- Visibility 102 Views
- Downloads 82 Downloads
- Permissions
- DOI 10.18231/j.ijce.12278.1758516420
-
CrossMark
Comparative evaluation of postoperative pain using continuous and reciprocating motion rotary file systems – A clinical trial
- Author Details:
-
Sonal Mukhraiya
-
Mansi Punjabi
-
Apoorva Sharma
-
Rohit Kochhar
-
Manju Kumari *
Sonal Mukhraiya
Apoorva Sharma
Rohit Kochhar
Manju Kumari *
Introduction: Post-operative pain is a common complication following root canal therapy, often caused by extrusion of debris, microorganisms, or irrigants into periapical tissues. The design and kinematics of endodontic file systems—rotary or reciprocating—may influence the degree of post-treatment discomfort, making their clinical comparison highly relevant.
Aim & Objective: The aim of this study was to comparatively evaluate post-operative pain using ProTaper Next and TruNatomy rotary files in continuous motion and One RECI and Neo-endo reciprocation files in reciprocating motion.
Materials and Methods: A total of 100 patients indicated for root canal therapy were randomly allocated into five groups: Control Group: Hand ProTaper, Group 1: ProTaper Next (continuous motion), Group 2: TruNatomy (continuous motion), Group 3: One RECI (reciprocating motion), Group 4: Neo-Endo (reciprocating motion). All procedures were performed using standardized protocols. Pain intensity was measured using the Numerical Rating Scale (NRS) at 8, 24, 48, and 72 hours post-operatively. The data were analyzed statistically using SPSS software.
Results: At 8 and 24 hours, the ProTaper Next group reported the highest pain levels (3.65 ± 3.64 and 4.05 ± 3.49), while the One RECI group showed the lowest scores (0.60 ± 0.82 and 0.10 ± 0.31). Pain levels decreased across all groups at 48 hours, with One RECI reporting no pain (0.00 ± 0.00). By 72 hours, One RECI and Neo-Endo groups demonstrated minimal pain, whereas the ProTaper Next group continued to show the highest post-operative discomfort (3.20 ± 3.30).
Conclusion: Reciprocating file systems such as One RECI and Neo-Endo resulted in significantly lower post-operative pain compared to continuous motion systems. These findings suggest a clinical advantage of reciprocating motion in improving patient comfort after endodontic treatment.
References
- Ince B, Ercan E, Dalli M, Dulgergil CT, Zorba YO, Colak H. Incidence of postoperative pain after single- and multi-visit endodontic treatment in teeth with vital and non-vital pulp. Eur J Dent. 2009;3:273–9.
- Imura N, Zuolo ML. Factors associated with endodontic flare-ups: a prospective study. Int Endod J. 1995;28(5):261–5. https://doi.org/10.1111/j.1365-2591.1995.tb00311.x
[Google Scholar] - Levin L, Amit A, Ashkenazi M. Post-operative pain and use of analgesic agents following various dental procedures. Am J Dent. 2006;19(4):245–7.
- Pak JG, White SN. Pain prevalence and severity before, during, and after root canal treatment: a systematic review. J Endod. 2011;37(4):429–38. https://doi.org/10.1016/j.joen.2010.12.016
[Google Scholar] - Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. J Endod. 2004;30(7):476–81. https://doi.org/10.1097/00004770-
[Google Scholar] 200407000-00005. - Harrison JW, Baumgartner JC, Svec TA. Incidence of pain associated with clinical factors during and after root canal therapy. Part 2. Postobturation pain. J Endod. 1983;9(10):434–8. https://doi.org/10.1016/S0099-2399(83)80259-3
[Google Scholar] - Harrington GW, Natkin E. Midtreatment flare-ups. Dent Clin North Am. 1992;36(2):409–23.
- Sudhakar K, Kumar CS, Lavanya A, Swapna S. Influence of instrument design on post-operative pain in single-visit root canal treatment with Protaper Next and V taper 2H rotary systems in symptomatic irreversible pulpitis of multirooted teeth – A randomized clinical trial. J Clin Transl Res. 2020;5(5):230–5.
