Postoperative Pain in Single-Visit Versus Multiple-Visit Endodontic Treatment of Permanent Teeth
DOI:
https://doi.org/10.61919/jhrr.v4i1.1761Keywords:
Endodontics, Root Canal Therapy, Postoperative Pain, Single-Visit Treatment, Multi-Visit Treatment, Visual Analogue Scale, Pain ManagementAbstract
Background: Postoperative pain is a major concern following root canal treatment (RCT), influenced by factors such as patient anxiety, pulp status, mechanical and chemical irritation, and individual pain thresholds. Debate continues regarding whether single-visit or multi-visit endodontic treatment results in less postoperative discomfort.
Objective: To compare postoperative pain levels between single-visit and two-visit endodontic treatment in patients with vital and necrotic pulps.
Methods: This study included 100 patients (56 males, 44 females) requiring RCT at the Department of Operative Dentistry, Bolan Medical College. Patients were randomly assigned to either a single-visit (n=50) or two-visit (n=50) treatment protocol. Pain was assessed using the Visual Analogue Scale (VAS) at 6, 12, 24, and 48 hours postoperatively. Data analysis was performed using SPSS 25.0, with independent samples t-test used for group comparisons. A significance level of p ≤ 0.05 was considered statistically significant.
Results: Pain scores were significantly lower in the single-visit group at 12 hours (3.2 ±1.1 vs. 4.6 ±1.3, p=0.003) and 24 hours (2.8 ±1.0 vs. 3.9 ±1.2, p=0.008). Female patients reported higher pain levels at all intervals (p<0.05). Ibuprofen use was similar in both groups (20% vs. 18%, p=0.74).
Conclusion: Single-visit endodontic treatment resulted in significantly lower postoperative pain at 12 and 24 hours compared to two-visit treatment. Age, gender, and pulp status influenced pain perception, with females and older patients experiencing higher discomfort.
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