Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2017 | Month : March | Volume : 11 | Issue : 3 | Page : ZC09 - ZC12

Postoperative Pain and Flare-Ups: Comparison of Incidence Between Single and Multiple Visit Pulpectomy in Primary Molars

Shrirang Anand Sevekar, Subhadra Halemane Nagaraj Gowda

1. Associate Professor, Department of Paediatric and Preventive Dentistry, MGM Dental College and Hospital, Navi Mumbai, Maharashtra, India. 2. Associate Professor, Department of Paediatric and Preventive Dentistry, YMT Dental College and Hospital Navi Mumbai, Maharashtra, India.

Correspondence Address :
Dr. Shrirang Anand Sevekar,
Associate Professor, Department of Paediatric and Preventive Dentistry, MGM Dental College and Hospital, Navi Mumbai-410209,
Maharashtra, India.
E-mail: s_shrirang@yahoo.com

Abstract

Introduction: Endodontic treatment performed in either singleor multiple visit can be followed by numerous short- and long term complications. One of the short term complications include postoperative pain and flare–ups. The ability to predict its prevalence and forewarn the patient may go some way towards enabling coping strategies and help dentist in pain management treatment decisions

Aim: To compare the incidence and intensity of postoperative pain and flare-ups between single- and multiple visit pulpectomy in primary molars. Also, to correlate the preoperative status of the pulp to postoperative pain and flare-ups.

Materials and Methods: Eighty primary molars indicated for pulpectomy were included in the study and divided into two groups. Tooth treated and preoperative status of the pulp vitality was recorded. All the conventional steps in pulpectomy were followed. Teeth in Group 1 (single visit pulpectomy) were obturated on the same visit. Teeth in Group 2 (multiple visit pulpectomy) were obturated in the subsequent appointment. The recording of postoperative pain, flare-ups, use of medication were done after 24 hours, seven days and one month.

Results: Four cases in both the groups reported postoperative pain (10%) at 24 hour recall, p=0.74. One flare-up (2.5%) was recorded in each group p=0.67. None of the patients reported pain at seventh day and one month recall. Postoperative pain was recorded in five non-vital teeth (13.5%) and three vital teeth (6.9%). However, it was statistically not significant p=0.53.

Conclusion: From the perspective of our study there was a low incidence of postoperative pain. The majority of patients in both groups reported no pain or only minimal pain within 24 hours of treatment. There were no differences between single- and multi visit treatment protocols with respect to the incidence of postoperative pain. No significant correlation could be found between pulp vitality and the incidence of postoperative pain.

Keywords

Dental pulp, Pain, Primary tooth, Root canal therapy

How to cite this article :

Shrirang Anand Sevekar, Subhadra Halemane Nagaraj Gowda. POSTOPERATIVE PAIN AND FLARE-UPS: COMPARISON OF INCIDENCE BETWEEN SINGLE AND MULTIPLE VISIT PULPECTOMY IN PRIMARY MOLARS. Journal of Clinical and Diagnostic Research [serial online] 2017 March [cited: 2017 Mar 28 ]; 11:ZC09-ZC12. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=March&volume=11&issue=3&page=ZC09-ZC12&id=9377

DOI and Others

DOI: 10.7860/JCDR/2017/22662.9377

Date of Submission: Jul 09, 2016
Date of Peer Review: Sep 15, 2016
Date of Acceptance: Nov 19, 2016
Date of Publishing: Mar 01, 2017

Financial OR OTHER COMPETING INTERESTS: None.

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