Restorative Dentistry & Endodontics

Ulisses Xavier da Silva Neto

2 Articles

Postoperative pain after endodontic treatment of necrotic teeth with large intentional foraminal enlargement: Ricardo Machado, Daniel Comparin, Sérgio Aparecido Ignácio, Ulisses Xavier da Silva Neto; Restor Dent Endod 2021;46(3):e31. Published online May 31, 2021; DOI: https://doi.org/10.5395/rde.2021.46.e31

Objectives

To evaluate postoperative pain after endodontic treatment of necrotic teeth using large intentional foraminal enlargement (LIFE).

Materials and Methods

The sample included 60 asymptomatic necrotic teeth (with or without chronic apical periodontitis), and a periodontal probing depth of 3 mm, previously accessed and referred to perform endodontic treatment. After previous procedures, the position and approximate size of the apical foramen (AF) were determined by using an apex locator and K flexo-files, respectively. The chemomechanical preparation was performed with Profile 04 files 2 mm beyond the AF to achieve the LIFE, using 2.5 mL of 2.5% NaOCl at each file change. The filling was performed by Tagger's hybrid technique and EndoFill sealer. Phone calls were made to all the patients at 24, 48 and 72 hours after treatment, to classify postoperative pain. Statistical analysis was performed by different tests with a significance level of 5%.

Results

Age, gender, periradicular status and tooth type did not influence postoperative pain (p > 0.05). Only 1 patient (1.66%) reported severe pain after 72 hours. Moderate pain was reported by 7, 4 and 3 patients after 24, 48 and 72 hours, respectively (p = 0.0001). However, paired analyses showed a statistically significant difference only between 24 and 72 hours (p = 0.04). Sealer extrusion did not influence the postoperative pain (p > 0.05).

Conclusions

Acute or moderate postoperative pain was uncommon after endodontic treatment of necrotic teeth with LIFE.

Trial Registration

The Brazilian Clinical Trials Registry Identifier: RBR-3r967t

Citations

Citations to this article as recorded by

Assessment of apical extrusion in regenerative endodontics: a comparative study of different irrigation methods using three-dimensional immature tooth models
Vahide Hazal Abat, Gökçen Deniz Bayrak, Mustafa Gündoğar
Odontology.2025; 113(1): 213. CrossRef
Postoperative pain after single-visit root canal treatments in necrotic teeth comparing instruments’ kinematics and apical instrumentation limits – a prospective randomized multicenter clinical trial
Ricardo Machado, Guilherme Moreira, Daniel Comparin, Arthur Pimentel Barroso, Jaqueline Nascimento, Caio Cézar Randi Ferraz, Sérgio Aparecido Ignácio, Lucas da Fonseca Roberti Garcia, Rodrigo Rodrigues Amaral, David Shadid, Ulisses Xavier da Silva Neto
BMC Oral Health.2024;[Epub] CrossRef
Assessment of mechanical allodynia in healthy teeth adjacent and contralateral to endodontically diseased teeth: a clinical study
Vaishnavi Ratnakar Patankar, Ashish K Jain, Rahul D Rao, Prajakta R Rao
Restorative Dentistry & Endodontics.2024;[Epub] CrossRef
A systematic review and meta-analysis on the effects of phototherapy on postoperative pain in conventional endodontic reintervention
Larissa Pereira Nunes, Gabriel Pereira Nunes, Túlio Morandin Ferrisse, Henrico Badaoui Strazzi-Sahyon, Eloi Dezan-Júnior, Luciano Tavares Angelo Cintra, Gustavo Sivieri-Araujo
Clinical Oral Investigations.2024;[Epub] CrossRef
The effect of intracanal cryotherapy with and without foraminal enlargement on pain prevention after endodontic treatment: a randomized clinical trial
Marcos Felipe Iparraguirre Nuñovero, Marco Antonio Hungaro Duarte, André Vinícius Kaled Segato, Ulisses Xavier da Silva Neto, Vania Portela Ditzel Westphalen, Everdan Carneiro
Scientific Reports.2024;[Epub] CrossRef
Clinical determination of anatomical diameter in different dental groups correlating them with gender, age, tooth/canal and pulpoperiradicular diagnosis: an observational clinical study
Ricardo Machado, Gabriel Filipe Pamplona, Claudemir de Souza Júnior, Jaqueline Nascimento, Eduardo Donato Eing Elgelke Back, Daniel Comparin, Sérgio Aparecido Ignácio, Stella Maria Glaci Reinke, Ana Cristina Kovalik, Ulisses Xavier da Silva Neto
Scientific Reports.2023;[Epub] CrossRef
How much to enlarge? A letter to the editor
Krishnamachari Janani, Kavalipurapu Venkata Teja, Kumar Chandan Srivatsava
Saudi Endodontic Journal.2023; 13(3): 288. CrossRef
Efficiency of diode laser in control of post-endodontic pain: a randomized controlled trial
Hend H. Ismail, Maram Obeid, Ehab Hassanien
Clinical Oral Investigations.2023; 27(6): 2797. CrossRef
Periapical Healing following Root Canal Treatment Using Different Endodontic Sealers: A Systematic Review
Akshay Khandelwal, Krishnamachari Janani, KavalipurapuVenkata Teja, Jerry Jose, Gopi Battineni, Francesco Riccitiello, Alessandra Valletta, Ajitha Palanivelu, Gianrico Spagnuolo, Vincenzo Grassia
BioMed Research International.2022;[Epub] CrossRef

