14Oct 2017

EVALUATION OF POSTOPERATIVE PAIN AFTER WORKING LENGTH DETERMINATION USING ELECTRONIC APEX LOCATOR VERSUS DIGITAL RADIOGRAPHY IN MULTIROOTED TEETH. A RANDOMIZED CONTROLLED TRIAL.

  • Assistant Lecturer, Endodontic department, Faculty of Oral & Dental Medicine, Cairo University.
  • Professor of endodontics, Endodontic department, Faculty of Oral & Dental Medicine, Cairo University.
  • Assistant professor, Endodontic department, Faculty of Oral & Dental Medicine, Cairo University.
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The aim of this study was to assess the effect of working length determination using apex locator in comparison to digital radiography on post-operative pain and the number of analgesic tablets taken by the patient to relief that pain. Subjects & Methods: Fifty four patients with multirooted asymptomatic teeth were randomly assigned to 2 groups according to the method of working length determination either apex locator or digital radiography. After that chemomechanical preparation was done using crown down technique. Master cone x-ray was taken for confirmation then obturation was done with gutta-percha and resin sealer using modified single cone technique. Postoperative pain was assessed at 4, 6, 12, 24 & 48 hours postoperatively using the numerical rating scale. Patients were also asked to report the number of days needed for complete disappearance of pain and the number of analgesic tablets taken by the patient to relief pain if needed in a period of 7 days. Results: The total postoperative pain results between the apex locator group (0.96 ? 1.25) and the digital radiography group (0.73 ? 1.37) were statistically nonsignificant (0.29) (P > 0.05). Also the number of days needed for the complete disappearance of pain (1.50 ? 1.48 & 1.35 ? 1.23) of both groups respectively and the analgesic intake (0.96 ? 1.24 & 0.73 ? 1.37) of both groups respectively were statistically nonsignificant (P > 0.05). Conclusion: There is no difference in postoperative pain level or amount of analgesic intake when either apex locator or digital radiography is used for working length determination in multirooted teeth.

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[Fatma M. Abu Naeem, Saied M. Abdelaziz and Geraldine M. Ahmed. (2017); EVALUATION OF POSTOPERATIVE PAIN AFTER WORKING LENGTH DETERMINATION USING ELECTRONIC APEX LOCATOR VERSUS DIGITAL RADIOGRAPHY IN MULTIROOTED TEETH. A RANDOMIZED CONTROLLED TRIAL. Int. J. of Adv. Res. 5 (Oct). 799-809] (ISSN 2320-5407). www.journalijar.com

Fatma Mohamed Saeed
Assistant Lecturer, Endodontic department, Faculty of Oral & Dental Medicine, Cairo University

DOI:

Article DOI: 10.21474/IJAR01/5589      
DOI URL: https://dx.doi.org/10.21474/IJAR01/5589

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