Seybold Report ISSN: 1533-9211
Keerthika .R.
Department of Conservative dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical And Technical Sciences, Saveetha University, Chennai, India, Mail id : keerthikar91@gmail.com
Dr.Sandhya Raghu
Professor, Department of Conservative Dentistry and Endodontics, Saveetha Dental College and hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University
Chennai-77, India, Email id: sandhya.sdc@saveetha.com
Vol 17, No 09 ( 2022 ) | DOI: 10.5281/zenodo.7095016 | Licensing: CC 4.0 | Pg no:1115-1134 | Published on: 20-09-2022
Abstract
Root canal treatment aims at complete elimination of vital and necrotic pulp tissues, microorganisms and their by-products from the root canal system. Thus in order to reach the inaccessible areas various irrigants and irrigant activation systems have been used.Activation of irrigant has been proposed as the most therapeutic solution which has led to the development from manual dynamic activation to laser activation systems.The aim of this systematic review is to evaluate the effect of Sonic irrigation , Ultrasonic irrigation Laser activated irrigation vs Conventional needle irrigation on postoperative pain reduction during endodontic treatment.A detailed literature search was made in the PubMed database. Randomized Controlled Clinical Trials, studies on activated irrigation compared with conventional needle irrigation were included in this systematic review. The risk of study bias was analyzed through the Cochrane Handbook of systematic reviews of interventions and the level of evidence by the Oxford Center for Evidence- based Medicine, 2009.The studies were selected if the studies were in vivo studies done as clinical trials. The outcome measure was to comparatively evaluate the postoperative pain after sonic, ultrasonic, laser activated irrigation and /or conventional needle irrigation.Six studies were identified and included in the systematic review. It has been observed that there is reduction of postoperative pain in all the studies using sonic irrigation,ultrasonic irrigation and laser activated irrigation when compared to conventional needle irrigation.In conclusion,activated irrigation has better control over postoperative pain than conventional needle irrigation.
Keywords:
Root canal,Irrigation,post operative pain,activated irrigation