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Smear layer removal by passive ultrasonic irrigation and 2 new mechanical methods for activation of the chelating solution: Ricardo Machado, Isadora da Silva, Daniel Comparin, Bianca Araujo Marques de Mattos, Luiz Rômulo Alberton, Ulisses Xavier da Silva Neto; Restor Dent Endod 2021;46(1):e11. Published online January 26, 2021; DOI: https://doi.org/10.5395/rde.2021.46.e11

Abstract PDF PubReader ePub

Objectives

The aim of this study was to compare smear layer removal by conventional application (CA), passive ultrasonic irrigation (PUI), EasyClean (EC), and XP-Endo Finisher (XPF), using 17% ethylenediaminetetraacetic acid (EDTA) after chemomechanical preparation, as evaluated with scanning electron microscopy (SEM).

Materials and Methods

Forty-five single-rooted human mandibular premolars were selected for this study. After chemomechanical preparation, the teeth were randomly divided into 5 groups according to the protocol for smear layer removal, as follows: G1 (control): CA of distilled water; G2 (CA): CA of 17% EDTA; G3 (PUI): 17% EDTA activated by PUI; G4 (EC): 17% EDTA activated by EC; and G5 (XPF): 17% EDTA activated by XPF. SEM images (×1,000) were obtained from each root third and scored by 3 examiners. Data were evaluated using the Kruskal-Wallis and Dunn tests (p < 0.05).

Results

In the apical third, there were no statistically significant differences among the groups (p > 0.05). In the cervical and middle thirds, the experimental groups performed better than the control group (p < 0.05); however, G2 presented better results than G3, G4, and G5 (p < 0.05), which showed no differences among one another (p > 0.05).

Conclusions

No irrigation method was able to completely remove the smear layer, especially in the apical third. Using CA for the chelating solution performed better than any form of activation.

Citations

Citations to this article as recorded by

Smear layer removal comparing conventional irrigation, passive ultrasonic irrigation, EndoActivator System, and a new sonic device (Perfect Clean System) by scanning electron microscopy: An ex vivo study
Bruna Fernanda Alionço Gonçalves, Divya Reddy, Ricardo Machado, Paulo César Soares Júunior, Sérgio Aparecido Ignácio, Douglas Augusto Fernandes Couto, Karine Santos Frasquetti, Vânia Portela Ditzel Westphalen, Everdan Carneiro, Ulisses Xavier da Silva Net
PLOS ONE.2024; 19(12): e0314940. CrossRef
Impact of different agitation methods on smear layer cleaning of mesial canals with accentuated curvature
Abel Teves Cordova, Murilo Priori Alcalde, Michel Espinosa Klymus, Leonardo Rigoldi Bonjardim, Rodrigo Ricci Vivan, Marco Antonio Hungaro Duarte
Restorative Dentistry & Endodontics.2024;[Epub] CrossRef
Advances in hybridized nanoarchitectures for improved oro-dental health
Jun Guo, Pei Wang, Yuyao Li, Yifan Liu, Yingtong Ye, Yi Chen, Ranjith Kumar Kankala, Fei Tong
Journal of Nanobiotechnology.2024;[Epub] CrossRef
Cleaning and disinfection of the root canal system provided by four active supplementary irrigation methods
Alessandra Timponi Goes Cruz, Adriane Antoniw Klemz, Edvaldo Antônio Ribeiro Rosa, Fabiana Soares Grecca, Bianca Mattos, Lucila Piasecki, Ricardo Machado, Sérgio Aparecido Ignácio, Ulisses Xavier da Silva Neto
Scientific Reports.2024;[Epub] CrossRef
Scanning electron microscopic study of smear layer changes following ultrasonic endoactivator irrigation system during root canal treatment of primary teeth
Mohamed Ghaly, Aya Alsherif, Arafa Khatab
Tanta Dental Journal.2023; 20(2): 137. CrossRef
Influence of agitation methods of irrigants after methylene blue-mediated PDT on the bonding interface of a fiber post cementation system
Lucas David Galvani, Joatan Lucas de Sousa Gomes Costa, João Felipe Besegato, Joissi Ferrari Zaniboni, Wilfredo Gustavo Escalante-Otárola, Milton Carlos Kuga
Photodiagnosis and Photodynamic Therapy.2022; 37: 102708. CrossRef

254 View
10 Download
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6 Crossref

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