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The effect of sonic activation of irrigant on postoperative pain after root canal treatment in primary molar teeth: a randomized, clinical study

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Abstract

Purpose

Postoperative pain following root canal treatment is a concern for pediatric patients and pediatric dentists. The purpose of this study was to evaluate the effect of using sonic activation (SA) on postoperative pain levels after root canal therapy of primary molars.

Methods

A total of 110 patients aged 5–9 years with symptomatic irreversible pulpitis involving primary molars were included in the study and were randomly divided into two groups according to agitation methods: SA and no sonic activation (NSA). Root canal treatments were completed, and the teeth were restored permanently. Postoperative pain levels were evaluated using the five-face scale at 8, 24, 48, and 72 h and 1 week after treatment. Pain levels and frequency of analgesic intake were recorded and analyzed.

Results

Postoperative pain values were lower in the SA group than in the NSA group at 8, 24, and 48 h after treatment (p < 0.05). No significant difference was observed between the groups in terms of postoperative pain values at 72 h and 1 week after treatment (p > 0.05).

Conclusions

It was determined that the use of SA reduces postoperative pain level significantly after root canal treatment in primary molar teeth.

Clinical relevance

The use of SA can be recommended to clinicians since it is effective in the successful management of postoperative pain of root canal treatment in primary molar teeth.

Trial registration

ClinicalTrials.gov ID: NCT04197531

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References

  1. Vittoba Setty J, Srinivasan I (2016) Knowledge and awareness of primary teeth and their importance among parents in Bengaluru City, India. Int J Clin Pediatr Dent 9(1):56–61. https://doi.org/10.5005/jp-journals-10005-1334

    Article  PubMed  PubMed Central  Google Scholar 

  2. Sathorn C, Parashos P, Messer H (2008) The prevalence of postoperative pain and flare-up in single- and multiple-visit endodontic treatment: a systematic review. Int Endod J 41(2):91–99. https://doi.org/10.1111/j.1365-2591.2007.01316.x

    Article  Google Scholar 

  3. Caviedes-Bucheli J, Moreno JO, Carreno CP, Delgado R, Garcia DJ, Solano J, Diaz E, Munoz HR (2013) The effect of single-file reciprocating systems on substance P and calcitonin gene-related peptide expression in human periodontal ligament. Int Endod J 46(5):419–426. https://doi.org/10.1111/iej.12005

    Article  PubMed  Google Scholar 

  4. Gondim E Jr, Setzer FC, Dos Carmo CB, Kim S (2010) Postoperative pain after the application of two different irrigation devices in a prospective randomized clinical trial. J Endod 36(8):1295–1301. https://doi.org/10.1016/j.joen.2010.04.012

    Article  PubMed  Google Scholar 

  5. Ramamoorthi S, Nivedhitha MS, Divyanand MJ (2015) Comparative evaluation of postoperative pain after using endodontic needle and EndoActivator during root canal irrigation: a randomised controlled trial. Aust Endod J 41(2):78–87. https://doi.org/10.1111/aej.12076

    Article  PubMed  Google Scholar 

  6. Zehnder M (2006) Root canal irrigants. J Endod 32(5):389–398. https://doi.org/10.1016/j.joen.2005.09.014

    Article  PubMed  Google Scholar 

  7. Gu LS, Kim JR, Ling J, Choi KK, Pashley DH, Tay FR (2009) Review of contemporary irrigant agitation techniques and devices. J Endod 35(6):791–804. https://doi.org/10.1016/j.joen.2009.03.010

    Article  PubMed  Google Scholar 

  8. Yılmaz K, Tüfenkçi P, Adıgüzel M (2019) The effects of QMix and EndoActivator on postoperative pain in mandibular molars with nonvital pulps: a randomized clinical trial. Clin Oral Investig 23(11):4173–4180. https://doi.org/10.1007/s00784-019-02856-6

