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Management of symptomatic irreversible pulpitis using irrigation agitation techniques in anterior teeth



Ramdhas Annapurani1, Pasupathy Shakunthala2, Selvaraj Sharmila2, Subramanian Dhanalakshmi2,*, Jayavel Nandhakumar1 & Manoharan Kaladevi3



1Independent Restorative Dentist and Endodontist, Chennai, Tamilnadu, India; 2Department of Conservative Dentistry and Endodontics, Tamil Nadu Government Dental College and Hospital, Chennai, Tamilnadu, India; 3Government Nagapattinam Medical College, Tamilnadu, India;



Ramdhas Annapurani - E-mail: annapurani17@gmail.com

Pasupathy Shakunthala - E-mail: shaksmds03@gmail.com

Selvaraj Sharmila - E-mail: mssendo11@gmail.com

Subramanian Dhanalakshmi - E-mail: senthilkumardhanalakshmi@gmail.com

Jayavel Nandhakumar - E-mail: dr.nandhakumarmds@gmail.com

Manoharan Kaladevi - E-mail: drkaladevi@gmail.com


Article Type

Research Article



Received December 1, 2023; Revised December 31, 2023; Accepted December 31, 2023, Published December 31, 2023



Endodontic pain, a common complication after root canal treatment, affects 2.5% to 60% of patients. Therefore, it is of interest to compare apical negative pressure irrigation (EndoVac) with conventional needle irrigation to assess their impact on postoperative pain in permanent anterior teeth with symptomatic irreversible pulpitis. Fifty patients were randomly assigned to either the EndoVac or needle irrigation group. Pre and post-operative pain levels were assessed using a Visual Analog Scale and the amount of Ibuprofen taken was recorded. At 12-, 24-, and 48-hour intervals, the EndoVac group reported significantly less pain than the needle irrigation group. The needle irrigation group also required more Ibuprofen. The apical negative pressure irrigation system (EndoVac) resulted in significantly less postoperative pain and reduced the need for analgesic medication than the conventional needle irrigation protocol.



Conventional irrigation, post-operative pain, endovac irrigation, negative apical pressure



Annapurani et al. Bioinformation 19(12): 1129-1133 (2023)


Edited by

P Kangueane






Biomedical Informatics



This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.