- Tanalp J, Gungor T. Apical extrusion of debris: a literature review of an inherent occurrence during root canal treatment. Int Endod J. 2014;47(3):211–21. https://doi.org/10.1111/iej.12137
[Google Scholar] - 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. https://doi.org/10.1016/j.joen.2014.12.026
[Google Scholar] - Pasqualini D, Corbella S, Alovisi M, Taschieri S, Fabbro MD, Migliaretti G, et al. Postoperative quality of life following single-visit root canal treatment performed by rotary or reciprocating instrumentation: a randomized clinical trial. Int Endod J. 2016;49(11):1030–9. https://doi.org/10.1111/iej.12563
[Google Scholar] - Gambarini G, Testarelli L, De Luca M, Milana V, Plotino G, Grande NM, et al. The influence of three different instrumentation techniques on the incidence of postoperative pain 190 Mukhraiya et al. / IP Indian Journal of Conservative and Endodontics 2025;10(3):185-190 after endodontic treatment. Ann Stomatol (Roma). 2013;4(1):152–5. https://doi.org/10.11138/ads.0152
[Google Scholar] - Gavini G, Santos MD, Caldeira CL, Machado MEL, Freire LG, glecias EF, et al. Nickel-titanium instruments in endodontics: a concise review of the state of the art. Braz Oral Res. 2018;32(Suppl 1):e67. https://doi.org/10.1590/1807-3107bor-
[Google Scholar] - vol32.0067.
- Gianluca G. The K3 rotary nickel titanium instrument system. Endod Top. 2005;10(1):179–82. https://doi.org/10.1111/j.1601-
[Google Scholar] - 00119.x
- Peters OA. Current challenges and concepts in the preparation of root canal systems: a review. J Endod. 2004;30(8):559–67. https://doi.org/10.1097/01.don.0000129039.59003.9d
[Google Scholar] - Sivas Yilmaz O, Keskin C, Acar DH, Aydemir H. Comparison of postoperative pain after the use of different nickel titanium instrumentation systems: a randomized clinical trial. Eur Oral Res. 2022;56(2):102–9. https://doi.org/10.26650/eor.2022873271
[Google Scholar] - Al-Nahlawi T, Alabdullah A, Othman A, Sukkar R, Doumani M. Postendodontic pain in asymptomatic necrotic teeth prepared with different rotary instrumentation techniques. J Family Med Prim Care. 2020;9 (7):3474–9. https://doi.org/10.4103/jfmpc.jfmpc_342_20
[Google Scholar] - Keskin C, Ozdemir O, Uzun I, Guler B. Effect of intracanal cryotherapy on pain after single-visit root canal treatment. Aust Endod J. 2017;43(2):83–8. https://doi.org/10.1111/aej.12175
[Google Scholar] - Jaiswal S, Vagarali H, Pujar M, Kapshe N. Effect of cold saline irrigation on postoperative pain – A randomized control trial. IP Indian J Conserv Endod . 2020;5(2):58–62. https://doi.org/10.18231/j.ijce.2020.015
[Google Scholar] - Neelakantan P, Sharma S. Pain after single-visit root canal treatment with two single-file systems based on different kinematics—a prospective randomized multicenter clinical study. Clin Oral Investig. 2015;19(9):2211–7. https://doi.org/10.1007/s00784-015-
[Google Scholar] 1448-x. - Bhojwani PR, Paryani MJ, Mankar N, Reche A, Paul P, Nikhade PP. The comparative evaluation of postoperative pain after the use of WaveOne Gold and TruNatomy filing systems in a tooth with irreversible pulpitis: an observational study. Cureus. 2022;14(10):e30707. https://doi.org/10.7759/cureus.30707
[Google Scholar] - Tinoco JM, De-Deus G, Tinoco EM, Saavedra F, Fidel RAS, Sassone LM. Apical extrusion of bacteria when using reciprocating single-file and rotary multifile instrumentation systems. Int Endod J . 2014;47(6):560–6. https://doi.org/10.1111/iej.12187
[Google Scholar] - Eliasz W, Czarnecka B, Surdacka A. Apical extrusion of debris during root canal preparation with ProTaper Next, WaveOne Gold, and Twisted Files. Materials (Basel). 2021;14(21):6254. https://doi.org/10.3390/ma14216254
[Google Scholar] - Ehsani M, Farhang R, Harandi A, Tavanafar S, Raoof M, Galledar S. Comparison of apical extrusion of debris by using single-file, full- sequence rotary, and reciprocating systems. J Dent (Tehran). 2016;13(6):394–9.
- Kherlakian D, Cunha RS, Ehrhardt IC, Zuolo ML, Kishen A, Bueno CES. 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. https://doi.org/10.1016/j.joen.2015.10.011
[Google Scholar]