Evaluation of Postoperative Pain Frequency in Single‐Session Endodontic Treatments With Patency and Foraminal Enlargement

OBJECTIVE: This study aimed to evaluate the incidence of postoperative pain in single-session endodontic treatments with foraminal instrumentation, considering factors such as pulpal diagnosis, tooth position, type of endodontic sealer, and sealer extrusion. MATERIALS AND METHODS: Treatments were performed on 153 teeth of patients aged 12-80 years diagnosed with asymptomatic irreversible pulpitis or asymptomatic pulpal necrosis with or without periapical lesions. The obturation sealers used were AH Plus, Endomethasone-N, and Sealer Plus. Postoperative pain intensity was recorded by patients using a modified numerical rating scale (NRS) ranging from 0 (no pain) to 10 (severe pain). RESULTS: No statistically significant differences in pain scores were found at 12, 24, or 48 h in relation to gender, age, tooth position, pulpal diagnosis, type of sealer, or extrusion (p > 0.05). The most common pain levels classified as uncomfortable were observed at 12 and 24 h, while 94.1% of patients reported no pain at 48 h; the remaining pain was mild. Pain scores decreased significantly after 48 h for all variables. CONCLUSION: Single-session endodontic treatment with foraminal instrumentation showed a low incidence of postoperative pain that was not influenced by the variables analyzed in this study. NULL HYPOTHESIS: The null hypothesis was that there was no association between the occurrence of postoperative pain and (i) age, (ii) patient gender, (iii) pulp diagnosis, (iv) tooth position, (v) endodontic sealer type, and (vi) sealer extrusion.