badr

doi:10.3889/oamjms.2022.10156

Authors

Passant Elzainy Department of Endodontic, Faculty of Oral and Dental Medicine, Future University in Egypt, Cairo, Egypt
Wael Hussein Department of Endodontic, Faculty of Oral and Dental Medicine, Future University in Egypt, Cairo, Egypt
Ahmed Hashem Department of Endodontic, Faculty of Dentistry, Ain-Shams University, Cairo, Egypt
Mahmoud Badr Department of Endodontic, Faculty of Oral and Dental Medicine, Future University in Egypt, Cairo, Egypt

DOI:

https://doi.org/10.3889/oamjms.2022.10156

Keywords:

Acute apical periodontitis, Manual dynamic agitation, NaviTip, Pain, Ultra X

Abstract

Objective To evaluate the degree of postoperative pain in patients with necrotic teeth with symptomatic apical periodontitis after applying ultrasonic irrigation or manual dynamic agitation.

Methods Seventy-eight patients diagnosed with necrotic mandibular first molar with symptomatic apical periodontitis were randomly allocated into 1 of 3 separate groups (n=26); Manual Dynamic Agitation group, Ultra X group, or NaviTip group (control). After a single-visit root canal treatment and a specific method of agitation, depending on each group, the patients were given a questionnaire on which they would mark the degree of pain in a scale from 0 to 10 at 6, 12, 24, 48, 72 hours and 7 days post-operative. Data were statistically analyzed with a significance level of P ≤ 0.05.

Results Final irrigation protocol including Ultrasonic agitation and NaviTip (control) groups showed significantly lower values of pain than the MDA group. There was a reduction in pain values by time in all groups.

Conclusion There was significantly less pain associated with passive ultrasonic agitation and side vented needle (NaviTip) irrigation compared to Manual Dynamic Agitation.

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