Comparison of postoperative pain after the use of different nickel-titanium instrumentation systems: A randomized clinical trial

Purpose: Postoperative pain is a common complication in endodontics contributed by multiple etiological factors, which consist canal preparation instruments and kinematics. The aim of this randomized clinical trial compare the postoperative pain in terms of intensity and incidence after the use of d...

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Main Authors: Özlem Sivas Yılmaz, Cangül Keskin, Duygu H. Acar, Hikmet Aydemir
Format: Article
Language:English
Published: Istanbul University 2022-05-01
Series:European Oral Research
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Online Access:https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/9B2F5000BB1441CCAF86D576CE098F5F
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author Özlem Sivas Yılmaz
Cangül Keskin
Duygu H. Acar
Hikmet Aydemir
author_facet Özlem Sivas Yılmaz
Cangül Keskin
Duygu H. Acar
Hikmet Aydemir
author_sort Özlem Sivas Yılmaz
collection DOAJ
description Purpose: Postoperative pain is a common complication in endodontics contributed by multiple etiological factors, which consist canal preparation instruments and kinematics. The aim of this randomized clinical trial compare the postoperative pain in terms of intensity and incidence after the use of different nickel titanium (NiTi) file systems. Patients and methods: In this randomized clinical trial (NCT03791762), a total of 150 patients were root canal treated by 2 experienced endodontists according to a standardised protocol. The subjects were randomly assigned to 1 of the 3 groups according to preparation instrument used: ProTaper Next (Dentsply Sirona, Ballaigues, Switzerland), Reciproc Blue (VDW, Munich, Germany) and WaveOne Gold (Dentsply Sirona). Following preparation the teeth underwent standardized root canal treatment procedures in a single visit. The patients were contacted to gather information about the incidence of pain and intensity at 6th, 12th, 18th, 24th, 48th, and 72nd hours postoperatively. The data were analysed using chi-square, one-way analysis of variance and post hoc Tukey tests and logistic regression analysis with 5% significance threshold. Results: No significant difference was found among preparation groups in relation to the intensity of postoperative pain. The incidence of postoperative pain was significantly linked with the preoperative pain presence with odds ratio values ranging between 2.06 and 4.08 irrespective of the preparation technique (P<0.05). Conclusion: The effects of reciprocating and the continuous rotary systems on the intenstiy and incidence of postoperative pain were found to be similar.
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spelling doaj-art-5bc83c196bae4b5fbf9a9e0896fe24592025-08-20T01:48:12ZengIstanbul UniversityEuropean Oral Research2651-28232022-05-0156210210910.26650/eor.2022873271123456Comparison of postoperative pain after the use of different nickel-titanium instrumentation systems: A randomized clinical trialÖzlem Sivas Yılmaz0https://orcid.org/0000-0002-5669-8343Cangül Keskin1Duygu H. Acarhttps://orcid.org/0000-0003-4405-1777Hikmet Aydemir2https://orcid.org/0000-0001-5750-8831Karabük Üniversitesi, Karabuk, TurkiyeOndokuz Mayıs Üniversitesi, Samsun, TurkiyeOndokuz Mayıs Üniversitesi, Samsun, TurkiyePurpose: Postoperative pain is a common complication in endodontics contributed by multiple etiological factors, which consist canal preparation instruments and kinematics. The aim of this randomized clinical trial compare the postoperative pain in terms of intensity and incidence after the use of different nickel titanium (NiTi) file systems. Patients and methods: In this randomized clinical trial (NCT03791762), a total of 150 patients were root canal treated by 2 experienced endodontists according to a standardised protocol. The subjects were randomly assigned to 1 of the 3 groups according to preparation instrument used: ProTaper Next (Dentsply Sirona, Ballaigues, Switzerland), Reciproc Blue (VDW, Munich, Germany) and WaveOne Gold (Dentsply Sirona). Following preparation the teeth underwent standardized root canal treatment procedures in a single visit. The patients were contacted to gather information about the incidence of pain and intensity at 6th, 12th, 18th, 24th, 48th, and 72nd hours postoperatively. The data were analysed using chi-square, one-way analysis of variance and post hoc Tukey tests and logistic regression analysis with 5% significance threshold. Results: No significant difference was found among preparation groups in relation to the intensity of postoperative pain. The incidence of postoperative pain was significantly linked with the preoperative pain presence with odds ratio values ranging between 2.06 and 4.08 irrespective of the preparation technique (P<0.05). Conclusion: The effects of reciprocating and the continuous rotary systems on the intenstiy and incidence of postoperative pain were found to be similar.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/9B2F5000BB1441CCAF86D576CE098F5Fendodontic treatmentwaveone goldpostoperative painprotaper nextreciproc blue
spellingShingle Özlem Sivas Yılmaz
Cangül Keskin
Duygu H. Acar
Hikmet Aydemir
Comparison of postoperative pain after the use of different nickel-titanium instrumentation systems: A randomized clinical trial
European Oral Research
endodontic treatment
waveone gold
postoperative pain
protaper next
reciproc blue
title Comparison of postoperative pain after the use of different nickel-titanium instrumentation systems: A randomized clinical trial
title_full Comparison of postoperative pain after the use of different nickel-titanium instrumentation systems: A randomized clinical trial
title_fullStr Comparison of postoperative pain after the use of different nickel-titanium instrumentation systems: A randomized clinical trial
title_full_unstemmed Comparison of postoperative pain after the use of different nickel-titanium instrumentation systems: A randomized clinical trial
title_short Comparison of postoperative pain after the use of different nickel-titanium instrumentation systems: A randomized clinical trial
title_sort comparison of postoperative pain after the use of different nickel titanium instrumentation systems a randomized clinical trial
topic endodontic treatment
waveone gold
postoperative pain
protaper next
reciproc blue
url https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/9B2F5000BB1441CCAF86D576CE098F5F
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AT duyguhacar comparisonofpostoperativepainaftertheuseofdifferentnickeltitaniuminstrumentationsystemsarandomizedclinicaltrial
AT hikmetaydemir comparisonofpostoperativepainaftertheuseofdifferentnickeltitaniuminstrumentationsystemsarandomizedclinicaltrial