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Introduction: During the treatment of
apical periodontitis, the problem can be the worsening of the chronic
condition and the appearance of pain during percussion, palpation, or
even the appearance of swelling in the area of the tip of the tooth.
Aim of the study was to determine the difference in the intensity
of pain after endodontic therapy in symptomatic and asymptomatic chronic
apical periodontitis, between initial and repeated treatment.
Materials and methods: The study was conducted on 80 patients,
divided into two groups: I group comprised patients with symptomatic
forms, and II group, patients with asymptomatic forms of chronic apical
periodontitis. Both groups were divided into two subgroups consisting of
patients who received endodontic therapy for the first time and patients
who underwent retreatment. All patients were given a VAS questionnaire,
in which they recorded pain and described its characteristics at
specific time points: 6, 12, 24, 48 hours, and 7 days after the initial
intervention.
Results: The occurrence of pain after endodontic therapy is quite
common, but is usually mild or tolerable. Pain began as early as 6 hours
and was most intense after 12 hours from the intervention. Percussion
pain was stronger than spontaneous pain.
Conclusion: There was no difference in the occurrence of spontaneous
pain or pain on percussion in teeth that were symptomatic or
asymptomatic before the start of therapy, although pain was always more
pronounced in previously asymptomatic teeth. The pain experienced after
revision was always higher than in the group of teeth with newly
initiated endodontic treatment at all time points. The intensity of
percussion pain was also stronger in retreatment cases, but statistical
significance was confirmed at the 12-hour time point after the
intervention.
Key words:
apical periodontitis, postoperative pain, endodontic treatment
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Address of correspondence:
Sanja Endjekcheva, DMD, MSD
5 Strasho Pindjur St., 1484 Bogdanci, Severna Makedonija
E-mail: sanja.endzekceva@gmail.com
Copyright © 2025by The Editorial Council of The Acta
Stomatologica Naissi
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