Title

Postoperative pain after single and multiple visits for root canal therapy in necrotic teeth

Authors

Dinesh Govinda Kamath*^,1, Blesy Koshy Varughese¹, Treesa William Gomez¹, Sneha Lembai¹, Mary V Gibi² & Justin Eldho³

Affiliation

¹Department of Conservative Dentistry & Endodontics, Indira Gandhi Institute of Dental Sciences, Nellikuzhi, Kothamangalam, Ernakulam, Kerala, India; ²Department of Prosthodontics and Crown and Bridge Indira Gandhi Institute of Dental Sciences, Nellikuzhi, Kothamangalam, Ernakulam, Kerala, India; ³Consultant & Private Practitioner in Conservative Dentistry and Endodontics, Kamath's Dental Clinic, Ernakulam, Kerala, India; *Corresponding author

Email

Dinesh Govinda Kamath - E-mail: dinendo@gmail.com
Blesy Koshy Varughese - E-mail: blesyvarghese@gmail.com
Treesa William Gomez - E-mail: goeu372@gmail.com
Sneha Lembai - E-mail: snehalembai@gmail.com
Mary V Gibi - E-mail: marygibi1@gmail.com
Justin Eldho - E-mail: drjustineldho@gmail.com

Article Type

Research Article

Date

Received July 1, 2025; Revised July 31, 2025; Accepted July 31, 2025, Published July 31, 2025

Abstract

Postoperative pain remains a key concern in root canal therapy for necrotic teeth, with ongoing debate over the optimal number of treatment visits. This randomized clinical trial compared pain outcomes between single-visit and multiple-visit endodontic treatments in 80 patients. Pain was assessed using the Visual Analog Scale at 6, 24, 48, and 72 hours postoperatively. Both groups showed a progressive decline in pain with no statistically significant difference at any time point. The results suggest that single-visit therapy is as effective as multiple-visit protocols in managing postoperative pain in necrotic teeth.

Keywords

Postoperative pain, single-visit endodontics, multiple-visit endodontics, necrotic teeth, root canal therapy, visual analog scale (vas), calcium hydroxide, endodontic treatment, pain assessment, randomized clinical trial

Citation

Kamath et al. Bioinformation 21(7): 2157-2160 (2025)

Edited by

Hiroj Bagde

ISSN

0973-2063

Publisher

Biomedical Informatics

License

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.