{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T06:30:49Z","timestamp":1790922649478,"version":"4.1.0"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Precise working length control during chemomechanical preparation is one of the primary factors for successful endodontic therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The study aims to evaluate the postoperative pain after determining working length with an integrated apex locator-endomotor and a separate apex locator-endomotor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods:<\/jats:title>\n                    <jats:p>One hundred and twenty subjects with a diagnosis of symptomatic irreversible pulpitis and preoperative pain score Visual Analog Scale (VAS) &gt;50 were allocated into Group I with nonintegrated apex locator and endomotor and Group II with integrated apex locator endomotor, further treated by single endodontist. Postoperative pain was assessed with a VAS chart on days 1, 3, and 7. The necessity of analgesic intake if required was considered as the highest VAS score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis Used:<\/jats:title>\n                    <jats:p>Pre- and post-operative VAS scores between the groups were compared using the Mann\u2013Whitney and one-way ANCOVA tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      On days 1 and 3, Group II showed significantly lower values of postoperative pain and lesser frequency of rescue medication when compared with Group I (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). On day 7, none of the patients reported postoperative pain.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Simultaneous working length determination during instrumentation leads to significantly lesser postoperative pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcde.jcde_478_24","type":"journal-article","created":{"date-parts":[[2024,10,5]],"date-time":"2024-10-05T02:11:36Z","timestamp":1728094296000},"page":"1032-1036","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Postoperative pain evaluation in patients undergoing endodontic treatment subsequent to working length determination with and without integrated apex locator endomotor: Randomized control trial"],"prefix":"10.4103","volume":"27","author":[{"given":"Gajender","family":"Rawat","sequence":"first","affiliation":[{"name":"Department of Dentistry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pravin","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Dentistry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay Kumar","family":"Chugh","sequence":"additional","affiliation":[{"name":"Department of Dentistry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun Kumar","family":"Duraisamy","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karishma","family":"Pathak","sequence":"additional","affiliation":[{"name":"Department of Dentistry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajat","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10,5]]},"reference":[{"key":"R1-20241016","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1016\/j.joen.2011.02.011","article-title":"Accuracy of three electronic apex locators in anterior and posterior teeth: An ex vivo study","volume":"37","author":"Mancini","year":"2011","journal-title":"J Endod"},{"key":"R2-20241016","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1046\/j.1365-2591.1998.00183.x","article-title":"Apical limit of root canal instrumentation and obturation, part 2. 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