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Article

Influence of Tooth Factors and Procedural Errors on the Incidence and Severity of Post-Endodontic Pain: A Prospective Clinical Study

1
Department of Conservative Dentistry and Endodontics, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu 625 001, India
2
Department of Conservative and Prosthetic Dentistry, School of Dentistry, Complutense University, 28040 Madrid, Spain
3
Division of Operative Dentistry, College of Dentistry, Jazan University, Jazan 114, Saudi Arabia
*
Author to whom correspondence should be addressed.
Dent. J. 2020, 8(3), 73; https://doi.org/10.3390/dj8030073
Received: 12 May 2020 / Revised: 26 June 2020 / Accepted: 3 July 2020 / Published: 7 July 2020
(This article belongs to the Special Issue Current Techniques and New Materials for Root Canal Treatment)
The objective of this prospective study was to assess tooth-related factors that play a role in the incidence of postoperative pain (PP) and determining if procedural errors influence PP occurrence. A total of 442 patients referred for root canal treatment met the inclusion criteria and were included in this prospective study. The same protocol was used in all root canal treatments. Patient, tooth, treatment related factors and the occurrence of procedural errors were registered. Incidence and intensity of PP was assessed at 24 and 48 h by telephonic interview and in person seven and 15 days after treatment. A logistic and ordinal regression analysis was used to assess the role of patient, tooth and treatment related factors in the incidence and intensity of PP, respectively. Preoperative and intraoperative factors differently affected the incidence of PP at the different time intervals. The presence of procedural errors did not significantly influence PP occurrence. The presence of preoperative pain and the need of additional anesthesia during treatment were associated with higher incidence of PP 24 and 48 h after treatment; the extent of apical enlargement played a significant role in the presence of PP after seven days of treatment; and the excessive occlusal load induced by the absence of a contralateral tooth was the only factor related to the maintenance of PP up to 15 days. In conclusion, the presence of preoperative pain, the need of additional anesthesia during treatment, the extent of apical enlargement and the excessive occlusal load induced by the absence of a contralateral tooth were related to a higher incidence of PP. View Full-Text
Keywords: hot tooth; postendodontic pain; postoperative pain; preoperative pain; procedural errors hot tooth; postendodontic pain; postoperative pain; preoperative pain; procedural errors
MDPI and ACS Style

Bamini, L.; Sherwood, A.; Arias, A.; Subramani, S.K.; Bhargavi, P. Influence of Tooth Factors and Procedural Errors on the Incidence and Severity of Post-Endodontic Pain: A Prospective Clinical Study. Dent. J. 2020, 8, 73. https://doi.org/10.3390/dj8030073

AMA Style

Bamini L, Sherwood A, Arias A, Subramani SK, Bhargavi P. Influence of Tooth Factors and Procedural Errors on the Incidence and Severity of Post-Endodontic Pain: A Prospective Clinical Study. Dentistry Journal. 2020; 8(3):73. https://doi.org/10.3390/dj8030073

Chicago/Turabian Style

Bamini, Lavanya, Anand Sherwood, Ana Arias, Savadamoorthi Kamatchi Subramani, and Puridi Bhargavi. 2020. "Influence of Tooth Factors and Procedural Errors on the Incidence and Severity of Post-Endodontic Pain: A Prospective Clinical Study" Dentistry Journal 8, no. 3: 73. https://doi.org/10.3390/dj8030073

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