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  • Research Article
    Intraoperative discomfort associated with the use of a rotary or reciprocating system: a prospective randomized clinical trial
    Aline Cristine Gomes, Adriana Jesus Soares, Erick M Souza, Alexandre Augusto Zaia, Emmanuel João Nogueira Leal Silva
    Restor Dent Endod 2017;42(2):140-145.   Published online April 20, 2017
    DOI: https://doi.org/10.5395/rde.2017.42.2.140
    AbstractAbstract PDFPubReaderePub
    Objectives

    The aim of this randomized, controlled, prospective clinical study was to evaluate patients' intraoperative discomfort during root canal preparations in which either multi-file rotary (Mtwo) or single-file reciprocating (Reciproc) systems were used.

    Materials and Methods

    Fifty-five adult patients, aged between 25 and 69 years old, with irreversible pulpitis or pulp necrosis participated in this study. Either the mesiobuccal or the distobuccal canals for maxillary molars and either the mesiobuccal or the mesiolingual canals for mandibular molars were randomly chosen to be instrumented with Mtwo multi-file rotary or Reciproc single-file reciprocating systems. Immediately after each canal instrumentation under anesthesia, patient discomfort was assessed using a 1 - 10 visual analog scale (VAS), ranging from ‘least possible discomfort’ (1) to ‘greatest possible discomfort’ (10). The Wilcoxon signed-rank test was used to determine significant differences at p< 0.05.

    Results

    Little intraoperative discomfort was found in all cases. No statistically significant differences in intraoperative discomfort between the 2 systems were found (p = 0.660).

    Conclusions

    Root canal preparation with multi-file rotary or single-file reciprocating systems had similar and minimal effects on patients' intraoperative discomfort.

    Citations

    Citations to this article as recorded by  
    • Post-Operative Pain in Reciprocating Versus Rotary Kinematics Post-Endodontic Treatment: A Systematic Review
      Youssef Algarni
      Archives of Pharmacy Practice.2024; 15(2): 53.     CrossRef
    • Postoperative pain perception and associated risk factors in children after continuous rotation versus reciprocating kinematics: A randomised prospective clinical trial
      Ahmad Abdel Hamid Elheeny, Dania Ibrahem Sermani, Mahmoud Ahmed Abdelmotelb
      Australian Endodontic Journal.2023; 49(S1): 345.     CrossRef
    • Patient discomfort levels during instrumentation procedure using nickel‐titanium files with different kinetic movements
      So‐Ra Park, Se‐Hee Park, Kyung‐Mo Cho, Jin‐Woo Kim, Hyeon‐Cheol Kim
      Australian Endodontic Journal.2022; 48(3): 372.     CrossRef
    • Effect of XP‐endo Shaper versus conventional rotary files on postoperative pain and bacterial reduction in oval canals with necrotic pulps: a randomized clinical study
      R. S. Emara, S. I. Gawdat, H. M. M. El‐Far
      International Endodontic Journal.2021; 54(7): 1026.     CrossRef
    • Effectiveness of a reciprocating single file, single cone endodontic treatment approach: a randomized controlled pragmatic clinical trial
      Fabricio Eneas Diniz de Figueiredo, Laila F. Lima, Ludmila S. Oliveira, Maria A. Ribeiro, Marcos B. Correa, Manoel Brito-Junior, André L. Faria-e-Silva
      Clinical Oral Investigations.2020; 24(7): 2247.     CrossRef
    • Influence of glide path kinematics during endodontic treatment on the occurrence and intensity of intraoperative and postoperative pain: a systematic review of randomized clinical trials
      Thaís Christina Cunha, Felipe de Souza Matos, Luiz Renato Paranhos, Ítalo de Macedo Bernardino, Camilla Christian Gomes Moura
      BMC Oral Health.2020;[Epub]     CrossRef
    • Comparison of postoperative pain intensity following the use of three different instrumentation techniques: A randomized clinical trial
      Mehmet Adiguzel, Pelin Tufenkci, ismail Ilker Pamukcu
      Journal of Dental Research, Dental Clinics, Dental Prospects.2019; 13(2): 133.     CrossRef
    • Reciprocating kinematics leads to lower incidences of postoperative pain than rotary kinematics after endodontic treatment: A systematic review and meta-analysis of randomized controlled trial
      ChristineMen Martins, VictorEduardo De Souza Batista, AmandaCaselato Andolfatto Souza, AnaCristina Andrada, GrazielaGarrido Mori, JoaoEduardo Gomes Filho
      Journal of Conservative Dentistry.2019; 22(4): 320.     CrossRef
    • Intraoperative Pain During Glide Path Creation with the Use of a Rotary or Reciprocating System
      Pelin TUFENKCİ, Mehmet ADIGUZEL, Koray YILMAZ
      Cumhuriyet Dental Journal.2019; 22(1): 66.     CrossRef
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