    Article  PubMed  Google Scholar 

  9. Walsh LJ, George R (2017) Activation of alkaline irrigation fluids in endodontics. Materials 10(10):1214

    Article  PubMed Central  Google Scholar 

  10. de Gregorio C, Estevez R, Cisneros R, Heilborn C, Cohenca N (2009) Effect of EDTA, sonic, and ultrasonic activation on the penetration of sodium hypochlorite into simulated lateral canals: an in vitro study. J Endod 35(6):891–895. https://doi.org/10.1016/j.joen.2009.03.015

    Article  PubMed  Google Scholar 

  11. Desai P, Himel V (2009) Comparative safety of various intracanal irrigation systems. J Endod 35(4):545–549. https://doi.org/10.1016/j.joen.2009.01.011

    Article  PubMed  Google Scholar 

  12. Topçuoğlu HS, Topçuoğlu G, Arslan H (2018) The effect of different irrigation agitation techniques on postoperative pain in mandibular molar teeth with symptomatic irreversible pulpitis: a randomized clinical trial. J Endod 44(10):1451–1456. https://doi.org/10.1016/j.joen.2018.06.008

    Article  PubMed  Google Scholar 

  13. Frankl SN (1962) Should the parent remain in the dental operatory. J Dent Child 29:150–163

  14. Chambers CT, Giesbrecht K, Craig KD, Bennett SM, Huntsman E (1999) A comparison of faces scales for the measurement of pediatric pain: children’s and parents’ ratings. Pain 83(1):25–35

    Article  PubMed  Google Scholar 

  15. Siqueira J Jr, Barnett F (2004) Interappointment pain: mechanisms, diagnosis, and treatment. Endod Top 7(1):93–109

    Article  Google Scholar 

  16. ElMubarak AHH, Abu-bakr NH, Ibrahim YE (2010) Postoperative pain in multiple-visit and single-visit root canal treatment. J Endod 36(1):36–39

    Article  Google Scholar 

  17. Sevekar SA, Gowda SHN (2017) Postoperative pain and flare-ups: comparison of incidence between single and multiple visit pulpectomy in primary molars. J Clin Diagn Res 11(3):ZC09

    PubMed  PubMed Central  Google Scholar 

  18. Wang C, Xu P, Ren L, Dong G, Ye L (2010) Comparison of post-obturation pain experience following one-visit and two-visit root canal treatment on teeth with vital pulps: a randomized controlled trial. Int Endod J 43(8):692–697

    Article  PubMed  Google Scholar 

  19. Singla R, Marwah N, Dutta S (2008) Single visit versus multiple visit root canal therapy. Int J Clin Pediatr Dent 1(1):17–24

    Article  PubMed  PubMed Central  Google Scholar 

  20. DiRenzo A, Gresla T, Johnson BR, Rogers M, Tucker D, BeGole EA (2002) Postoperative pain after 1-and 2-visit root canal therapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93(5):605–610

    Article  PubMed  Google Scholar 

  21. Ahmed H (2013) Anatomical challenges, electronic working length determination and current developments in root canal preparation of primary molar teeth. Int Endod J 46(11):1011–1022

    Article  PubMed  Google Scholar 

  22. Bodur H, Odabaş M, Tulunoğlu Ö, Tinaz AC (2008) Accuracy of two different apex locators in primary teeth with and without root resorption. Clin Oral Investig 12(2):137–141

    Article  PubMed  Google Scholar 

  23. Angwaravong O, Panitvisai P (2009) Accuracy of an electronic apex locator in primary teeth with root resorption. Int Endod J 42(2):115–121

    Article  PubMed  Google Scholar 

  24. Soares F, Varella CH, Pileggi R, Adewumi A, Guelmann M (2008) Impact of Er, Cr: YSGG laser therapy on the cleanliness of the root canal walls of primary teeth. J Endod 34(4):474–477

    Article  PubMed  Google Scholar 

  25. Topçuoğlu G, Topçuoğlu HS, Akpek F (2016) Evaluation of apically extruded debris during root canal preparation in primary molar teeth using three different rotary systems and hand files. Int J Paediatr Dent 26(5):357–363

