Research Article
Volume 19 Issue 5 - 2020
Occurrence of Persistent Post-Endodontic Pain after Single-Visit RCT Using Manual and Three Mechanical Systems in Teeth with Irreversible Pulpitis and Apical Periodontitis
Jorge Paredes Vieyra1*, Francisco Javier Jiménez Enriquez2, Fabian Ocampo Acosta3 and Daniel Jiménez Zaragoza4
1Full Time Professor, Endodontics Department, School of Dentistry, Autonomous University of Baja California, Tijuana Campus, Mexico
2Full Time Professor, Oral Surgery Department, School of Dentistry, Autonomous University of Baja California, Tijuana Campus, Mexico
3Histopathology Department, School of Dentistry, Autonomous University of Baja California, Tijuana Campus, Mexico
4Faculty of Medicine, Autonomous University of Baja California, Tijuana Campus, Mexico
*Corresponding Author: Jorge Paredes Vieyra, Full Time Professor, Endodontics Department, School of Dentistry, Autonomous University of Baja California, Tijuana Campus, Mexico.
Received: March 31, 2020; Published: April 25, 2020


Objective: The aim of the present study was to clinically compare the effect of different NiTi shaping systems on persistent post-endodontic pain after single-visit RCT using manual and three mechanical systems in teeth with irreversible pulpitis and apical periodontitis.

Materials and Methods: One hundred and forty participants of 147 patients (76 women and 64 men) aged 18 - 65 years were integrated into this research. Thirty-five of 140 teeth were selected for the four enlargement techniques. Control group, TFA, WOG, and PTN groups received final flushing with 6°C 17% EDTA solution gently administered to the WL through a cold (6°C) sterile metallic micro-cannula attached to the Endovac system (Kerr Endo) for one minute.

Results: No significant difference (p > 0.05) among the groups were met concerning pain. The post-endodontic pain was evaluated a day after with a significant reduction of symptoms. No statistically significant difference was seen between the four groups assessed in the research in terms of analgesic consumption (p > .05).

Conclusion: The persistent pain was related to the treatment of earlier symptomatic teeth, and the use of substances with antibacterial activity is a valuable tool to control endodontic infection. Under the conditions of this study, manual and rotary Nickel-Titanium systems were safe to use.

Keywords: Flare-ups; Pain; Post-Endodontic Pain; Postoperative Pain


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Citation: Jorge Paredes Vieyra., et al. “Occurrence of Persistent Post-Endodontic Pain after Single-Visit RCT Using Manual and Three Mechanical Systems in Teeth with Irreversible Pulpitis and Apical Periodontitis”. EC Dental Science 19.5 (2020): 161-170

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