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QUALITY OF LIFE
FOLLOWING SINGLEVISIT
ROOT CANAL TREATMENT
PERFORMED BY
PROTAPER NEXT,
ONESHAPE AND
WAVEONE GOLD FILES
INTRODUCTION
AIM
To compare the impact of instrumentation with protaper
next, oneshape and waveone gold files on postoperative
quality of life (POQoL) after single-visit root canal
treatment.
METHODOLOGY
Eligibility criteria:
Symptomatic irreversible pulpitis with or without
symptomatic apical periodontitis
Asymptomatic patients, sinus tract, periapical abscess or
facial cellulitis
Patients with physical or psychological disabilities or
inability to understand study instructions were excluded.
Informed written consent
Group
1
Group
2
Group
3
Protaper next
n = 20
Oneshape
n = 20
Waveone gold
n = 20
INTERVENTIONS
Medical and dental status and history
Intra-oral examinations
Pulpal and periradicular status were assessed with
thermal and electric pulp tests
Periapical radiographic examination
STATISTICAL ANALYSIS
Oneway anova
Chisquare tests
Posthoc tests
RESULTS
60 patients, 34 males, 26 females.
35%, 15 30 years, 40%, 31-45 years, 25%, 46-60 years.
Pre-operative
variables
Premolars
Molars
Symptomatic
irreversible
pulpitis
Symptomatic
apical
periodontitis
Pre-op mean pain
score
Pre-op quality of
life scores
Group 1
(Protaper
next)
6
14
15
Group 2
(onesha
pe)
5
15
16
Group 3
(waveone
gold)
6
14
14
6.20
1.79
2.61 0.97
6.10
1.59
2.79 0.82
5.80
1.58
2.90 0.74
0.921;
NS
0.766;
NS
0.891N
S
0.755
NS
Day
Group 1
Group 2
Pre-op
6.20
1.79
Day 1
2.55
1.15
Day 2
1.25
0.91
Day 3
0.55
0.83
Day 4
0.25
Mean Pain Score
(VAS)
0.55
*p<0.05;
Day
5 Significant
0.20
0.52
Day 6
0.05
0.22
Day 7
0.05
0.22
7.00
6.00 6.20
6.10
2.80
1.60
1.05
0.65
0.20
0.05
0.05
Group
2 vs 3
0.849
0.639
0.939
0.042*
0.295
0.026*
0.519
0.030*
0.506
0.439
0.120
0.120
0.120
0.531
0.531
2.95
2.15
2.80
2.55
1.00
0.00
Pre-op
5.80
1.58
1.15
2.95
0.839
1.64
1.23
2.15
0.606
1.14
0.95
1.40
0.267
1.10
0.81
0.95
0.302
0.99
0.52
0.45
1.000
0.76
Mean
Pain
0.22
0.30
1.000
0.57
Group 1
Group
2
Group 3
0.22
0.15
1.000
0.37
Group
1 vs 3
0.748
5.80
4.00
2.00
Group
1 vs 2
0.982
6.10 1.59
5.00
3.00
Group 3
1.60
1.05
1.25
0.55
Day 1
Day 2
1.40
Day 3
0.65
0.25
Day 4
0.95
0.45
0.20
0.20
Day 5
0.30
0.05
Group 3
0.15
Group 2
0.05
0.05
Group 1
0.05
Day 6 Day 7
Day
Group 1
Group 2
Pre-op
2.61
0.97
Day 1
1.19
0.60
Day 2
0.70
0.45
Day 3
0.26
0.39
Day 4
0.11
0.27
Mean PQOL
5
0.08
*p<0.05;Day
Significant
0.24
Day 6
0.04
0.19
Day 7
0.41
0.27
Group 3
Group
1 vs 2
0.788
2.79 0.82
2.90
0.74
1.61 0.68
1.91
0.163
0.77
0.90 0.51
1.15
0.485
0.59
0.54 0.46
0.74
0.165
0.51
0.30 0.35
0.41
0.257
0.45
0.11 0.19
0.21
0.946
0.36
0.06 0.15
0.14
0.979
0.29
Mean PQOL
Score
0.45 0.22
0.50
0.897
Group 1
Group 2
Group 3
0.33
Group
1 vs 3
0.555
Group
2 vs 3
0.924
0.007*
0.394
0.031*
0.326
0.008*
0.416
0.036*
0.616
0.333
0.512
0.418
0.534
0.581
0.846
2.90
3.00
2.79
2.50 2.61
1.91
2.00
1.61
1.15
1.50
1.00
0.50
0.00
Pre-op
0.54
0.70
Day 2
0.41
0.30
0.26
Day 1
0.74
0.90
1.19
Day 3
0.11
Day 4
0.21
0.11
0.08
Day 5
0.14
0.06
0.50
0.45 Group 3
Group 2
0.41
Group 1
0.04
Day 6 Day 7
Mean Number of
Tablets taken
The day medication
was stopped
Group 1
(Protaper
next)
3.10
3.16
Group 2
(oneshape)
4.50 3.17
Group 3
(waveone
gold)
4.60
3.78
P
0.300; NS
2.10 1.41
2.50 1.50
2.65 1.57
0.489; NS
DISCUSSION
Host factors, idiopathic factors and aspects related to
chemomechanical root canal debridement
Preoperative pain prevalence, periapical radiolucency
Tooth type and patients age, gender.
CONCLUSION
The incidence of postoperative pain was similar in
protaper next and oneshape
Reciprocation motion had an impact on immediate
postoperative discomfort, when performed in a single
visit
No difference in medication taken
REFERENCES
Pain after single-visit root canal treatment with two single-file
systems based on different kinematicsa prospective
randomized multicenter clinical study, Clin Oral Investig.2015
Dec;19(9):2211-7
Comparative evaluation of the shaping ability of WaveOne,
Reciproc and OneShape single-file systems in severely curved
root canals of extracted teeth, Int Endod J.2015 Jan;48(1):10914.
Postoperativequality of life following single-visitroot
canaltreatmentperformed by rotary or reciprocating
instrumentation: a randomized clinical trial. Int Endod J.2015
Oct 15.
Comparison of the effect of root canal preparation by using
WaveOne and ProTaper on postoperative pain: a randomized
clinical trial. Journal of Endodontics 41, 5758.
ACKNOWLEDGEMENTS
Dr. Chandrasekhar (prof & HOD)
Dr. Vijetha (prof)
Dr. Muralidhar (reader)
Dr. Harikiran (reader)
Dr. Vaibhav jain (sr lecturer)
Dr. Sai Krishna (sr lecturer)