Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology
EndodontologyPostoperative pain after root-end resection and filling
Section snippets
Material and methods
An account of the methods has been described previously11 but is repeated here. Adult patients who were referred for root-end resection and filling were invited to participate. Approval was obtained from the local ethical committee. Each patient was given written advice about the study and the follow-up care necessary; they were also given the opportunity to withdraw. A consent form was signed if they agreed to participate in the study. There was no financial inducement to participate. The
Results
A full breakdown on the flow of patients through this study is shown in Table I. The number of surgical procedures performed was 198. A total of 100 pain questionnaires (54 in IRM group, 46 in MTA group) were deemed correctly completed. Others were not returned or were excluded if the writing was illegible or the information entered was incomplete. No patient returned or telephoned because of severe pain. Because there was no difference in the male-to-female ratio and their related VAS
Discussion
The VAS, as used in this study, is a standard pain measurement technique based on the theory that pain intensity is continuous, without jumps or intervals. Other pain measurement techniques such as verbal rating or numerical descriptive scales may not adequately reflect the changes produced within this variable. Within the boundaries of the VAS line respondents can mark the extent of their pain providing a quantitative measurement. Thus respondents are presented with a rating system with
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Cited by (28)
Severe Pain after Endodontic Surgery: An Analysis of Incidence and Risk Factors
2021, Journal of EndodonticsPeriapical Microsurgery: The Effects of Locally Injected Dexamethasone on Pain, Swelling, Bruising, and Wound Healing
2016, Journal of EndodonticsCitation Excerpt :In contrast, others have claimed that over-the-counter medication is sufficient for pain relief after apical microsurgery. Chong and Pitt Ford (29) have shown that 37% of the patients did not require medication at any interval, and Christiansen et al (21) presented low pain rates after periapical microsurgery with the majority of the patients controlling pain by using ibuprofen. The latter study concluded that swelling was more related to patient complaint than pain.
Prognostic factors in apical surgery with root-end filling: A meta-analysis
2010, Journal of EndodonticsCitation Excerpt :The remaining 140 clinical articles were screened for data on prognostic factors. An additional 102 articles had to be excluded for the following reasons: (i) the apical surgery did not include the placement of a root-end filling or the study included various surgical procedures (14–39); (ii) the study did not give details about prognostic factors related to periapical healing or the study assessed an outcome other than periapical healing (40–74); (iii) only one category of a specific prognostic factor had been assessed (ie, there was no comparison of two or more categories; eg, only males instead of males vs females) (75–99); (iv) two categories of a prognostic factor had been assessed, but only a single study provided data on this prognostic factor (100–106); (v) same study published in other language or same material published in a previous article with a shorter follow-up (107–112); and (vi) study excluded for other reason (113–115). The final number of included clinical studies was 38 (Table 1).
Patient discomfort following periapical surgery
2008, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and EndodontologyCitation Excerpt :In general, patients reported to have ingested few tablets during the first postoperative days. A previous study found that if analgesics were needed postoperatively, then self-prescribed tablets were adequate and effective.3 In the present study, oral awareness was the most frequently reported reason for postoperative discomfort followed by swelling, compromised chewing ability, and pain.
Microscopic Periradicular Surgery: Perioperative Predictors for Postoperative Clinical Outcomes and Quality of Life Assessment
2007, Journal of EndodonticsCitation Excerpt :Nevertheless, this factor may also have contributed to the lower degree of postoperative pain and swelling reported in this study. The present study supports previous findings (7, 9–13) that, on average, maximum pain is experienced on the night of the surgery and maximum swelling is experienced on day 1 of the surgery and pain and swelling improve over time after the surgical procedure. Our results also show that patients are more likely to experience swelling than pain.
This work received funding from DHSC–London, Research & Development, Responsive Funding Programme.