COMPARATIVE EVALUATION OF THE INFLUENCE OF DIFFERENT LASER MODALITIES ON POST ENDODONTIC PAIN FOLLOWING A SINGLE VISIT RCT.
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Keywords
Post endodontic pain, Photobiostimulation, LASER, VAS scale
Abstract
The purpose of this in vivo study was to compare the efficacy of different laser modalities on post endodontic pain after a single visit root canal treatment.
Aim: To evaluate and compare the influence of different laser modalities on Post endodontic pain (PEP) following a single visit RCT.
Materials and Methods: Thirty molars with symptomatic apical periodontitis were divided into three groups (n=10). The first group was mock laser or placebo group (ML), with normal root canal treatment and mock laser intervention (ML group). The second group was provided photobiostimulation in the periapical region(PBS). The third group got Laser-activated irrigation (LAI). Postoperative pain was recorded using visual analogue scale (VAS) after 24, 48 and 72 hours.
Result: All the three groups showed reduction in their pain scores over the time, with statistically significant reduction found after 48 hours duration (p=0.007) and 72 hours duration (p=0.004).
Conclusion: Laser stimulation had a positive effect on Post Endodontic pain (PEP). Minimum PEP was seen in patients in which lasers were used for Canal Disinfection, which was better than Periapical Biostimulation (PBS). However, it was found to be statistically not significant. Canal Disinfection activated using laser therapy was as effective as conventional irrigation in relation to postoperative pain. This study proved that laser therapy can be an effective alternative for the conventional use of nonsteroidal anti‑inflammatory drugs in controlling postendodontic pain thereby eliminating the adverse effects of such drugs on the patients.
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Dr. Prashansa Maheshwari
Post-Graduate student, Dept. of Conservative Dentistry & Endodontics, Hitkarini Dental College and Hospital, Jabalpur.
Dr Bonny Paul
Professor, Dept. of Conservative Dentistry & Endodontics, Hitkarini Dental College and Hospital, Jabalpur.
Dr S. P. Mantri
Professor and Head, Dept. of Conservative Dentistry & Endodontics, Hitkarini Dental College and Hospital, Jabalpur.
Dr. Kavita Dube
Professor, Dept. of Conservative Dentistry & Endodontics, Hitkarini Dental College and Hospital, Jabalpur.
Dr Soumya Singhai
Postgraduate student, Dept. of Conservative Dentistry & Endodontics, Hitkarini Dental College and Hospital, Jabalpur.
Dr Srishti Mehta
Postgraduate student, Dept. of Conservative Dentistry & Endodontics, Hitkarini Dental College and Hospital, Jabalpur.
Dr Siddhi Hathiwala
Associate Professor and Head, Dept. of Public Health Dentistry, Hitkarini Dental College and Hospital, Jabalpur.