Clinical observation of using Er,Cr:YSGG water laser to control endondontic interappointment pain

doi:10.19439/j.sjos.2019.02.015

Abstract

Abstract: PURPOSE: This study was to explore the role of Er, Cr：YSGG water laser in relieving endodontic interappointment pain (EIAP) during root canal therapy. METHODS: A total of 272 cases with chronic pulpitis and chronic periapical periodontitis were selected from the Department of Endodontics of our hospital from June 2015 to June 2017, they were randomly divided into 2 groups, 136 cases in each group. After routine root canal preparation, the teeth in group A were sealed with calcium hydroxide paste after Er, Cr : YSGG water laser treatment, while teeth in group B were sealed with calcium hydroxide paste. Caviton (GC company, Japan) was used for temporary fillings in both groups, occurrence and outcomes of postoperative EIAP were recorded and compared. SPSS 17.0 software package was used for statistical analysis. RESULTS: Among the two groups, there was no significant differences in EIAP (P>0.05) immediately and 1 week after surgery, but there was significant difference in the occurrence of EIAP between the first day, the second day and the third day after surgery (P<0.05). Group A had the lowest incidence of EIAP. CONCLUSIONS: Er, Cr: YSGG water laser can effectively reduce pain after root canal therapy, and can effectively shorten pain duration for patients; therefore, it is worthy of wide clinical application.

Key words: Er, Cr: YSGG water laser, Root canal therapy, Root canal instrumentation, Endodontic interappointment pain

CLC Number:

R781.3

ZHOU Lei, WANG Jia, ZANG Yan-jun. Clinical observation of using Er,Cr:YSGG water laser to control endondontic interappointment pain[J]. Shanghai Journal of Stomatology, 2019, 28(2): 184-186.

References

[1] 蒲兆雷, 邢南. 一次和多次根管治疗法术后疼痛发生情况及其影响因素[J]. 安徽医药, 2016, 20(3): 525-526.
[2] Mor C, Rotstein I, Friedman S.Incidence of interappointment emergency associated with hendodontic therapy[J]. J Endod, 1992, 18(10): 509-511.
[3] Negm MM.Effect of intracanal use of nonsteroidal antiinflammatory agents on posttreatment endodontic pain[J]. Oral Surg Oral Med Oral Pathol, 1994, 77(5): 507-513.
[4] Fleming CH, Litaker MS, Alley LW, et al.Comparison of classic endodontic techniques versus contemporary techniques on endodontic treatment success[J]. J Endod, 2010, 36(3): 414-418.
[5] Sathorn C, Parashos P, Messer H.The prevalence of postoperative pain and flare-up in single-and multiple-visit endodontic treatment: a systematic review[J]. Int Endod J, 2008, 41(2): 91-99.
[6] Pasqualini D, Mollo L, Scotti N, et al.Postoperative pain after manual and mechanical glide path: a randomized clinical trial[J]. J Endod, 2012, 38(1): 32-36.
[7] 郭世博, 薛明. 根管治疗约诊间疼痛的发生机制及预防控制策略[J]. 中国实用口腔科杂志, 2017, 10(4): 198-201.
[8] 杨红丽, 唐睿, 龚瑜, 等. 根管预备及根管消毒期间诊间疼痛的临床观察[J]. 上海口腔医学, 2017, 25(2): 227-230.
[9] 肖丹, 张德辉. 感染根管一次性根管治疗的疗效观察[J]. 华西口腔医学杂志, 2010, 28(l): 57-60.
[10] 孙德刚, 吴迪, 郭吉来. 氢氧化钙糊剂用于治疗约诊间疼痛的临床观察[J]. 口腔医学. 2015, 35(3): 138-140.
[11] Waltimo TM, Sen BH, Meurman JH, et al.Yeasts in apical periodontitis[J]. Crti Rev Oral Bio Med, 2003, 14(2): 128-137.
[12] Dewsnup N, Pileggi R, Haddix J, et al.Comparison of bacterial in straight and curved canals using erbium, chrominm: yttrium-scan-dium-gallium-garnet laser treatment versus a traditional irrigation technique with sodium hypochlorite[J]. J Endod, 2010, 36(4): 725-728.
[13] Ozkan L, Cetiner S, Sanlidag T.Effect of Er, Cr: YSGG laser irradiation with radial firing tips on Candida albicans in experimentally infected root canals[J]. Biomed Res Int, 2014, 2014: 938245.
[14] Hancock HH 3rd, Sigurdsson A, Trope M, et al. Bacteria isolated after unsuccessful endodontic treatment in a North American population[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2001, 91(5): 579-586.
[15] Stuart CH, Schwartz SA, Beeson TJ, et al.Enterococcub faecalis: its role in root canal treatment failure and current concepts in retreatment[J]. J Endod, 2006, 32(2): 93-98.
[16] Gordon W, Atabakhsh VA, Meza F, et al.The antimicrobial efficacy of the erbium, chromium: yttrium-scandium-gallium-garnet laser with radial emitting tips on root canal dentin walls infected with Enterococcus faecalis[J]. J Am Dent Assoc, 2007, 138(7): 992-1002.
[17] Schoop U, Barylyak A, Goharkhay K, et al.The impact of an er-bium, chromium: yttrium-scandium-gallium-garnet laser with radial-firing tips on endodontic treatment[J]. Lasers Med Sci, 2009, 24(1): 59-65.