Restorative Dentistry and Endodontics

  • 제42권2호
  • /
  • Pages.140-145
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  • 2017
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  • 2234-7658(pISSN)
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  • 2234-7666(eISSN)
대한치과보존학회 (The Korean Academy of Conservative Dentistry)
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Intraoperative discomfort associated with the use of a rotary or reciprocating system: a prospective randomized clinical trial

  • Gomes, Aline Cristine (Department of Restorative Dentistry, Campinas State University (UNICAMP) Piracicaba School of Dentistry) ;
  • Soares, Adriana Jesus (Department of Restorative Dentistry, Campinas State University (UNICAMP) Piracicaba School of Dentistry) ;
  • Souza, Erick M (Department of Endodontics, Federal University of Maranhao (UFMA)) ;
  • Zaia, Alexandre Augusto (Department of Restorative Dentistry, Campinas State University (UNICAMP) Piracicaba School of Dentistry) ;
  • Silva, Emmanuel Joao Nogueira Leal (Department of Endodontics, Grande Rio University (UNIGRANRIO) School of Dentistry)
  • 투고 : 2016.10.26
  • 심사 : 2017.02.20
  • 발행 : 2017.05.31
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초록

Objectives: The aim of this randomized, controlled, prospective clinical study was to evaluate patients' intraoperative discomfort during root canal preparations in which either multi-file rotary (Mtwo) or single-file reciprocating (Reciproc) systems were used. Materials and Methods: Fifty-five adult patients, aged between 25 and 69 years old, with irreversible pulpitis or pulp necrosis participated in this study. Either the mesiobuccal or the distobuccal canals for maxillary molars and either the mesiobuccal or the mesiolingual canals for mandibular molars were randomly chosen to be instrumented with Mtwo multi-file rotary or Reciproc single-file reciprocating systems. Immediately after each canal instrumentation under anesthesia, patient discomfort was assessed using a 1 - 10 visual analog scale (VAS), ranging from 'least possible discomfort' (1) to 'greatest possible discomfort' (10). The Wilcoxon signed-rank test was used to determine significant differences at p < 0.05. Results: Little intraoperative discomfort was found in all cases. No statistically significant differences in intraoperative discomfort between the 2 systems were found (p = 0.660). Conclusions: Root canal preparation with multi-file rotary or single-file reciprocating systems had similar and minimal effects on patients' intraoperative discomfort.

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참고문헌

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피인용 문헌

  1. Reciprocating kinematics leads to lower incidences of postoperative pain than rotary kinematics after endodontic treatment: A systematic review and meta-analysis of randomized controlled trial vol.22, pp.4, 2017, https://doi.org/10.4103/jcd.jcd_439_18
  2. Comparison of postoperative pain intensity following the use of three different instrumentation techniques: A randomized clinical trial vol.13, pp.2, 2019, https://doi.org/10.15171/joddd.2019.021
  3. Effect of XP‐endo Shaper versus conventional rotary files on postoperative pain and bacterial reduction in oval canals with necrotic pulps: a randomized clinical study vol.54, pp.7, 2021, https://doi.org/10.1111/iej.13494