{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:35:58Z","timestamp":1787841358530,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The aim of this study was to compare the effectiveness of rotary instrumentation over manual instrumentation with ultrasonic irrigation on incidence, duration, and intensity of postendodontic pain (PEP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods:<\/jats:title>\n                    <jats:p>Eighty patients, with asymptomatic irreversible pulpitis in maxillary anterior teeth, were selected and treated with single-visit endodontic treatment. Patients were randomly divided into 2 groups (40 each), Group A (K files using step-back technique) and Group B (ProTaper Next using crown-down technique) along with passive ultrasonic irrigation. Patients were recalled, examined, and asked to fill up questionnaire after 24 h, 48 h, and 7 days. On the basis of response given in the feedback forms, incidence, duration, and intensity of PEP were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Statistical analysis of the data was carried out using Chi-square test, and level of significance (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05) was evaluated. More incidence of pain was noticed in Group A when compared with Group B. Significant difference found between two groups (\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 22.759;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001). There was also statistically significant difference between two groups at different time intervals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both instrumentation techniques under investigation cause PEP. The incidence of pain was more in manual technique than rotary technique. The duration of pain was higher in manual group than rotary group at different time intervals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_208_21","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T06:05:28Z","timestamp":1675836328000},"page":"S1149-S1154","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Comparative Evaluation of the Effectiveness of Rotary Instrumentation over Manual Instrumentation with Ultrasonic Irrigation on Incidence, Duration, and Intensity of Postendodontic Pain: An In vivo Study"],"prefix":"10.4103","volume":"13","author":[{"given":"Ashutosh","family":"Shandilya","sequence":"first","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Government Dental College, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subasish","family":"Behera","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Hi Tech Dental College and Hospital, Bhbaneshwar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gourav Kumar","family":"Sahu","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Hi Tech Dental College and Hospital, Bhbaneshwar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashmi Rekha","family":"Mallick","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, SCB Dental College, Cuttack, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zakir","family":"Husain","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, People's College of Dental Science, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riddhima","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, P.D.M Dental College and Research Institute, Bahadurgarh, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,11,10]]},"reference":[{"key":"R1-20250920","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1055\/s-0039-1697444","article-title":"Incidence of post endodontic pain after single- and multi-visit endodontic treatment in teeth with vital and non-vital pulp","volume":"3","author":"Ince","year":"2009","journal-title":"Eur J Dent"},{"key":"R2-20250920","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.jdent.2014.07.008","article-title":"Prospective case controlled clinical study of post-endodontic pain after rotary root canal preparation performed by a single operator","volume":"43","author":"Arias","year":"2015","journal-title":"J Dent"},{"key":"R3-20250920","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/S0099-2399(98)80179-9","article-title":"Apical extrusion of debris using two hand and two rotary instrumentation techniques","volume":"24","author":"Reddy","year":"1998","journal-title":"J Endod"},{"key":"R4-20250920","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1055\/s-0039-1697386","article-title":"Apical extrusion of intracanal debris using two engine driven and step-back instrumentation techniques: An in-vitro study","volume":"2","author":"Kustarci","year":"2008","journal-title":"Eur J Dent"},{"key":"R5-20250920","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1016\/S0099-2399(87)80004-3","article-title":"A quantitative assessment of canal debris forced periapically during root canal instrumentation using two different techniques","volume":"13","author":"Ruiz-Hubard","year":"1987","journal-title":"J Endod"},{"key":"R6-20250920","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.1016\/j.joen.2009.04.007","article-title":"An in vitro comparison of new irrigation and agitation techniques to ultrasonic agitation in removing bacteria from a simulated root canal","volume":"35","author":"Townsend","year":"2009","journal-title":"J Endod"},{"key":"R7-20250920","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1111\/j.1365-2591.2004.00857.x","article-title":"The efficacy of ultrasonic irrigation to remove artificially placed dentine debris from different-sized simulated plastic root canals","volume":"37","author":"Lee","year":"2004","journal-title":"Int Endod J"},{"key":"R8-20250920","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/S0300-5712(97)00006-7","article-title":"Postobturation pain after single- and multiple-visit endodontic therapy. 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