Pulpotomy is a vital pulp therapy approach and can be defined as the surgical removal of the coronal pulp of the vital and reversibly inflamed tooth. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Pain is an unpleasant multidimensional experience which comprises strong sensory and cognitive components . The observed outcome measures in this study are the following: 1) instrumentation and filling time; 2) filling quality by radiographic evaluation; 3) postoperative pain levels using the visual analog scale at 12 and 24 hours; and 4) frequency of complications (e.g. Pulpectomy alone provided significantly better postoperative pain relief at 4 h compared with pulpectomy with trephination. (%) of patients Total (n = 1763) 742 1021 Pain 33 (4) 93 (9) Partial Complete No pain 709 (96) 928 (91) Pulpotomy pulpectomy pulpectomy al (n = 956) 394 346 216 n 30 (8) 44 (13) 14 (6) Table II. Conclusions: Hand files caused more postoperative pain after pulpectomy in primary maxillary molar teeth compared to the rotary system. Thomson, Darryl C. Tong, Claire M. Cameron, Harsha L. De Silva, Efficacy of Codeine When Added to Paracetamol (Acetaminophen) and Ibuprofen for Relief of Postoperative Pain After Surgical Removal of Impacted Third Molars: A Double-Blinded Randomized Control Trial, Journal of Oral and Maxillofacial Surgery, 10.1016/j.joms.2017.04.045, 75, 10, (2063 … Affiliation 1 Hospital de Pesquisa e Reabilitação de Lesões Labio-Palatais da USP. Key Words: Children, One-Visit, Pain, Postoperative, Primary Teeth, Pulpectomy, Two-Visit. fistulas, thinning of the mesiodistal walls, periapical or furcation radiolucency) after a 3-, 6-, 9-, and 12-month follow-up. After 48 hours, 72 hours, and 1 week, however there was no significant difference between the groups (P > .05). Eleven dentists performed pulpectomy or infected root canal treatments for 555 teeth. View. At no time interval did the trephina- tion group have less pain than the group without trephination. Go to: Introduction. Side‐vented needles may be preferred in order to decrease PP at the first 24 hours after pulpectomy in primary molars. Results: Four cases in both the groups reported postoperative pain (10%) at 24 hour recall, p=0.74. Material and Methods: 75 teeth were randomly divided into three groups (group A – K-files, group B - Kedo-S files and group C - MTwo files) for pulpectomy of primary molars. The findings were recorded by the parents and also by the operator over telephone conversation after 6 , 12 , 24 , 48 and 72 hours. Teeth in Group 2 (multiple visit pulpectomy) were obturated in the subsequent appointment. Tooth extraction and pulp therapies of primary teeth (pulpotomy and pulpectomy) have been designated as painful dental procedures (PDPs) in previous studies, and postoperative pain may occur after these procedures . The results showed that moderate-to-severe postoperative pain, defined as FPS-R ≥ 6, was reported in 48.5% of children. Postoperative Pain and Flare-Ups: ... Teeth in Group 2 (multiple visit pulpectomy) were obturated in the subsequent appointment. Postoperative pain recorded 1 week after permanent filling was significantly associated with overfilling (P = .001), with no difference between treatment groups. Lesions were evenly distributed among the 2 treatment groups. A clinical study using vital maxillary central incisors was performed to evaluate the incidence of postoperative pain after pulpectomy and dressing with a corticosteroid‐antibiotic preparation or a calcium‐hydroxide paste. Comparison of Postoperative Pain Following One-Visit and Two-Visit Vital Pulpectomy in Primary Teeth: A Single-Blind Randomized Clinical Trial January 2018 Iranian Endodontic Journal 13(1):13-19 The recording of postoperative pain, flare-ups, use of medication were done after 24 hours, seven days and one month. Pain suppression after pulpectomy with preoperative flurbiprofen †. This randomised clinical trial aims to compare the incidence of post-obturation pain at one and seven days after single-visit and multiple-visit non-surgical endodontic treatments. Teeth in Group 1 (single visit pulpectomy) were obturated on the same visit. The pain score was higher among children who received stainless steel crowns and combinations of crowns, pulpectomy, and extractions. Dental Caries Pain, Postoperative Dental Pulp Necrosis Dental Leakage Mycobacterium Infections, Nontuberculous Mycobacterium Infections Mouth Diseases. The frequency of discomfort decreased from 11% 1 day postoperatively to 1% 30 days after the emergency treatment. During RCO, CS-BG was used. postoperative pain following use of mineral trioxide aggregate (MTA) and calcium-enriched mixture (CEM) cement as pulpotomy agents in carious primary molars. The prevalence of moderate-to-severe pain was 29.0% by FPS-R and 40.0% by PPPM at 2 hours after discharge. Post-obturation pain is frustrating to both patients and dentists. One goal of endodontic therapy is to relieve pain caused by periradicular inflammation. Sixty teeth from 45 patients were prepared and dressed on the first visit and re-evaluated 7 days later. Post-operative