Clinical Evaluation of Occlusal Reduction in Alleviating Pain Associated with Symptomatic Apical Periodontitis

Amir Mehmood; Irfan Ullah Khan; Ayesha Babar

doi:10.65293/jbkcd.v1i02.15

Authors

Amir Mehmood Department of Operative Dentistry & Endodontics, Rehman College of Dentistry, Peshawar, Khyber Pakhtunkhwa, Pakistan.
Irfan Ullah Khan Professor & Head of Department (HoD), Department of Operative Dentistry & Endodontics, Rehman College of Dentistry, Peshawar, Khyber Pakhtunkhwa, Pakistan.
Ayesha Babar Department of Operative Dentistry & Endodontics, Rehman College of Dentistry, Peshawar, Khyber Pakhtunkhwa, Pakistan.

DOI:

https://doi.org/10.65293/jbkcd.v1i02.15

Keywords:

Symptomatic Apical Periodontitis, Occlusal Reduction, Pain Management, endodontic treatment, Post-Treatment Pain

Abstract

Objective: This research examines the impact of occlusal reduction on alleviating pain in patients with symptomatic apical periodontitis.

Study Design: Randomized controlled trial.

Place and Duration of Study: Department of Operative Dentistry and Endodontics, Rehman College of Dentistry, from January 2022 to June 2022.

Materials and Methods: A randomized controlled experiment was performed with 200 persons diagnosed with SAP. Patients were allocated to either an occlusal reduction group (n=100) or a non-occlusal reduction group (n=100). Pain intensity was evaluated utilizing a Visual Analog Scale (VAS) at baseline, 24 hours, and 48 hours following treatment. Regression analysis was conducted to identify parameters affecting pain decrease.

Results: The occlusal reduction group had a more significant reduction in discomfort at 24 hours (3.2 ± 1.4 vs. 5.8 ± 1.7, p < 0.001) and 48 hours (1.5 ± 1.0 vs. 4.0 ± 1.3, p < 0.001) in comparison to the no reduction group. Regression analysis revealed occlusal decrease (β = -2.5, p < 0.001) and baseline pain levels (β = 0.8, p < 0.001) as significant predictors of pain alleviation. Moreover, the occlusal reduction cohort necessitated a reduced quantity of analgesics at 24 and 48 hours (p < 0.001).

Conclusion: Occlusal reduction markedly alleviates post-treatment discomfort in symptomatic apical periodontitis and diminishes the use of analgesics. These data indicate the integration of occlusal modification as a pain control approach in endodontic treatment.

Author Biography

Irfan Ullah Khan, Professor & Head of Department (HoD), Department of Operative Dentistry & Endodontics, Rehman College of Dentistry, Peshawar, Khyber Pakhtunkhwa, Pakistan.

Corresponding Author: irfan.khan@rmi.edu.pk

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