Bhojwani Priyanka R, Paryani Meghna J, Mankar Nikhil, Reche Amit, Paul Priyanka, Nikhade Pradnya P
Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Department of Public Health Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Cureus. 2022 Oct 26;14(10):e30707. doi: 10.7759/cureus.30707. eCollection 2022 Oct.
Introduction The present study aimed to clinically compare the incidence of postoperative pain after the endodontic treatment of posterior teeth using the WaveOne Gold (WOG) and TruNatomy (Dentsply Maillefer, Ballaigues, Switzerland) filing systems. The study gives a better understanding of the association of postoperative pain and filing systems used. The patients were selected in such a manner that they have a similar diagnosis before the initiation of treatment. It also helps to understand if the postoperative pain is dependent or independent of the filing system used. Methods In the study, 32 vital teeth with irreversible pulpitis with no periapical lesion were selected for the study. The patients were divided into two groups (n=16) according to the instrumentation system used (WaveOne Gold group and TruNatomy group). The treatments were performed in a single session. The participants were asked to rate the intensity of postoperative pain on a visual analog scale (VAS) (no pain, mild pain, moderate pain, and severe pain) after 24 hours, 72 hours, and seven days; the tests of significance used are Friedman test or Mann-Whitney test. Results The incidence of postoperative pain is comparatively less in WaveOne Gold group after 24 and 72 hours compared with those in the TruNatomy group. No postoperative pain is experienced after seven days by the participants of both groups. Conclusions Postoperative pain is expected more after the preparation of the root canal system with the TruNatomy as compared to WaveOne Gold.
引言 本研究旨在临床上比较使用WaveOne Gold（WOG）和TruNatomy（登士柏迈耶，瑞士巴莱格）锉系统进行后牙牙髓治疗术后疼痛的发生率。该研究能更好地理解术后疼痛与所用锉系统之间的关联。患者的选择方式为在治疗开始前具有相似的诊断。这也有助于了解术后疼痛是否依赖于所用的锉系统。方法 在该研究中，选择32颗患有不可逆性牙髓炎且无根尖周病变的活髓牙。根据所用的器械系统（WaveOne Gold组和TruNatomy组）将患者分为两组（n = 16）。治疗在单次就诊时进行。要求参与者在24小时、72小时和7天后，使用视觉模拟量表（VAS）对术后疼痛强度进行评分（无疼痛、轻度疼痛、中度疼痛和重度疼痛）；所用的显著性检验为Friedman检验或Mann-Whitney检验。结果 与TruNatomy组相比，WaveOne Gold组在24小时和72小时后的术后疼痛发生率相对较低。两组参与者在7天后均未经历术后疼痛。结论 与WaveOne Gold相比，使用TruNatomy进行根管系统预备后预计术后疼痛更多。