pain was recorded using visual analogue scale (VAS) during one week after each treatment visit. A clinical study using vital maxillary central incisors was performed to evaluate the incidence of postoperative pain after pulpectomy and dressing with a corticosteroid-antibiotic preparation or a calcium-hydroxide paste. There was no difference in recorded symptoms among the six treatment groups. In seven academic centers, 550 cariously exposed pulps were included and randomly allocated into PMTA ( n = 188), PCEM (n = 194), or RCT (n = 168) arms. This equivalence, randomized, clinical trial aimed to compare the postoperative pain of root canal therapy (RCT) with pulpotomy with mineral trioxide aggregate (PMTA) or calcium-enriched mixture (PCEM) in permanent mature teeth. Adrian D. Best, R.K. De Silva, W.M. [2] The pain scale is interpreted as : (1) zero- no pain, (2) one- slight pain, (3) two- moderate pain, (4) three- severe pain. ... Class I and II children 4-6 years old requiring multiple dental procedures, including at least 1 extraction, and/or pulpectomy, and/or pulpotomy of the primary dentition. Chemicals and Drugs 11. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The purpose of this study is to evaluate the effect of a bioactive glass-based root canal sealer, Nishika Canal Sealer BG (CS-BG), on the incidence of postoperative pain (PP) after root canal obturation (RCO). Sixty teeth from 45 patients were prepared and dressed on the first visit and re‐evaluated 7 days later. Postoperative pain was measured using a four-point pain intensity scale (Figure 4). Author links open overlay panel Robert K. Flath DDS 1 M. Lamar Hicks DDS, MS 1 Raymond A. Dionne DDS, PhD 1 … So the present study aimed to compare and evaluate the post – operative pain after pulpectomy using K-files, MTwo files and Kedo-S files in deciduous molars. The recording of postoperative pain, flare-ups, use of medication were done after 24 hours, seven days and one month. Postoperative Pain in Children After Dentistry Under General Anesthesia. RESULTS: Four cases in both the groups reported postoperative pain (10%) at 24 hour recall, p=0.74. Results: The groups showed no difference in postoperative pain immediately after the treatment and 1.5 hours after treatment. Conclusions. Three patients did not experience relief and returned for pulpectomy. Pulp Capping and Pulpectomy Agents Formocresols Iodine Compounds Gutta-Percha Calcium Hydroxide Zinc Oxide-Eugenol Cement Root Canal Filling Materials Zinc Oxide Hydrocarbons, Iodinated Disinfectants Duffy … The recording of postoperative pain, flare-ups, use of medication were done after 24 hours, seven days and one month. After the first postoperative day, no pain was reported by any of the patients. In two-visit group, pulpectomy of root canals was carried out at the first visit and placement of SSC was performed at the second visit one week after the first appointment. Oct-Dec 1989;3(4):485-90. Incidence of posttreatment pain in molar teeth related to type of emergency treatment procedure No. Eleven dentists performed pulpectomy or infected root canal treatments for 555 teeth. Evaluation of Post-operative Pain After Vital Pulpotomy in Primary Molars Using Allium Sativum Oil Versus MTA. [Evaluation of postoperative pain comparing manual and ultrasonic endodontic instrumentation in patients with cleft lip and palate] Rev Odontol Univ Sao Paulo. Each child had two cariously involved primary molar in need of pulpotomy. The purpose of this study is to evaluate the effect of a bioactive glass-based root canal sealer, Nishika Canal Sealer BG (CS-BG), on the incidence of postoperative pain (PP) after root canal obturation (RCO). 19 A clinical study by Ali et al 20 showed that postoperative pain was present in 54.5% of patients treated. The most consistent predictive factor for postoperative endodontic pain is the presence of preoperative hyperalgesia (i.e., spontaneous pain, reduced pain threshold and/or increased perception to noxious stimuli). In two-visit group, pulpectomy of root canals was carried out at the first visit and placement of SSC was performed at the second visit one week after the first appointment. [Article in Portuguese] Authors H B Brosco 1 , P A Pimentel, A G Lacerda, C K Nishiyama, I G de Moraes. The prevalence of postoperatice pain in children has reported to 65.6% in dental procedures . Pain on the VAS was further categorized as no pain (0), or mild (1–3), moderate (4–6), or severe (7–10) pain . Show abstract. There was no association with presence of overfilling and … Preoperative and postoperative pain were recorded on a 0 to 10-cm visual analog scale (VAS) scale every 24 hours until the seventh day after the first appointment. Methods and Materials: Forty-seven children aged between 6-10 years old were enrolled in this study. Postoperative pain scores increased significantly from baseline (P < .001, Wilcoxon matched pairs signed rank test). Its incidence may change with the use of contemporary endodontic techniques. Pain subsided over 3 days. 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