    Article  PubMed  Google Scholar 

  26. Alnassar I, Alsafadi AS, Kouchaji C (2019) Assessment of the apically extruded debris between a rotary system, a reciprocating system and hand files during the root canal instrumentation of the deciduous molars. Dent Med Probl 56(1):53–57

    Article  PubMed  Google Scholar 

  27. (2016) Guideline on pulp therapy for primary and immature permanent teeth. Pediatr Dent 38(6):280–288

  28. Mehdipour O, Kleier DJ, Averbach RE (2007) Anatomy of sodium hypochlorite accidents. Compend Contin Educ Dent 28(10):544–546 548, 550

    PubMed  Google Scholar 

  29. Arias A, Azabal M, Hidalgo JJ, José C (2009) Relationship between postendodontic pain, tooth diagnostic factors, and apical patency. J Endod 35(2):189–192

    Article  PubMed  Google Scholar 

  30. Baygin O, Tuzuner T, Isik B, Kusgoz A, Tanriver M (2011) Comparison of pre-emptive ibuprofen, paracetamol, and placebo administration in reducing post-operative pain in primary tooth extraction. Int J Paediatr Dent 21(4):306–313

    Article  PubMed  Google Scholar 

  31. Pozos-Guillen A, Martinez-Rider R, Aguirre-Banuelos P, Perez-Urizar J (2007) Pre-emptive analgesic effect of tramadol after mandibular third molar extraction: a pilot study. J Oral Maxillofac Surg 65(7):1315–1320

    Article  PubMed  Google Scholar 

  32. Parirokh M, Sadr S, Nakhaee N, Abbott PV, Manochehrifar H (2014) Comparison between prescription of regular or on-demand ibuprofen on postoperative pain after single-visit root canal treatment of teeth with irreversible pulpitis. J Endod 40(2):151–154

    Article  PubMed  Google Scholar 

  33. Primosch RE, Nichols D, Courts F (1995) Comparison of preoperative ibuprofen, acetaminophen, and placebo administration on the parental report of postextraction pain in children. Pediatr Dent 17:187–187

    PubMed  Google Scholar 

  34. Perrott DA, Piira T, Goodenough B, Champion GD (2004) Efficacy and safety of acetaminophen vs ibuprofen for treating children's pain or fever: a meta-analysis. Arch Pediatr Adolesc Med 158(6):521–526

    Article  PubMed  Google Scholar 

  35. Al-Zaka IM (2012) The incidence of pain after root canal treatment using different irrigation methods. Tikrit Journal for Dental Sciences 1(2):38–43

  36. Kishen A, Shrestha A, Del Carpio-Perochena A (2018) Validation of biofilm assays to assess antibiofilm efficacy in instrumented root canals after syringe irrigation and sonic agitation. J Endod 44(2):292–298. https://doi.org/10.1016/j.joen.2017.10.005

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Pediatric Dentistry, Faculty of Dentistry, Erciyes University, Kayseri, Turkey

    Hüsniye Gümüş

  2. Department of Pediatric Dentistry, Faculty of Dentistry, Nuh Naci Yazgan University, Kayseri, Turkey

    Ebru Delikan

Authors
  1. Hüsniye Gümüş
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  2. Ebru Delikan
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Contributions

H.G. and E.D. conceived the ideas; H.G. and E.D. collected the data; H.G. and E.D. analyzed the data; and H.G. and E.D. led the writing.

Corresponding author

Correspondence to Ebru Delikan.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards the study was approved by the Presidency of Clinical Trials Ethics Committee of Erciyes University (no. 2018/152).

Informed consent

Informed consent was obtained from all of the parents included in the present study.

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Gümüş, H., Delikan, E. The effect of sonic activation of irrigant on postoperative pain after root canal treatment in primary molar teeth: a randomized, clinical study. Clin Oral Invest 25, 363–370 (2021). https://doi.org/10.1007/s00784-020-03687-6

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  • DOI: https://doi.org/10.1007/s00784-020-03687-6

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