Comparison between the mean postoperative pain score with two different file systems in patients with irreversible pulpitis-a clinical study in Altamash Institute of Dental Medicine.

  • Sara Jamil Altamash Institute of Dental Medicine, Karachi.
  • Rizwan Jouhar Altamash Institute of Dental Medicine, Karachi.
  • Dinaz Gandhi Altamash Institute of Dental Medicine, Karachi.
  • Tayyaba Tahira Altamash Institute of Dental Medicine, Karachi.
  • Jamshed Shaikh Altamash Institute of Dental Medicine, Karachi.
Keywords: Manual Stainless Steel K-Files, Mean Postoperative Pain Score, Mechanical Ni-Ti Rotary Pathfiles, Irreversible Pulpitis

Abstract

Endodontic Pain if occurs after few hours or days after the treatment indicates a poor pathosis and a bad prognosis in long term, due to this a newer generation of instruments for canal treatment has been introduced from Ni-Ti alloy which has even better ability to shape narrow and curved root canals, without causing aberration. To compare the mean postoperative pain score after manual SS (stainless steel) K-files and mechanical Ni-Ti rotary path files in patients with irreversible pulpitis. Study Design: Randomized controlled trial. Setting: Department of Operative Dentistry, Altamash Institute of Dental Medicine, Karachi. Period: 6 months from 01-10-2017 to 30-03-2018. Materials and Methods: Total 60 patients of irreversible pulpitis with moderate pain score ≥5 were included and divided equally in manual stainless-steel k-files and mechanical Ni-Ti rotary path files groups. Treatment was started with local anesthesia. Patients were recalled after 24 hours and the level of postoperative pain was examined. T-test was applied to compare the outcome in both groups. Stratification was done using t-test and P value ≤0.05 was significantly considered. Results: The mean pre-treatment VAS in group-A and group-B was 7.16±1.44 and 7.86±1.38 respectively. Mean post-treatment VAS in group-A and group-B was 2.33±1.02 and 1.10±0.66 respectively. A significant difference between the pre and post op pain was noted between the two groups, when compared after 24hours by using VAS. Conclusion: Mean post-operative pain score was significantly less with NiTi rotary path files as compare to manual stainless steel K-files.

Author Biographies

Sara Jamil, Altamash Institute of Dental Medicine, Karachi.

BDS

Department of Operative Dentistry

 

Rizwan Jouhar, Altamash Institute of Dental Medicine, Karachi.

BDS, FCPS

Associate Professor and Head

Department of Operative Dentistry

 

Dinaz Gandhi, Altamash Institute of Dental Medicine, Karachi.

BDS, FRDSC

Associate Professor and Head

Department of Oral Surgery/Maxilo Facial

 

Tayyaba Tahira, Altamash Institute of Dental Medicine, Karachi.

BDS, FCPS-II Resident

Department of Operative Dentistry

 

Jamshed Shaikh, Altamash Institute of Dental Medicine, Karachi.

BDS, FCPS-II Resident

Department of Operative Dentistry

 

Published
2019-08-10