WaveOne Gold Glider file system may lower postoperative pain in asymptomatic teeth with necrotic pulp and periapical lesions

This study aimed to evaluate postoperative pain intensity following glide-path preparation using the ProGlider (PG) and WaveOne Gold Glider (WOGG) systems in asymptomatic teeth with necrotic pulp and periapical lesions.

In this randomized clinical trial (ClinicalTrials.gov ID: NCT05955742) maxillary and mandibular molars with asymptomatic apical periodontitis of 78 patients (age, 18–65 years) were included. The patients were randomly divided into 3 groups: control (n = 26), PG (n = 26), and WOGG (n = 26). All the systems were used according to the manufacturer's instructions, and all the root canal treatments were completed by a single operator within 2 sessions. Postoperative pain was assessed using a numerical rating scale at 6, 12, 18, 24, 48, and 72 hours. Analgesics administered and abscess formation were also recorded. Statistical analyses were performed using the Mann–Whitney U, Bonferroni Dunn, Friedman, Chi-square, and Fisher exact tests.

Results

The postoperative pain at 12 and 18 hours was lower in the WOGG group than in the other groups (P < .05). The postoperative pain scores at 6 and 24 hours were higher among women than among men (P < .05). The highest postoperative pain scores were observed at 6 hours (P < .05).

The WOGG glide-path file system was associated with less postoperative pain than the other systems. Abscess formation and analgesic use were higher in the PG group than in the other groups. Postoperative pain was greater in women than in men.

Reference:

Evaluation of Pain Following the Use of Different Single-file Glide Path Systems: A Randomized Clinical Trial.Zeliha Danaci, DDS, Kübra Yeşildal Yeter, DDS, PhD

Published:November 02, 2023 DOI: https://doi.org/10.1016/j.joen.2023.10.017

Keywords:

WaveOne, Gold, Glider, file, system, tied, less, postoperative, pain, asymptomatic, teeth, with, necrotic, pulp, periapical lesions, Journal of Endodontics, Asymptomatic apical periodontitis, glide path preparation, postoperative pain, ProGlider, WaveOne gold Glider