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Apical periodontitis healing and postoperative pain following endodontic treatment with a reciprocating single-file, single-cone approach: A randomized controlled pragmatic clinical trial
by
Correa, Marcos Brito
, Lima, Laila Fernandes
, Lima, Giana Silveira
, Sousa-Neto, Manoel
, Brito-Junior, Manoel
, de-Figueiredo, Fabricio Eneas Diniz
, Oliveira, Ludmila Smith
, Ribeiro, Maria Amália
, Faria e Silva, André Luis
in
Adult
/ Biology and Life Sciences
/ Clinical trials
/ Compaction
/ Demographics
/ Dentistry
/ EDTA
/ Endodontics
/ Engineering and Technology
/ Equivalence
/ Female
/ Gum disease
/ Healing
/ Health sciences
/ Humans
/ Instrumentation
/ Intervention
/ Male
/ Matching
/ Medicine and Health Sciences
/ Pain
/ Pain management
/ Pain Measurement - methods
/ Pain, Postoperative - pathology
/ Periapical Periodontitis - pathology
/ Periapical Periodontitis - surgery
/ Periodontitis
/ Postoperative pain
/ Postoperative period
/ Regenerative Endodontics - methods
/ Regression analysis
/ Root Canal Filling Materials - therapeutic use
/ Root Canal Preparation - methods
/ Root Canal Therapy - methods
/ Stainless steel
/ Standard deviation
/ Studies
/ Tapering
/ Teeth
/ Time
/ Tooth - physiopathology
/ Tooth - surgery
/ Wound Healing
2020
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Apical periodontitis healing and postoperative pain following endodontic treatment with a reciprocating single-file, single-cone approach: A randomized controlled pragmatic clinical trial
by
Correa, Marcos Brito
, Lima, Laila Fernandes
, Lima, Giana Silveira
, Sousa-Neto, Manoel
, Brito-Junior, Manoel
, de-Figueiredo, Fabricio Eneas Diniz
, Oliveira, Ludmila Smith
, Ribeiro, Maria Amália
, Faria e Silva, André Luis
in
Adult
/ Biology and Life Sciences
/ Clinical trials
/ Compaction
/ Demographics
/ Dentistry
/ EDTA
/ Endodontics
/ Engineering and Technology
/ Equivalence
/ Female
/ Gum disease
/ Healing
/ Health sciences
/ Humans
/ Instrumentation
/ Intervention
/ Male
/ Matching
/ Medicine and Health Sciences
/ Pain
/ Pain management
/ Pain Measurement - methods
/ Pain, Postoperative - pathology
/ Periapical Periodontitis - pathology
/ Periapical Periodontitis - surgery
/ Periodontitis
/ Postoperative pain
/ Postoperative period
/ Regenerative Endodontics - methods
/ Regression analysis
/ Root Canal Filling Materials - therapeutic use
/ Root Canal Preparation - methods
/ Root Canal Therapy - methods
/ Stainless steel
/ Standard deviation
/ Studies
/ Tapering
/ Teeth
/ Time
/ Tooth - physiopathology
/ Tooth - surgery
/ Wound Healing
2020
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Apical periodontitis healing and postoperative pain following endodontic treatment with a reciprocating single-file, single-cone approach: A randomized controlled pragmatic clinical trial
by
Correa, Marcos Brito
, Lima, Laila Fernandes
, Lima, Giana Silveira
, Sousa-Neto, Manoel
, Brito-Junior, Manoel
, de-Figueiredo, Fabricio Eneas Diniz
, Oliveira, Ludmila Smith
, Ribeiro, Maria Amália
, Faria e Silva, André Luis
in
Adult
/ Biology and Life Sciences
/ Clinical trials
/ Compaction
/ Demographics
/ Dentistry
/ EDTA
/ Endodontics
/ Engineering and Technology
/ Equivalence
/ Female
/ Gum disease
/ Healing
/ Health sciences
/ Humans
/ Instrumentation
/ Intervention
/ Male
/ Matching
/ Medicine and Health Sciences
/ Pain
/ Pain management
/ Pain Measurement - methods
/ Pain, Postoperative - pathology
/ Periapical Periodontitis - pathology
/ Periapical Periodontitis - surgery
/ Periodontitis
/ Postoperative pain
/ Postoperative period
/ Regenerative Endodontics - methods
/ Regression analysis
/ Root Canal Filling Materials - therapeutic use
/ Root Canal Preparation - methods
/ Root Canal Therapy - methods
/ Stainless steel
/ Standard deviation
/ Studies
/ Tapering
/ Teeth
/ Time
/ Tooth - physiopathology
/ Tooth - surgery
/ Wound Healing
2020
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Apical periodontitis healing and postoperative pain following endodontic treatment with a reciprocating single-file, single-cone approach: A randomized controlled pragmatic clinical trial
Journal Article
Apical periodontitis healing and postoperative pain following endodontic treatment with a reciprocating single-file, single-cone approach: A randomized controlled pragmatic clinical trial
2020
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Overview
This trial assessed post-operative pain and healing of apical periodontitis following endodontic therapy with a reciprocating system compared to a crown-down technique with hand files and lateral compaction filling. One-hundred and twenty nonvital anterior teeth with apical periodontitis were randomly treated using either a reciprocating single file followed by matching-taper single-cone filling or a hand file and lateral compaction filling. Postoperative pain was assessed during the 7 days after the treatment, using a visual analogue scale and a verbal rating scale. Apical healing was assessed using the periapical index score after a 12-month follow-up. The hypothesis tested was that both protocols were equivalent and present similar effectiveness in healing periapical lesions. Data were analyzed through two one-sided tests, t-tests, as well as Mann-Whitney and Chi-squared tests (α = 0.05). Logistic regression was used to investigate the association of clinical and demographic factors with the success of treatment. Regardless of the assessment time, no difference in incidence (38%-43% at first 24h), intensity of postoperative pain, and incidence of flare-up (≈ 3%) was observed between the two endodontic protocols. Both protocols resulted in a similar healing rate of apical periodontitis. After 12 months, the success rate ranged from 73% to 78% and the difference between the treatments fell within the pre-established equivalence margin (-0.1; -0.41 to 0.2). Endodontic treatment combining a reciprocating single file with matching-taper single cone showed similar clinical effectiveness to the treatment using hand-file instrumentation and the lateral compaction filling.
Publisher
Public Library of Science,Public Library of Science (PLoS)
Subject
/ EDTA
/ Female
/ Healing
/ Humans
/ Male
/ Matching
/ Medicine and Health Sciences
/ Pain
/ Pain, Postoperative - pathology
/ Periapical Periodontitis - pathology
/ Periapical Periodontitis - surgery
/ Regenerative Endodontics - methods
/ Root Canal Filling Materials - therapeutic use
/ Root Canal Preparation - methods
/ Root Canal Therapy - methods
/ Studies
/ Tapering
/ Teeth
/ Time
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