The objective of the study was to compare the incidence of post-operative pain between rotary andhand K-files single visit root canal treatment. 60 patients with symptomatic irreversible pulpitis participated in this randomized clinical trial at Altamash Dental Institute from Sep 2016 to May 2017. Patients were randomly alienated into 2 distinct groups of 30 patients. Single visit root canal treatment were perfomed by cleaning and shaping of canals by means of rotary files in group A while in group B hand K-files were used for shaping and cleaning via passive step-back technique followed by obturation and termporary filling on the same visit. Following the treatment, patients were directed to compute pain intensity at 4, 8, 12 and 24 …show more content…
It is evaluated from former studies that technique in which instrument is used in rotational manner tends to extrude reduce amount of debris in apical region in contrast to technique that uses up and down stroke. Likewise, custom-hand filing technique is more conscientious for debris extrusion than motor-driven files. Further, flutes in rotary files have more propensities to haul the debris coronally (9, 10, 13, 15, and 18). According to most of the studies, hand instruments cause more post-operative pain in comparison to NiTi rotary files (17-22). However, according to a newstudy, no significant difference in post-operative pain was noticed with different instrumentation (23). Instrumentation shares no relationship with post-endodontic pain, as evaluated from prior studies (24). According to researchers, numbers of visit shares no association with post-endodontic pain (25-30). However, according to some studies RCT performed in multiple visits results in elevated post-operative pain (31-32). Similarly, another study states that patients treated in single visit are more likely to undergo post-operative pain (33-36). METHODOLOGY This randomized clinical trialwas conducted at Altamash Dental Institute from Sep 2016 to May 2017.60 patients were selected by convenience sampling. Informed verbal
Q4) During a root canal treatment how do you assist the operator in measuring and recording root length? Why is this necessary?
My personal experience of dental pain in high school, helped me develop empathy and interpersonal skills while treating patients as a dentist. By delivering treatment to a large number of patients, I developed manual dexterity and the art of self-critique which helped in improving my work. However in my office, variables such as accessory canals, ledge formation, and instrument breakage were of the major concern that needed to be addressed. To gain practical knowledge and learn more, I started assisting renowned endodontist Dr. Swapnil Kolhe in Nasik, India, once a
Root canals are needed when the dental pulp inside of a tooth becomes infected. This infection has a few different symptoms that should be addressed immediately, if noticed.
During your first appointment following your root canal, your dentist will inspect your tooth and make sure that it has healed properly. Then, your dentist will numb the area around your tooth. They are going to have to file down any rough spots on your tooth to prepare it for the crown. After that, your dentist is going to put a putty-like substance over your tooth. You will have to keep your mouth open while this substance dries. This process can take a while, and you may be a little sore from having your mouth worked on.
I decided to use oraqix because the patient had a few pockets depths between 6-7 mm, and was very sensitive during the power instrumentation. It helped me to effectively remove the plaque and the calculus from the pockets with the hand instruments, but I found that it was not as effective when I used the Cavitron. After the removal of plaque and calculus I reviewed OHI with my patient Evelyn and reinforced the proper use of dental floss and have the patient practice in her mouth. During the afternoon section, I worked on the mandibular arch and as before I started with the power instrumentation. However, I was not able to use it in all the mandibular teeth because some of them had recession, and the patient was extra-sensitive. The good thing was the mandibular arch had only one area with 6-7 mm of pocket depth. I also used Oraqix in this area, but did not help with the recession because the pain was related to the pulp and not to the gingiva, in where Oraqix works. After finishing with debridement, my patient expressed having pain on the distal surface of tooth # 17. We decided to take a PA of the area because that part of the tooth was not visible in the HBW I
Root canal therapy. Infection? Pain? We can eradicate decay and restore comfort with root canal therapy. If you are experiencing pain when chewing, you may need a root canal.
She asked the patient if she was experiencing any pain, and with confirmation from the patient, Dr. Douglas took a look at her sore throbbing area later in the appointment. After taking the blood pressure, the intraoral and extraoral exam was done rather quickly with no abnormal findings. I have never had my teeth probed before, so I enjoyed seeing her probe each tooth to get a better feel of what the procedure will entail. The patient had excellent teeth, and Dr. Douglas did not find any caries. Radiographs were not taken since she had them done in our clinic six months ago.
In a way, a root canal is a dental procedure similar to cutting off a limb in a zombie movie. The dentist removes the infection from the inside of the tooth to keep it from infecting the rest of your body and eventually killing you. However, in this instance, you actually get to keep your dead tooth.
The biggest problem when concerning getting a root canal is the price. There's really not a set price, it varies based on various factors. Those
A root canal procedure has a reputation for being an incredibly painful process that people avoid at all costs. At Bright Smiles Dental, however, the procedure will not be painful at all because you will be helped by localized anesthesia. The pain comes when you hesitate to make an appointment because you don’t want to have a root canal.
A root canal may be an invaluable treatment if you are suffering from a painful toothache. Once you understand the necessity for such treatment and what it entails, you might feel better about scheduling this procedure.
The American Association of Endodontists has stated that even if teeth have had a root canal treatment, they can potentially last a lifetime. However, a tooth may not heal properly. The tooth may also become diseased or painful. If your tooth develops problems or does not heal properly, then there is another procedure that you can get. You should consult with an endodontist.
Several number of benefits submitted by this approach including; reducing the total treatment time, improve the patient’s occlusal, function, and esthetic results, and facilitating tooth movement othodontically by providing appropriate skeletal and soft tissue environment.
Having a root canal performed can create some anxiety, especially when an individual has no idea how much pain they will incur or how much discomfort they will have following the procedure.
Recent surveys about retention procedures, done by (Renkema, et al. 2009) and (Lai, et al. 2014), showed some similarities among orthodontists practicing in various countries, such as a frequent use of fixed retainers on mandibular teeth, and an increased popularity of removable vacuum-formed retainers..