European oral research · 2026
Postoperative pain and quality of life after sonic irrigation with Waterpik dental flosser home care device: a randomized clinical trial.
СтатьяНазвание и аннотация: Перевод в очереди
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Laddagiri Nagamuni Keerthana, Sannapureddy Swapna, Govula Kiranmayi, Anumula Lavanya, Maddineni Kowmudi, Chinni Suneelkumar
Аннотация
PURPOSE: This study aimed to evaluate the effect of irrigation agitation on postoperative pain (PP) and oral health-related quality of life (OHQoL) in patients undergoing single-visit root canal therapy (RCT).
MATERIALS AND METHODS: The study was a double-blind randomized clinical trial where a single-visit RCT was performed on forty patients diagnosed with symptomatic irreversible pulpitis in molars. The study participants were divided into two groups (n=20) based on the final irrigation protocol. Group 1- No agitation (NA), Group 2: Sonic agitation (SA). The pain scores were recorded using the Visual Analogue Rating scale (VAS) preoperatively and postoperative at 6, 12, 24, 48 and 72 hours. The OHQoL scores were recorded before and 72 hours after the treatment using the oral health impact profile (OHIP-14). Statistical analysis was performed for inter- and intra-group comparisons using Mann-Whitney U test and the Wilcoxon Signed Rank Test.
RESULTS: Lower pain scores were observed in the sonic agitation group at 12 hours (p=0.03),24 hours(p=0.02),48 hours (p=0.02),72 hours (p=0.04) after RCT. The patient's OHQoL was improved postoperatively (p=0.278), but there was no significant difference between sonic agitation and the control groups.
CONCLUSION: Endodontic treatment improved patients' quality of life, and sonic irrigation agitation using a Waterpik device reduced postoperative pain in patients with symptomatic irreversible pulpitis.
MATERIALS AND METHODS: The study was a double-blind randomized clinical trial where a single-visit RCT was performed on forty patients diagnosed with symptomatic irreversible pulpitis in molars. The study participants were divided into two groups (n=20) based on the final irrigation protocol. Group 1- No agitation (NA), Group 2: Sonic agitation (SA). The pain scores were recorded using the Visual Analogue Rating scale (VAS) preoperatively and postoperative at 6, 12, 24, 48 and 72 hours. The OHQoL scores were recorded before and 72 hours after the treatment using the oral health impact profile (OHIP-14). Statistical analysis was performed for inter- and intra-group comparisons using Mann-Whitney U test and the Wilcoxon Signed Rank Test.
RESULTS: Lower pain scores were observed in the sonic agitation group at 12 hours (p=0.03),24 hours(p=0.02),48 hours (p=0.02),72 hours (p=0.04) after RCT. The patient's OHQoL was improved postoperatively (p=0.278), but there was no significant difference between sonic agitation and the control groups.
CONCLUSION: Endodontic treatment improved patients' quality of life, and sonic irrigation agitation using a Waterpik device reduced postoperative pain in patients with symptomatic irreversible pulpitis.