Iranian Endodontic Journal

Vol. 15 No. 4 (2020)

Factors Associated with Post-Endodontic Treatment Pain Performed by Students in an Endodontic Graduate Program

Iranian Endodontic Journal, Vol. 15 No. 4 (2020), 10 October 2020 , Page 221-226
https://doi.org/10.22037/iej.v15i4.26214

Abstract

Introduction: The aim of this study was to evaluate the possible associations between pre-established clinical variables and manifestation of postoperative pain after endodontic treatments performed by graduate students in endodontics, from June 2016 to December 2017. Methods and Materials: A total of 998 dental patient charts were included in the study. All the patients underwent the same clinical protocol. Possible associations between postoperative pain and clinical variables were investigated, including age, gender, type of tooth, type of treatment, pulpal diagnosis, periradicular diagnosis, instrumentation system used, number of sessions, previous symptom, procedural accident, and endodontic sealer extrusion. Patients were contacted by telephone 24 h and 7 days after treatment completion and were asked about the degree of postoperative pain they had experienced, using a four-level scoring system: 0, no pain; 1, mild pain (no medication was needed); 2, moderate pain (an analgesic or anti-inflammatory was needed); 3, severe pain. Fischer’s exact test, Pearson’s test, and logistic regression were used for the statistical analysis of the data. A significance level of 0.05 was used. Results: A total of 8.6% of the patients reported having experienced postoperative pain, 50% of which reported mild pain, 47.7%, moderate pain, and 2.3%, severe pain. The only variable significantly associated with postoperative endodontic pain was pre-endodontic treatment symptoms (Pearson’s test, P=0.0047). The logistic regression analysis indicated that the association between use of the Reciproc system and sealer extrusion posed a significant risk for postoperative endodontic pain. Conclusion: Based on this retrospective cohort study, the incidence of moderate and severe pain after endodontic treatment was low, and the only variable associated with a higher frequency of patients reporting postoperative endodontic pain was previous pain/symptoms. Therefore, in these cases, pain management methods such as the use of analgesics before treatment or immediately after treatment should be considered.

Keywords:
  • Multivariate Analysis; Postoperative Pain; Root Canal Therapy

How to Cite

1.
Damasceno C de O, Bueno CE da S, De Martin AS, Pelegrine RA, Villela AM, Ruivo LM, et al. Factors Associated with Post-Endodontic Treatment Pain Performed by Students in an Endodontic Graduate Program. Iran Endod J [Internet]. 2020 Oct. 1 [cited 2026 Jul. 8];15(4):221-6. Available from: https://journals.sbmu.ac.ir/iej/article/view/26214

References

REFERENCES

Cruz Junior JA, Coelho MS, Kato AS, Vivacqua-Gomes N, Fontana CE, Rocha DG, et al. The Effect of Foraminal Enlargement of Necrotic Teeth with the Reciproc System on Postoperative Pain: A Prospective and Randomized Clinical Trial. J Endod. 2016;42(1):8-11.

Kandemir Demirci G, Caliskan MK. A Prospective Randomized Comparative Study of Cold Lateral Condensation Versus Core/Gutta-percha in Teeth with Periapical Lesions. J Endod. 2016;42(2):206-10.

Erdem Hepsenoglu Y, Eyuboglu TF, Ozcan M. Postoperative Pain Intensity after Single- versus Two-visit Nonsurgical Endodontic Retreatment: A Randomized Clinical Trial. J Endod. 2018;44(9):1339-46.

Yared G. Canal preparation using only one Ni-Ti rotary instrument: preliminary observations. Int Endod J. 2008;41(4):339-44.

Mollashahi NF, Saberi EA, Havaei SR, Sabeti M. Comparison of Postoperative Pain after Root Canal Preparation with Two Reciprocating and Rotary Single-File Systems: A Randomized Clinical Trial. Iran Endod J. 2017;12(1):15-9.

Burklein S, Schafer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod. 2012;38(6):850-2.

Kherlakian D, Cunha RS, Ehrhardt IC, Zuolo ML, Kishen A, da Silveira Bueno CE. Comparison of the Incidence of Postoperative Pain after Using 2 Reciprocating Systems and a Continuous Rotary System: A Prospective Randomized Clinical Trial. J Endod. 2016;42(2):171-6.

Comparin D, Moreira EJL, Souza EM, De-Deus G, Arias A, Silva E. Postoperative Pain after Endodontic Retreatment Using Rotary or Reciprocating Instruments: A Randomized Clinical Trial. J Endod. 2017;43(7):1084-8.

Bueno CES, Pelegrine RA. Excelência em endodontia clínica. 1st ed. São Paulo: Quintessence Editora; 2017.

Silva EJ, Menaged K, Ajuz N, Monteiro MR, Coutinho-Filho TeS. Postoperative pain after foraminal enlargement in anterior teeth with necrosis and apical periodontitis: a prospective and randomized clinical trial. J Endod. 2013;39(2):173-6.

Arias A, Azabal M, Hidalgo JJ, de la Macorra JC. Relationship between postendodontic pain, tooth diagnostic factors, and apical patency. J Endod. 2009;35(2):189-92.

Rao KN, Kandaswamy R, Umashetty G, Rathore VP, Hotkar C, Patil BS. Post-Obturation pain following one-visit and two-visit root canal treatment in necrotic anterior teeth. J Int Oral Health. 2014;6(2):28-32.

Nekoofar MH, Sheykhrezae MS, Meraji N, Jamee A, Shirvani A, Jamee J, et al. Comparison of the effect of root canal preparation by using WaveOne and ProTaper on postoperative pain: a randomized clinical trial. J Endod. 2015;41(5):575-8.

El Mubarak AH, Abu-bakr NH, Ibrahim YE. Postoperative pain in multiple-visit and single-visit root canal treatment. J Endod. 2010;36(1):36-9.

Siqueira JF, Jr. Microbial causes of endodontic flare-ups. Int Endod J. 2003;36(7):453-63.

Soares JA, César CAS. Avaliação clinica e radiográfica do tratamento endodôntico em sessão única de dentes com lesões periapicais crônicas. Pesqui Odontol Bras. 2001;15(2):138-44.

Mulhern JM, Patterson SS, Newton CW, Ringel AM. Incidence of postoperative pain after one-appointment endodontic treatment of asymptomatic pulpal necrosis in single-rooted teeth. J Endod. 1982;8(8):370-5.

Laurindo FV, Matos Neto M, Villela AM, Pithon MM. Incidence of flare-ups in endodontic treatments performed in necrotic teeth in a single and in multiple sessions. Dental Press Endod. 2011;1(2):57-63.

Sevekar SA, Gowda SHN. Postoperative Pain and Flare-Ups: Comparison of Incidence Between Single and Multiple Visit Pulpectomy in Primary Molars. J Clin Diagn Res. 2017;11(3):Zc09-zc12.

Albashaireh ZS, Alnegrish AS. Postobturation pain after single- and multiple-visit endodontic therapy. A prospective study. J Dent. 1998;26(3):227-32.

Imura N, Zuolo ML. Factors associated with endodontic flare-ups: a prospective study. Int Endod J. 1995;28(5):261-5.

Borges AH, Pereira TM, Porto AN, de Araujo Estrela CR, Miranda Pedro FL, Aranha AM, et al. The Influence of Cervical Preflaring on the Amount of Apically Extruded Debris after Root Canal Preparation Using Different Instrumentation Systems. J Endod. 2016;42(3):465-9.

Marshall FJ, Pappin J. A crown-down pressureless preparation root canal enlargement technique. Technical manual. Portland, OR: Oregon Health Sciences University; 1980.

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