KNOWLEDGE AWARENESS AND PERCEPTION OF PAIN MANAGEMENT POSTOPERATIVELY AFTER ROOT CANAL TREATMENT USING HAND AND ROTARY INSTRUMENTATION

Abstract

Introduction: Endodontic therapy or root canal therapy is the sequence of treatment for the pulp of a tooth, which results in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion. Root canal therapy is one of the most common procedures. If the dental pulp or the periapical tissue becomes diseased or injured, endodontic treatment is required to save the tooth. During root canal preparation, there can be unpredictable inflammation to the periapex ensuing in postoperative pain. Postoperative pain can arise because of the extrusion of necrotic debris, dentinal chips, or pulpal remnants into the apical area throughout root canal procedures.
Materials and Method: This cross sectional survey was conducted during June to August 2021 including postgraduates students of Endodontic department of various colleges across the country. 100 participants had participated in this study. Ethical permission to carry out the study was obtained from Saveetha Institute Of medical and Technical Sciences, Scientific review board. Snowball sampling method was used to distribute the questionnaire among the participants. The questionnaire consisted of 11 questions which were designed in such a way to evaluate the awareness, knowledge and attitude on the post operative pain after root canal treatment between hand and rotary instruments. Out of 11 questionnaires in which 3 questions based on knowledge, 4 based on attitude, 4 questions based on practice were created. 100 responses were assessed and the output was represented in a bar chart for each and every question
Results: The result showed that 62% of the study population were aware that hand instrumentation can cause postoperative pain in root canal treatment. Pearson chi square test showed the p- value of 0.174 (>0.05) which is statistically insignificant.
Conclusion: Most endodontist postgraduates students are aware of the post operative pain after root canal therapy and they also show a responsible attitude towards these procedures. But there exists a group of students who are not aware of postoperative pain caused while using hand instrumentation over rotary instruments in root canal treatment .