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Factors associated with postoperative signs and symptoms in teeth with periapical lesion: a longitudinal study
Silva, Erlange Andrade Borges; Guimarães, Ludmila Silva; Hespanhol, Fernanda Garcias; Reis, Caio Luiz Bitencourt; Antunes, Lívia Azeredo Alves; Antunes, Leonardo Santos.
  • Silva, Erlange Andrade Borges; Fluminense Federal University. School of Dentistry. Niterói. BR
  • Guimarães, Ludmila Silva; Fluminense Federal University. School of Dentistry. Niterói. BR
  • Hespanhol, Fernanda Garcias; Fluminense Federal University. School of Dentistry. Niterói. BR
  • Reis, Caio Luiz Bitencourt; University of São Paulo. School of Dentistry. Department of Pediatric Dentistry. Ribeirão Preto. BR
  • Antunes, Lívia Azeredo Alves; Fluminense Federal University. School of Dentistry. Niterói. BR
  • Antunes, Leonardo Santos; Fluminense Federal University. School of Dentistry. Niterói. BR
Braz. dent. j ; 33(6): 1-12, Nov.-Dec. 2022. tab, graf
Article in English | LILACS-Express | LILACS, BBO | ID: biblio-1420561
ABSTRACT
Abstract This study aimed to evaluate the association of the variables age, gender, arch position, tooth length, root canal amplitude, and periapical lesion size with the occurrence of postoperative signs and symptoms (pain, tenderness, and edema) and the use of postoperative analgesics following root canal treatment with foraminal enlargement in single-rooted teeth with apical periodontitis. This prospective longitudinal study included 105 patients requiring root canal treatment of maxillary or mandibular single-rooted teeth with periapical lesion. After root canal treatment in a single session, pain intensity and tenderness were recorded daily for 7 days and on days 14 and 30. Edema was evaluated by two independent evaluators within 48 h, 72 h, and 7 days after treatment. Ordinal and logistic regressions were performed (p < 0.05). Female gender (beta = 1.02; p < 0.01), mandibular teeth (beta = 25.50; p < 0.01), medium root canal amplitude (beta = 0.93; p = 0.03), and edema (beta = 1.88; p < 0.01) were associated with increased postoperative pain and tenderness, while the use of analgesics (beta = -1.82; p < 0.01) and time in days (beta = -0.23; p < 0.01) were associated with a decrease in these signs and symptoms. Edema was considered a risk factor for analgesic requirement (Odds Ratio [OR] = 61.46; p < 0.01). Factors such as gender, arch position, and root canal amplitude were associated with postoperative signs and symptoms. The use of analgesics was more required in edema and was associated with decreased pain.
RESUMO
Resumo Este estudo teve como objetivo avaliar a associação das variáveis idade, sexo, posição no arco, comprimento do dente, amplitude do canal radicular e tamanho da lesão periapical com a ocorrência de sinais e sintomas pós-operatórios (dor, dor ao toque e edema) e o uso de analgésicos após o tratamento endodôntico com alargamento foraminal em dentes uniradiculares com lesão periapical. Este estudo longitudinal prospectivo incluiu 105 pacientes que necessitavam de tratamento endodôntico em dentes uniradiculares superiores ou inferiores com lesão periapical. Após o tratamento do canal radicular em uma sessão, a intensidade da dor e a dor ao toque foram registradas diariamente por 7 dias e nos dias 14 e 30. O edema foi avaliado por dois avaliadores independentes dentro de 48 h, 72 h e 7 dias após o tratamento. Foram realizadas regressões ordinal e logística, e a significância estatística foi fixada em um valor de p < 0,05. Gênero feminino (beta = 1,02; p < 0.01), dentes inferiores (beta = 25,50; p < 0.01), amplitude média do canal radicular (beta = 0,93; p = 0,03) e edema (beta = 1,88; p < 0.01) foram associados ao aumento da dor e dor ao toque pós-operatória, enquanto o uso de analgésicos (beta = -1,82; p < 0.01) e o tempo em dias (beta = -0,23; p < 0.01) foram associados à diminuição desses sinais e sintomas. O edema foi considerado fator de risco para necessidade de analgésico (Odds Ratio [OR] = 61,46; p < 0.01). Fatores como sexo, posição do arco e amplitude do canal radicular foram associados aos sinais e sintomas pós-operatórios. O uso de analgésicos foi mais necessário no edema e foi associado à diminuição da dor.


Full text: Available Index: LILACS (Americas) Type of study: Diagnostic study / Observational study / Risk factors Language: English Journal: Braz. dent. j Journal subject: Dentistry Year: 2022 Type: Article / Project document Affiliation country: Brazil Institution/Affiliation country: Fluminense Federal University/BR / University of São Paulo/BR

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Full text: Available Index: LILACS (Americas) Type of study: Diagnostic study / Observational study / Risk factors Language: English Journal: Braz. dent. j Journal subject: Dentistry Year: 2022 Type: Article / Project document Affiliation country: Brazil Institution/Affiliation country: Fluminense Federal University/BR / University of São Paulo/BR