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Postoperative pain after root-end resection and filling
Bun San Chong1, Thomas R Pitt Ford
1Department of Conservative Dentistry, Gkt Dental Institute, King's College London. bunsan.chong@kcl.ac.uk
Summary
Postoperative pain after root-end resection was similar for Mineral Trioxide Aggregate and Intermediate Restorative Material. Pain decreased significantly over 48 hours, with non-prescription analgesics proving effective.
Area of Science:
- Endodontics
- Dental Materials Science
- Pain Management
Background:
- Root-end resection is a common endodontic surgical procedure.
- Material selection for root-end filling may influence postoperative outcomes.
- Understanding patient pain experience is crucial for clinical practice.
Purpose of the Study:
- To compare postoperative pain following root-end resection using Mineral Trioxide Aggregate (MTA) versus Intermediate Restorative Material (IRM).
- To evaluate pain severity and analgesic consumption over time.
Main Methods:
- Randomized controlled trial with adult patients undergoing root-end resection.
- Standardized surgical technique with MTA or IRM for root-end filling.
- Pain assessment using Visual Analog Scale (VAS) at 3-5 hours, 24 hours, and 48 hours post-surgery.
- Recording of analgesic use (type and dosage).
Main Results:
- A high percentage of patients (90% at 3-5 hours, 82% at 24 hours, 72% at 48 hours) reported postoperative pain.
- Pain intensity, measured by VAS, decreased significantly over time in both groups (P < .001).
- No statistically significant difference in pain or analgesic use was observed between MTA and IRM groups.
Conclusions:
- Mineral Trioxide Aggregate and Intermediate Restorative Material result in comparable postoperative pain experiences after root-end resection.
- Postoperative pain is generally short-lived, peaking early and diminishing over 48 hours.
- Over-the-counter analgesics are typically sufficient for managing pain effectively.