Radiographic Assessment of Post-Endodontic Pain
Keywords:Nonsurgical root canal treatment, Post-endodontic pain (PEP), Radiographic, Radiographic assessment, longitudinal study.
Aim:To radiographically assess and identify the factors that influence post-endodontic pain (PEP) in patients
received nonsurgical root canal treatment. Study Design: a longitudinal study. Place and Duration of
Study: the study performed on 375 patients (200 male, 175 female), aged 15–65 years randomly attend Dr.
Sameer Hatem private clinic in Karbala between 2014- 2019 Method. the complete history of patients was
taken, clinically examined and then radiographically examined by CSN x-ray machine and Xpod digital
sensor to identify the possible factors and assess the status of previously treated teeth, the patients divided
into groups according to the age, causative factors, and the onset of pain from patients’ chief complain.
Results:(Table.2) shows the differences in numbers and percentages of overall patients according to the
onset and the causative factors of pain after root canal treatment, the high percentage of the pain of 102/
(27.2%) of patients was due to overextension of filling material, (most of these patients were suffering from
spontaneous pain 47.05%). Followed by 78/(20.8%) which were due to failure of treatment due to underfilled root canal (most of them 34.61% have intermittent pain). Conclusion: Periapical x-ray radiography
is a valuable technique to identify the causative factors of post endodontic pain and evaluate the success of
RCT and the status of endo treated tooth and periapical tissues. All procedural errors can not be depicted on
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