Comprehensive Evaluation of Prevalence of Post-Operative Pain Observed in Single Visit and Multiple Visit Root Canal Therapies: An Original Research Study

Abstract

Abstract

Background and Aim: Grossly decayed tooth with pulpal involvement is often managed by endodontic therapy. Such patients usually complain of severe pain in the concerned tooth region. Endodontic therapy reduces this problem remarkably. This randomized controlled clinical trial based study was conducted to methodically assess the Prevalence of post-operative pain in single and multiple visit root canal treatment.

Materials & Methods: Study conducted on total 60 patients who have undergone endodontic therapy at the designated dental clinics of the city in the last 1 year. Only single rooted teeth (maxillary central incisors) were selected in the. All patients were studied into two major groups of 30 each. Group one consist of patients in which endodontic treatment was finished in single appointment. Group two consist of patients wherein endodontic therapy was finished in multiple appointments. Evaluation of pain in post-operative phases was endeavoured by Heft-Parker Visual Analogue Scale (VAS) at postoperative periods of 12, 20 and 40 hours. Results thus obtained was compiled and sent for necessary statistical analysis. P value less than 0.05 was considered as significant (p< 0.05).

Statistical Analysis and Results: Results showed that out of 60 patients, males were 35 and females were 25. 10 patients were in age range of 30 to 34 years. P value was reported to be significant here 0.02. In group I, Mean VAS value in 12 hours post operative period was 11.562. Standard deviation was 1.456 and standard error was 0.950. Level of significance evaluation revealed very significant here. In group II, Mean VAS value in 12 hours post operative period was 5.992. Standard deviation was 1.542 and standard error was 0.054. Level of significance evaluation revealed extremely significant here [0.002]. Mean VAS value in 20 hours post operative period was 6.522.

Conclusion: Authors concluded that there were significant differences in the pain reported by the patients of both groups in 12, 20, 40 hours post treatment phase. Majority of the first group patients had experienced considerable pain. Therefore, multiple sitting endodontic therapies reduces pain incidences particularly in maxillary central incisors. All clinicians must systematically consider the teeth before finalizing the decision to go for single or multiple visit root canal therapy.

Key-Words: Endodontic Treatment, Pain, Visual Analogue Scale, Incidence, Prevalence