Comparative evaluation of Postoperative pain after single visit Endodontic treatment using neolix Neoniti and e3 azure file system a Randomized clinical trial

Abstract

ABSTRACT Title of the article: Comparative Evaluation of Postoperative Pain After Single Visit Endodontic Treatment Using Neolix Neoniti and E3 Azure File System: A Randomized Clinical Trial Context: Root canal preparation can cause postoperative pain and swelling due to the inadvertent extrusion of debris, which varies depending on the instrumentation technique and design characteristics. Dental companies have been introducing NiTi rotary equipment for the past ten years, including M wire, CM wire, Max wire, EDM, and gold and blue coated NiTi files. However, even the newly introduced spectra of instruments succumb debris's apical extrusion. Thus, that instrument which cause minimal extrusion becomes prudent as it causes less pain. Therefore study aims to asses and compare post-operative pain after single-visit endodontic treatment employing Neolix Neoniti and E3 Azure rotary file systems Methods and Material: 68 patients in need of endodontic therapy wrt maxillary premolar teeth, diagnosed as asymptomatic irreversible pulpitis were randomly allocated in to 2 Groups according to instrument used: GroupA Neolix Neoniti (EDM ) and GroupB E3 Azure (Azure HT) and RCT was done in single session, modified VAS was used to measure post-operative pain at various time intervals and Additionally, the groups' associations with age, sex, and the amount of time needed for root canal preparation were assessed and compared. xiv Results: Significantly more postoperative pain occurred in the Neolix Neoniti group than in the E3 Azure group. At 6 hrs, both Groups had the highest mean pain levels; however, at observation intervals, there was a notable decrease in pain and no pain at 72hrs.In the variables age and gender severity of pain did not differ significantly, and no statistical difference noted in preparation time Conclusions: It may be inferred that patients undergoing canal instrumentation using the Neolix Neoniti rotary file experienced much more postoperative pain than those using the E3 Azure rotary file. Key-words:Neolix Neoniti,E3 Azure,single sitting, post operative pain Key message: In order to address the limitations of this study and extrapolate the RCT's findings to all clinical cases, larger sample sizes, longer follow-up times, and the inclusion of more factors will be needed in future clinical studies