Comparative evaluation of post operative pain after irrigation with different concentrations of sodium hypochlorite: a split mouth triple blinded randomized controlled trial
Objective: Post-endodontic pain is a frequently occurring adverse outcome that impacts a patient’s recovery after a root canal procedure. A range of 4% to 50% of patients experienced moderate-to-severe discomfort after undergoing endodontic therapy. American Association of Pediatric Dentistry (AAPD...
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Universidade Estadual Paulista
2024-12-01
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| Series: | Brazilian Dental Science |
| Online Access: | https://ojs.ict.unesp.br/index.php/cob/article/view/4285 |
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| author | Divya Mukundan Vignesh Ravindran |
| author_facet | Divya Mukundan Vignesh Ravindran |
| author_sort | Divya Mukundan |
| collection | DOAJ |
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Objective: Post-endodontic pain is a frequently occurring adverse outcome that impacts a patient’s recovery after a root canal procedure. A range of 4% to 50% of patients experienced moderate-to-severe discomfort after undergoing endodontic therapy. American Association of Pediatric Dentistry (AAPD) standards recommend treating primary teeth with 1% sodium hypochlorite irrigation. Despite its widespread use, there is no study comparing postoperative outcomes of 1% sodium hypochlorite and higher concentrations. The aim of this study was to compare the postoperative pain following pulpectomy procedures in primary teeth irrigated with 1% sodium hypochlorite versus those irrigated with a higher concentration of 3% sodium hypochlorite. Materials and Methods: This study was a split mouth trial. A total of 36 participants were allocated into two groups. In group 1, canal was irrigated using 1% sodium hypochlorite solution, and in group 2 canal was irrigated using 3% sodium hypochlorite solution. Results: Post operative pain after the procedure was evaluated using a visual analogue scale at four specific time intervals baseline, 6 hours, 12 hours and 24 hours. However, 8 participants who took analgesics were excluded, resulting in 28 participants. The paired t test was utilized to evaluate the difference between two groups. At 6 hours, the 1% NaOCl group reported considerably less pain than 3% NaOCl group with a p value 0.003. However, at 12 hours and 24 hours there was no statistical difference between the groups with a p value >0.005. Conclusion: This study indicates that, in comparison to higher concentrations, the use of 1% sodium hypochlorite showed reduced postoperative discomfort.
KEYWORDS
Irrigation; Pain; Primary teeth; Pulpectomy; Sodium hypochlorite.
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| format | Article |
| id | doaj-art-9f0af588ff424af2b2f224ba553a9212 |
| institution | Kabale University |
| issn | 2178-6011 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Universidade Estadual Paulista |
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| series | Brazilian Dental Science |
| spelling | doaj-art-9f0af588ff424af2b2f224ba553a92122025-08-21T14:31:35ZengUniversidade Estadual PaulistaBrazilian Dental Science2178-60112024-12-0127310.4322/bds.2024.e4285Comparative evaluation of post operative pain after irrigation with different concentrations of sodium hypochlorite: a split mouth triple blinded randomized controlled trialDivya Mukundan0https://orcid.org/0000-0003-3190-2747Vignesh Ravindran1https://orcid.org/0000-0002-7534-3636Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamilnadu, IndiaDepartment of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamilnadu, India Objective: Post-endodontic pain is a frequently occurring adverse outcome that impacts a patient’s recovery after a root canal procedure. A range of 4% to 50% of patients experienced moderate-to-severe discomfort after undergoing endodontic therapy. American Association of Pediatric Dentistry (AAPD) standards recommend treating primary teeth with 1% sodium hypochlorite irrigation. Despite its widespread use, there is no study comparing postoperative outcomes of 1% sodium hypochlorite and higher concentrations. The aim of this study was to compare the postoperative pain following pulpectomy procedures in primary teeth irrigated with 1% sodium hypochlorite versus those irrigated with a higher concentration of 3% sodium hypochlorite. Materials and Methods: This study was a split mouth trial. A total of 36 participants were allocated into two groups. In group 1, canal was irrigated using 1% sodium hypochlorite solution, and in group 2 canal was irrigated using 3% sodium hypochlorite solution. Results: Post operative pain after the procedure was evaluated using a visual analogue scale at four specific time intervals baseline, 6 hours, 12 hours and 24 hours. However, 8 participants who took analgesics were excluded, resulting in 28 participants. The paired t test was utilized to evaluate the difference between two groups. At 6 hours, the 1% NaOCl group reported considerably less pain than 3% NaOCl group with a p value 0.003. However, at 12 hours and 24 hours there was no statistical difference between the groups with a p value >0.005. Conclusion: This study indicates that, in comparison to higher concentrations, the use of 1% sodium hypochlorite showed reduced postoperative discomfort. KEYWORDS Irrigation; Pain; Primary teeth; Pulpectomy; Sodium hypochlorite. https://ojs.ict.unesp.br/index.php/cob/article/view/4285 |
| spellingShingle | Divya Mukundan Vignesh Ravindran Comparative evaluation of post operative pain after irrigation with different concentrations of sodium hypochlorite: a split mouth triple blinded randomized controlled trial Brazilian Dental Science |
| title | Comparative evaluation of post operative pain after irrigation with different concentrations of sodium hypochlorite: a split mouth triple blinded randomized controlled trial |
| title_full | Comparative evaluation of post operative pain after irrigation with different concentrations of sodium hypochlorite: a split mouth triple blinded randomized controlled trial |
| title_fullStr | Comparative evaluation of post operative pain after irrigation with different concentrations of sodium hypochlorite: a split mouth triple blinded randomized controlled trial |
| title_full_unstemmed | Comparative evaluation of post operative pain after irrigation with different concentrations of sodium hypochlorite: a split mouth triple blinded randomized controlled trial |
| title_short | Comparative evaluation of post operative pain after irrigation with different concentrations of sodium hypochlorite: a split mouth triple blinded randomized controlled trial |
| title_sort | comparative evaluation of post operative pain after irrigation with different concentrations of sodium hypochlorite a split mouth triple blinded randomized controlled trial |
| url | https://ojs.ict.unesp.br/index.php/cob/article/view/4285 |
| work_keys_str_mv | AT divyamukundan comparativeevaluationofpostoperativepainafterirrigationwithdifferentconcentrationsofsodiumhypochloriteasplitmouthtripleblindedrandomizedcontrolledtrial AT vigneshravindran comparativeevaluationofpostoperativepainafterirrigationwithdifferentconcentrationsofsodiumhypochloriteasplitmouthtripleblindedrandomizedcontrolledtrial |