International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 5, Issue 3 (2019)

Evaluation of post-operative pain and flare-ups in endodontic treatments using a type of rotary instruments- a cross-sectional study


Ajmal Mir, Shahid Ali Wani, Atif Hussain

Aim: The purpose was to evaluate the general incidence of post-operative pain and flare-ups in patients who were endodontically treated by two endodontics specialists using rotary instruments with the same treatment protocol. Methods: Records of 382 teeth belonging to 268 patients treated by two endodontics specialists during a 6-month period were kept and evaluated. Post-operative pain between treatment visits was categorized using a pre-established scoring system. Ninety-five patients were males, whereas 173 were females. Results: Pulpal necrosis without periapical pathosis was determined as the most common indication for endodontic treatment (21.7%) followed by irreversible pulpitis and re-treatment without periapical lesions (18.3%, 18.3%, respectively). The general prevalence of postoperative pain and flare-ups was determined as 8.1%, whereas cases that could be classified as real flare-ups which were severe and required an unscheduled visit (scores 2 and 3) comprised 3.4% of the cases. No statistically significant correlation was determined between gender and post-operative pain and flare-up (p = 0.05). Conclusion: Teeth with pre-operative pain were more prone to developing post-operative pain and discomfort with a statistically significant difference (p = 0.02). While no significant correlation was determined between tooth vitality and pain and flare-ups (p = 0.5), a statistically significant relationship existed between the presence of a periapicalpathosis and postoperative pain and flare-ups. Cases with a periapical lesion had a higher risk of developing pain and flare-upscompared to those with no periapical involvement (p = 0.0001). Future studies may focus on the influence of rotary instrumentation systems in more specific groups of cases. Meanwhile; microbiological as well as psychological aspects of flare-ups are topics that warrant further investigation.
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How to cite this article:
Ajmal Mir, Shahid Ali Wani, Atif Hussain. Evaluation of post-operative pain and flare-ups in endodontic treatments using a type of rotary instruments- a cross-sectional study. International Journal of Medical and Health Research, Volume 5, Issue 3, 2019, Pages 216-219
International Journal of Medical and Health Research