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Incidence of postoperative pain after canal shaping by using Reciproc and Twisted File Adaptive systems: a prospective, randomized clinical trial

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Abstract

Objectives

The aim of this prospective clinical trial was to investigate the incidence of postoperative pain after initial root canal treatment using Twisted File Adaptive (TFA) and Reciproc systems.

Materials and methods

A total of sixty-four previously initiated or necrotic posterior teeth were randomly assigned to two groups based on the rotary system used; TFA (SybronEndo, Orange, Ca) (n = 35) and Reciproc (VDW, Munich, Germany) (n = 29). All teeth were treated in a single visit. Patients were contacted to assess the level of postoperative pain on a visual analog scale after treatment by 6 h, 24 h, 48 h, 72 h, and 1 week. Patients were also asked to report if any medication was taken during the follow-up period. The postoperative pain scores were analyzed by Mann-Whitney test with respect to follow-up interval at a significance level of 0.05.

Results

Patients treated with TFA reported significantly lower postoperative pain levels at 24 h, 48 h, and 72 h compared with those in Reciproc group (p < 0.01). There were no significant differences between the two groups at 6 h and 1-week follow-up intervals (p > 0.05). About 11% (TFA) and 24% (Reciproc) of the treated patients took analgesics, but none of them took antibiotics during the follow-up period.

Conclusions

The tested rotary systems induced postoperative pain after root canal treatment. The TFA system was found to induce less pain scores compared with the Reciproc system after the treatment by 24 h, 48 h, and 72 h.

Clinical relevance

The level of postoperative pain was low after the root canal treatment with the Twisted File Adaptive system compared with the Reciproc system.

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Author information

Authors and Affiliations

  1. Department of Conservative Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan

    Taher AlOmari

  2. Specialized Dental Center, Department of Endodontics, Ministry of Health, Taif, Saudi Arabia

    Ghadah AlThobiti

  3. King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Jeddah, Saudi Arabia

    Sabri AlThobaiti

  4. Department of Endodontics, Dental Specialist Center, King Fahad Hospital, Ministry of Health, Medina, Saudi Arabia

    Fayez AlOufi

  5. Department of Medical Education, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

    Emad Masuadi & Ahmed Jamleh

  6. King Abdullah International Medical Research Center, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia

    Emad Masuadi

  7. Department of Restorative and Prosthetic Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, P.O. Box 22490, Riyadh, 11426, Saudi Arabia

    Ahmed Jamleh

Authors
  1. Taher AlOmari
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  2. Ghadah AlThobiti
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  3. Sabri AlThobaiti
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  4. Fayez AlOufi
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  5. Emad Masuadi
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  6. Ahmed Jamleh
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Corresponding author

Correspondence to Ahmed Jamleh.

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Conflict of interest

The authors declare that they have no conflict of interest.

Funding

This study was funded by the Jordan University of Sciences and Technology research grant no. 20180455.

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 (Jordan University of Sciences and Technology no. 20180455) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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AlOmari, T., AlThobiti, G., AlThobaiti, S. et al. Incidence of postoperative pain after canal shaping by using Reciproc and Twisted File Adaptive systems: a prospective, randomized clinical trial. Clin Oral Invest 24, 2445–2450 (2020). https://doi.org/10.1007/s00784-019-03106-5

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  • DOI: https://doi.org/10.1007/s00784-019-03106-5

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