Endodontically Treated Teeth Clinical Trial
Official title:
Incidence Postoperative Pain After Single Visit Versus Two Visit Nonsurgical Endodontic Retreatment
To compare the incidence of post-operative pain after single-visit versus two-visit non-surgical endodontic retreatment.
Post treatment failure could be treated by two options including orthograde retreatment and
apical surgery . In a previous study, orthograde retreatments presented a success rate of 81
% classified as healed and 93 % as no symptoms and fully functional. In a systematic review,
it has also been concluded that endodontic surgery offers more favorable initial success but
orthograde retreatment yields to a better long-term outcome . Although early results of
single-visit treatments are contradictory ; Completing the treatment in a single appointment
reduces the treatment time and cost, decreases micro leakage risk and avoids recontamination
of root canals between appointments in multiple-visit treatments . Again, reviewing the
literature concerning primary treatment showed that, no significant differences were observed
in healing of periapical radiolucency between teeth treated in single-visit and those treated
in two-visits. Even, after using calcium hydroxide for four weeks . The presence of a
positive bacterial culture at the time of filling did not influence the outcome of treatment
.
Thorough online search revealed that, few studies are found concerning post- operative pain
after single visit retreatment . The present study is designed to compare the effects of
single-visit and two-visit root canal treatments on postoperative pain in retreatment cases.
The primary outcome measure of this study is proposed to be whether single-visit root canal
retreatment influenced the occurrence of postoperative pain as compared to two-visit
treatment.
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