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J Conserv Dent. 2019 Jul-Aug;22(4):332-335. doi: 10.4103/JCD.JCD_39_19.

In vivo evaluation of painful symptomatology after endodontic treatment with or without the use of photodynamic therapy.

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Department of Endodontics, Brazil University, Fernandópolis, Brazil.
Department of Endodontics, University of Ilhéus, Ilhéus, Bahia, Brazil.
Department of Endodontics, São Leopoldo Mandic Dental Research Center, Campinas, SP, Brazil.



Postoperative pain control after endodontic treatment is important to maintain patient comfort.


The aim of this prospective clinical study was to evaluate the postoperative symptomatology of endodontic treatments performed in a single session, with or without photodynamic therapy (PDT), using Reciproc #40 file in necrotic unirradicular anterior teeth.

Materials and Methods:

In a prospective clinical study, 40 teeth indicated for endodontic treatment were treated by a single endodontist according to a preestablished protocol. The teeth were randomly divided into two groups (n = 20): control group (CG) and laser group (LG). After 24 h, 72 h, and 1 week of endodontic treatment, patients' pain symptomatology was evaluated through a Visual Analog Scale (VAS) ranging from 0 to 10, in which 0 corresponds to no pain and 10 indicates extreme pain. In both workgroups, similar protocols were used for instrumentation with the Reciproc system (R40), irrigation with 2.5% sodium hypochlorite, and filling by the gutta-percha plastification technique, in which the CG did not use PDT, and the LG used PDT after the instrumentation sequence. After the visit, the patients were given a prescription for ibuprofen 400 mg to be taken every 6 h if they experienced pain.


The results of the study, analyzing the VAS, did not show any difference in pain symptoms between the groups at 24 h, 72 h, and 1 week (P > 0.05).


It was concluded that there was no statistical difference between the groups.


Nickel–titanium instruments; Reciproc; photodynamic therapy; postoperative pain

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