Aim To assess the effect of Neem versus 2.5% NaOCl as root canal irrigants on the intensity of post‐operative pain and amount of endotoxins following root canal treatment of mandibular molars with necrotic pulps. Methodology This parallel, prospective, double‐blinded, randomized controlled trial with allocation ratio 1:1 was conducted in the out‐patient clinic of the Endodontic Department, Faculty of Dentistry, Cairo University, Egypt. Fifty healthy patients with mandibular molars with necrotic pulps were randomly assigned into two equal groups using computer software. In the intervention group, root canals were irrigated using Neem; whilst 2.5% NaOCl was used in the control group. A standard root canal treatment was performed in two visits using ProTaper Next rotary files, with no intracanal medication. Pain intensity was assessed using a numerical rating scale (NRS) 6, 12, 24 and 48 h following instrumentation and canal filling. Endotoxin samples were collected using three paper points before and after canal instrumentation and a sandwich ELISA method was used to quantify the level of endotoxins. Demographic, baseline, and outcome data were collected and analysed using chi‐square tests (for the comparisons of categorical variables), Mann–Whitney tests (for non‐normally distributed variables) and Student’s t tests (for normally distributed variables), A P‐value < 0.05 was considered to be statistically significant. Results The mean pain scores within the two groups decreased continually over time. The mean pain scores in the Neem group were lower than those in the 2.5% NaOCl group at 6, 12, 24 and 48 h following instrumentation and canal filling with no significant difference between them except at 24 h following instrumentation (P = 0.012). Both irrigants significantly reduced endotoxin levels compared to the pre‐instrumentation samples (P < 0.001) by 8% for the NaOCL group and 18% for the Neem group. Conclusion Neem and 2.5% NaOCl were not significantly different in terms of reducing the intensity of post‐operative pain during all follow‐up periods except at 24 h following instrumentation where Neem was associated with lower pain intensity. Both irrigants significantly reduced endotoxin levels but were not effective in eliminating endotoxins completely from root canals of mandibular molars with necrotic pulps.
Articles you may be interested inRoom temperature direct detection of low frequency magnetic fields in the 100 pT/Hz0.5 range using large arrays of magnetic tunnel junctions Large voltage modulation in magnetic field sensors from two-dimensional arrays of Y-Ba-Cu-O nano Josephson junctions Appl. Phys. Lett.Great interest has been increasing in the precise measurements of extremely low frequency ambient magnetic fields which have been recently involved in numerous biological, noise, and compatibility problems. While fluxmeters equipped with sense coils are classified among the most convenient and cheap devices used in measuring such fields, they can never resolve spatially changing field distributions within their sense coil dimensions. This paper presents an approach, based on deconvoluting the sense coil response from spatial measurements, which can be used to infer local field distributions within the fluxmeter sense coil dimensions. Theoretical details as well as sample measurements and simulation results are given in the paper.
Great interest has been arising in the precise measurements of ambient ELF magnetic fields. Among the most convenient and cheap devices used .in measuring ELF magnetic fields are fluxmeters. In regions where field values change rapidly within sense coil dimensions, signijkant inaccuracies result in fluxmeter measurements. This paper proposes a novel approach using which local field distributions within the fluxmeter sense coil dimensions may be obtained. Theoretical details and sample simulation results of the approach are given in the paper.
Aim:The present study aimed to compare the efficacy of 4% Artpharmadent anesthetic solution compared to 2% Mepecaine-L anesthetic solution in extraction of badly decayed mandibular first primary molar for infiltration in children aged from 6 to 8 years.Methodology: Twenty children with 20 badly decayed mandibular first primary molars indicated for extraction divided randomly into two equal groups (n= 10), group A received 4% Artpharmadent and group B received 2% Mepecaine-L anesthetic solution for infiltration. Intraoperative pain, the need for supplemental injection during extraction, adverse effects following the anesthetic injection, and the clinical success of the treatment were evaluated for both groups.Results: Both groups showed nearly similar results regarding intraoperative pain using Wong-Baker Face Pain Scale (WBFPS), and Sound, eyes, and motor (SEM) scale, regarding the need for supplemental injection during the extraction, and the adverse effects following the anesthetic injection (non-significant difference statistically).Conclusions: Both the 4% Artpharmadent and 2% Mepecaine-L are equally effective in controlling intraoperative pain during the extraction of mandibular molars and both are safe when used in children.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.