ABSTRACT
The aim of this prospective, randomized, clinical study was to analyze the influence of occlusal adjustment on the prevalence of postoperative pain after endodontic treatment. Seventy-eight patients, diagnosed with symptomatic irreversible pulpitis with indication for endodontic treatment, were selected to participate in the study. The participants were randomized and divided into two groups: in the occlusal adjustment group (OAG), endodontic treatment was performed with subsequent occlusal adjustment. In the control group (CG), endodontic treatment was performed without occlusal adjustment. Treatments were performed by the same operator. Pain occurrence and intensity were recorded on two scales: the verbal rating scale (VRS) and numerical rating scale (NRS). Pain assessment was carried out by a second examiner, blinded to the experiment, 6, 24 and 72 h after endodontic treatment. Data were analyzed using Mann-Whitney, chi-squared, and Fisher's exact tests. In the occlusal adjustment group, 71.1% reported postoperative pain and 67.5% reported pain in the control group. At the 6-hour assessment, 21 individuals reported pain in the occlusal adjustment group and 24 in the control group (p=0.672). At the 24-hour assessment, 18 and 19 individuals reported pain (p=0.991) and at the 72-hour assessment, 8 and 4 reported pain (p=0.219), respectively. Occlusal adjustment did not influence the prevalence of postoperative pain of endodontically treated teeth with symptomatic irreversible pulpitis.
Subject(s)
Dental Pulp Cavity , Root Canal Therapy , Humans , Occlusal Adjustment , Pain, Postoperative , Prospective StudiesABSTRACT
Abstract The aim of this prospective, randomized, clinical study was to analyze the influence of occlusal adjustment on the prevalence of postoperative pain after endodontic treatment. Seventy-eight patients, diagnosed with symptomatic irreversible pulpitis with indication for endodontic treatment, were selected to participate in the study. The participants were randomized and divided into two groups: in the occlusal adjustment group (OAG), endodontic treatment was performed with subsequent occlusal adjustment. In the control group (CG), endodontic treatment was performed without occlusal adjustment. Treatments were performed by the same operator. Pain occurrence and intensity were recorded on two scales: the verbal rating scale (VRS) and numerical rating scale (NRS). Pain assessment was carried out by a second examiner, blinded to the experiment, 6, 24 and 72 h after endodontic treatment. Data were analyzed using Mann-Whitney, chi-squared, and Fisher's exact tests. In the occlusal adjustment group, 71.1% reported postoperative pain and 67.5% reported pain in the control group. At the 6-hour assessment, 21 individuals reported pain in the occlusal adjustment group and 24 in the control group (p=0.672). At the 24-hour assessment, 18 and 19 individuals reported pain (p=0.991) and at the 72-hour assessment, 8 and 4 reported pain (p=0.219), respectively. Occlusal adjustment did not influence the prevalence of postoperative pain of endodontically treated teeth with symptomatic irreversible pulpitis.
Resumo O objetivo deste estudo prospectivo, randomizado e clínico foi analisar a influência do ajuste oclusal na prevalência de dor pós-operatória após o tratamento endodôntico. Setenta e oito pacientes, diagnosticados com pulpite irreversível sintomática com indicação de tratamento endodôntico, foram selecionados para participar do estudo. Os participantes foram randomizados e divididos em dois grupos: no grupo de ajuste oclusal (GAO), foi realizado tratamento endodôntico com posterior ajuste oclusal. No grupo controle (GC), o tratamento endodôntico foi realizado sem ajuste oclusal. Os tratamentos foram realizados pelo mesmo operador. A ocorrência e a intensidade da dor foram registradas em duas escalas: a escala de classificação verbal (VRS) e a escala de classificação numérica (NRS). A avaliação da dor foi realizada por um segundo examinador, cego para o experimento, 6, 24 e 72 horas após o tratamento endodôntico. Os dados foram analisados utilizando testes de Mann-Whitney, qui-quadrado e exato de Fisher. No grupo de ajuste oclusal, 71,1% relataram dor pós-operatória e 67,5% relataram dor no grupo controle. Na avaliação de 6 horas, 21 indivíduos relataram dor no grupo de ajuste oclusal e 24 no grupo controle (p=0,672). Na avaliação de 24 horas, 18 e 19 indivíduos relataram dor (p=0,991) e, na avaliação de 72 horas, 8 e 4 relataram dor (p=0,219), respectivamente. O ajuste oclusal não influenciou a prevalência de dor pós-operatória após o tratamento endodôntico em dentes com pulpite irreversível sintomática.
Subject(s)
Humans , Root Canal Therapy , Dental Pulp Cavity , Pain, Postoperative , Prospective Studies , Occlusal AdjustmentABSTRACT
Este artigo relata a experiência de uma Faculdade de Odontologia durante o processo de construção e implementação de um novo projeto pedagógico (PP). O PP foi reformulado desde a caracterização do curso com as discussões sobre perfil de egresso, passando pela estrutura de funcionamento, objetivos, matriz curricular, estágios e concepção metodológica. Durante 12 meses foram utilizadas diversas ferramentas para sensibilização do corpo docente, incluindo a realização de semanas pedagógicas, oficinas, encontros pedagógicos e discussões nas assembleias docentes. O novo currículo foi implementado em 2012 evidenciando a interdisciplinaridade, a formatação de ambulatórios integrados e um estágio curricular obrigatório que compreende mais de 40% da matriz curricular entre atividades intra e extramuros. Dificuldades foram encontradas durante a implementação e a comunidade acadêmica buscou ferramentas para minimizá-las, fazendo com que o projeto continue dinâmico e amadureça a cada ano (AU).
The aim of the paper is to report the experience of faculty members of a Dental school during the process of developing and implementing a new academic program (AP). The AP has been redesigned taking into consideration the characterization of the course by discussing the profile of alumni, physical structure, objectives, curriculum structure, academic internships and methodological design. The new curriculum was implemented in 2012 and it focuses on interdisciplinarity, integrated outpatient clinics and a mandatory traineeship that consists of more than 40% of the curriculum between intra- and extra-mural activities. Difficulties were encountered during the implementation of the new program and the academic community sought tools to minimize them. The new education program is dynamic, and it has been improving every year (AU).
