Effects of three oral analgesics on postoperative pain following root canal preparation: a controlled clinical trial (original) (raw)
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IOSR Journal of Dental and Medical Sciences, 2013
To compare the effects of single dose of two oral medication following single visit root canal therapy in teeth with irreversible pulpitis MATERIALS AND METHODS: 30 patients who reported to KVG dental college sullia, seeking treatment on which single visit RCT was performed. In this double blind study anterior or premolar teeth with irreversible pulpitis without any signs and symptoms of irreversible pulpitis were selected divided into 3 groups randomly. A control group without any medication and two groups receiving a single dose of E-90 and Movon-p respectively immediately after the root canal therapy the intensity of pain was recorded on a 10 point VAS for upto 24hr post operatively. RESULTS :E-90 Etoricoxib-90 (group 1) was found to be clinically significant at 10% more compared to the other two groups in the reduction of post operative pain. (Movon-p) wasmore effective compared to the control group where no medication was given CONCLUSION: A single dose of E-90 considerably reduced thepost operative pain compared to the other two groups taken immediately after the after the RCT of teeth with irreversible pulpitis.
Effect of naproxen on postoperative pain in teeth with irreversible pulpitis
Journal of Basic Research in Medical Sciences, 2015
Introduction: Effective post-operative pain management is one of the problems following root canal treatment. Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most commonly prescribed analgesics in endodontics. The aim of this study was to evaluate the effectiveness of naproxen in controlling pain following root canal treatment in teeth with irreversible pulpitis. Materials and methods: This triple-blinded clinical trial was performed on 68 patients admitted to dental school for root canal treatment (RCT). Patients were randomly allocated to treatment or placebo groups. After performing RCT, the patients received naproxen (275 mg every 12 hours for 48 hours) or placebo. Patients were instructed to complete a VAS pain score at 6, 12, 24, 48 and 72 h after single visit root canal treatment. Patients were classified as having no, mild, moderate, or severe pain. Data were analyzed via SPSS software using chi-square and t-test. Results: Although there was a significant difference be...
Comparison of Intracanal Medications for the Assessment of Pain After Root Canal Treatment
2015
The aim of this study was to compare the analgesic effects of Calcium hydroxide and Chlorhexidine as intracanal medicaments in three different groups of patients. This interventional study was conducted over a period of one year at the Department of Operative Dentistry, Fatima Jinnah Dental Hospital, Karachi. 465 single rooted teeth of patients were divided into three equal groups with 155 teeth in each group.155 canals were filled with Calcium Hydroxide, 155 canals with Chlorhexidine and another 155 canals with cotton pellets. The effectiveness of one intracanal medication versus another was checked in controlling post operative pain after endodontic treatment. The results showed that there was a significant difference between post operative pains in the three different groups. Group B (chlorhexidine) proved to be most effective against pain (22.58%) followed by group A (calcium hydroxide) (9.68%) and group C (cotton pellets) (1.29%) respectively. The McNemar Chi-Square test showed...
2015
Introduction: Pulp exposure as a sequel of dental caries continues to be a major cause of odontogenic pain which drives a patient to seek endodontic intervention. However, notable suppression of postoperative endodontic pain still remains an unresolved conundrum. Aim: To compare the effect of single dose of 100 mg of aceclofenac, 10 mg of ketorolac and a combination of 50 mg tramadol with 75 mg diclofenac, as a pretreatment analgesic for the management of postoperative endodontic pain in patients with symptomatic irreversible pulpitis. Materials and Methods: Thirty emergency patients with moderate to severe pain, diagnosed with symptomatic irreversible pulpitis were randomly allocated (1:1:1) to any of the three groups; aceclofenac, ketorolac, or tramadol + diclofenac. Medications were administered 30 min before beginning of the endodontic treatment. Patients recorded pain intensity on 10 cm visual analog scale (VAS) after treatment, for upto 24 h. Results: At 24 h, mean ± standard ...
Journal of Endodontics, 2014
Introduction: Pain management is very important in endodontic practice. The aim of this study was to compare the effect on pain relief of on-demand versus regular prescription of ibuprofen after single-visit root canal treatment in teeth with irreversible pulpitis. Methods: Sixty mandibular and maxillary molar teeth with irreversible pulpitis without spontaneous pain had single-visit root canal treatment. After this treatment, patients were randomly allocated to 2 groups of 30 patients each. Patients in group 1 received a single dose of 400 mg ibuprofen and a rescue bag of the same medication to use if they felt pain and needed further medication. Patients in group 2 received the same medication as group 1 patients after treatment, and they were also provided with a prescription to use 400 mg ibuprofen every 6 hours for at least 24 hours. The patients were asked to rate their pain on a visual analog scale for up to 48 hours after treatment. The data were analyzed with Mann-Whiney, chi-square, Fisher exact, and McNemar tests. Results: Two patients were excluded because they did not return their pain record forms. Data analysis of the remaining 58 patients showed no significant difference in pain felt by the patients in groups 1 and 2 at either 24 or 48 hours after treatment (P = .849 and P = .732, respectively). Patients in group 2 used significantly more medication compared with patients in group 1 (P = .04). Conclusions: In patients who had irreversible pulpitis with no moderate to severe spontaneous pain, prescribing ibuprofen on a regular basis after root canal treatment had no significant effect on pain relief compared with an on-demand regimen up to 48 hours after treatment. (J Endod 2014;40:151-154)
Journal of international oral health : JIOH, 2015
Background: Prevention and management of post-operative endodontic pain is an integral part of endodontic treatment as it increases the patient's comfort, confidence, and improves the outcome of the endodontic therapy. Materials and Methods: A total of 75 patients were included in the study. Their consent was taken, and 200 mg of ibuprofen, 20 mg of tenoxicam, or 10 mg of ketorolac before root canal treatment was given orally. Visual analogue scale was used to measure postoperative pain. The pain was measured at intervals of 0, 6, 12, 24, 48, and 72 h after treatment was started. Results: All the three drugs reduced the post-treatment pain to approximately similar levels at different time lags other than 6 h interval. Conclusion: The three drugs were approximately equally effective in controlling the pain. Further research with the higher study group and more parameters is required to find out the efficacy of various analgesics.
Effect of Analgesic Pre-medication on post-operative Endodontic pain: an Explicit Review
Post-operative pain(POP) following endodontic treatment is a common occurrence and has been a matter of concern to endodontists since time immemorial. This abnormal sensory response is a sequela of periapical inflammation in response to instrumentation and irrigating solutions during the chemo-mechanical preparation of the root canal. A pertinent remedy to this is the pretreating of the patients with analgesic medication. This article thus explores the various analgesics mentioned in literature which was given to patients undergoing endodontic treatment as a preemptive measure to minimize the pain postoperatively.
SciDoc Publishers, 2021
Endodontic treatment is often associated with pain in most of the patients and so pain management in endodontics has always been of concern to all the dentists. In anticipation of pain during root canal treatment, the patients' anxiety levels shoot up which makes the treatment procedure difficult, disrupts scheduling and creates discomfort to the dentists. Interappointment pain during root canal treatment has been believed to be caused by acute inflammation in the periapical area. Several agents have been used for the management of this pain and various routes of administration have been studied for the delivery of these agents to manage pain effectively. This review would discuss the pathophysiology of endodontic pain, the agents used and the routes of delivery of these agents for the management of interappointment pain during root canal treatment along with a novel technique of administering the drug locally at the site of action with minimum concentration for effective pain control.