Download (Article 06 – Volume 23 – Issue 1)

Assessment of Post-Obturation Pain: Single vs Two Visits Root Canal Treatment
Muhammad Atif Saleem1, Abu Bakar Sheikh2, Muhammad Athar Khan3

1. Assistant Professor Operative Dentistry, Karachi Medical & Dental College.
2. Assistant Professor Operative Dentistry, Fatima Jinnah Dental College
3. Department of Medical Education King Saud bin Abdulaziz University of Health Sciences Riyadh, Kingdom of Saudi Arabia
4. Dental Officer , Karachi Medical & Dental College
Corresponding author: “Dr. Muhammad Atif Saleem” Email: | Cell# 0092-3002271820

Volume 23, Issue 1 (January - March 2014)

Open Access


The objectives of this study was to evaluate the severity of post-obturation pain following single visit and two visit root canal treatment using VAS (Visual Analogue Scale)and to determine the correlation between pre-obturation and post-obturation pain.


This was a Quasi Experimental study that was conducted in the Operative Dentistry Department of Altamash Institute of Dental Medicine was done in duration of six months. Sixty patients were selected. After access preparation, working length was determined by Periapical radiograph. Canal preparation was done by Step-Back technique using K-files and obturation was done by lateral condensation of gutta percha. In two visit group, canal preparation was completed in first visit and obturation was carried out at a later date. Data analysis was performed through SPSS version-13.0. Repeated measure analysis of variance (ANOVA), Chi-square and Pearson’s correlation (r) were used with p-value <0.05 considered as significant.


After postoperative 4 hours, the mean VAS in single root canal visit group was 4.7±2.96 and 2.8±1.73 in two root canal visit group. The mean VAS score of two visits for postobturation pain after 12 and 24 hours was less in as compared to one visit treatment. Data showed direct correlation in pre-operative pain and post-obturation pain in both groups.


No advantage was observed when one-visit and two-visit root canal treatment were compared regarding post-obturation pain in the initial 4 hours, but two-visit root canal treatment showed better results in terms of post-obturation pain after 12 and 24 hours. Though the present study reported favourable results in two- visit root canal treatment regarding post-obturation pain.


One visit endodontic treatment, , Pre-operative pain, Post-obturation pain, Two visit endodontic treatment, Visual Analogue Scale.

How to CITE:

Saleem MA, Sheikh AB, Khan MA, Atif S. Assessment Of Post-obturation Pain: Single Vs Two Visits Root Canal Treatment. J Pak Dent Assoc 2014;23(1):25-29