Postobturation Pain in Asymptomatic Non Vital Single Rooted Maxillary Teeth Following Single and Two Visit Root Canal Treatment

Abstract

Objectives : The purpose of the present study was to asses the incidence and severity of pain after single and two visit Root Canal Treatment ( RCT ) / endodontic treatment in asymptomatic non vital single rooted maxillary teeth.

Methods : Eighty one cases of endodontically involved asymptomatic, non vital, single rooted maxillary teeth without evidence of periapical radiolucency in radiograph were selected for this study. The patient were divided into two treatment group. In single visit group, all teeth were prepared and filled using the standardized preparation and lateral condensation filling technique. In the two visit treatment group, at the first appointment, the teeth were prepared and dressed with calcium hydroxide paste for 7 days. At the second appointment, the teeth were prepared and obturated by using lateral condensation technique. The frequency of post obturation pain was recorded as no pain, slight/ mild, moderate and severe pain and evaluated at the day 1 and at the day 7 after obturation. The data were analyzed statistically by using SPSS version 16. p-value <0.05 was taken as significant.

Results : No significant difference in post obtuation pain was found in between single and two visit RCT in maxillary teeth. At the day 1 and 7 after obturation, single visit (n= 41) group and two visit (n=40) group similarly experienced moderate pain (2.5% and 1.1% respectively in both group). At day 1 and 7 after obturation, mild pain is more in single visit than two visit group. However, there was no statistically significant difference in pain between the two groups. No one experienced severe pain in two groups.

Conclusion: The incidence and severity of post obturation pain did not differ between single and two visit RCT in asymptomatic non vital single rooted maxillary teeth.

Chatt  Shi Hosp Med Coll J; Vol.15 (1); Jan 2016; Page 45-48