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
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, PhD
ISSN
0973-2063
Publisher
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.
