Comparison of calcium hydroxide and chlorhexidine gel as intracanal medicament in relieving interappointment pain: Effect of gender and age.

Bashir, Anam; Ehsan, Saroosh; Jatala, Ussamah Waheed

doi:10.29309/tpmj/2020.27.09.4175

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…1 Odontogenic pain usually occurs due to decayed tooth, trauma, infections and after post endodontic treatment. 2 In spite of recent advances in management of pain, previous study reported the prevalence of postoperative pain ranging from 3-58%. 3 Microbes play a critical role in the pathogenesis of periapical and periodontal disease; thus, their complete removal is the key to success for root canal treatment.…”

Section: Introductionmentioning

confidence: 99%

Comparison Of Inter-Appointment Pain Between Calcium Hydroxide Mixed With Normal Saline And Calcium Hydroxide Mixed With 2% Chlorhexidine During Root Canal Treatment

Lamichhane,

Pathak,

Khadka

2023

J. Soc. Surg. Nepal

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Introduction: Pain is one of the major and common symptoms a patient goes through during root canal treatment (RCT). Calcium hydroxide [Ca(OH)2] combined with normal saline (NS) is commonly used as an intracanal medicament against root canal pathogens, but combination of Ca (OH)2 with chlorhexidine (2% CHX) is not routinely used. Aim of this study is to compare the combination of Ca(OH)2 +NS and Ca(OH)2 +2% CHX to reduce the interappointment pain in RCT. Methods: A comparative, prospective, qualitative study was conducted in the Department of Conservative Dentistry and Endodontics, KIST Medical College and Teaching Hospital from September 2022 to March 2023. Total of 60 patients aged 16-70 years were included in the study. Group I received Ca(OH)2+NS and group II received Ca(OH)2 +2% CHX. Pain score was recorded using visual analogue scale (VAS) from baseline to 6,12,24 and 48 hours. Results: The mean pain score after 6 hours for Group I was 0.93(±0.83) and Group II was 1.43 (±0.63); P=0.011. The mean pain score after 12 hours for Group I was 0.40(±0.56) and Group II was 0.90(±0.66); P=0.003. 24 hours, mean pain score for Group I was 0.27(±0.45) and Group II was 0.60(±0.56); P=0.014. Patients reported reduction of pain after 24 hours, with Ca(OH)2 +NS (Group I) than Ca(OH)2 +2% CHX (Group II). Conclusion: The combination of Ca(OH)2 +NS was more effective in reducing interappointment pain than Ca(OH)2 +2%CHX.

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Section: Introductionmentioning

confidence: 99%

Comparison Of Inter-Appointment Pain Between Calcium Hydroxide Mixed With Normal Saline And Calcium Hydroxide Mixed With 2% Chlorhexidine During Root Canal Treatment

Lamichhane,

Pathak,

Khadka

2023

J. Soc. Surg. Nepal

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Determining Efficacy of Intracanal Cryotherapy on Post Endodontic Pain in Irreversible Pulpitis

Bashir,

Jatala,

Ahmad

et al. 2024

PJHS

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Endodontic cryotherapy is a procedure that reduces pain and inflammation by applying cold to tissues, aiming to decrease post-endodontic pain. Objectives: To compare the effectiveness of cryo-treated endodontic irrigant in reducing post-endodontic pain in mandibular molars with irreversible pulpitis. Methods: This comparative analytical study was conducted from December 2023 to February 2024 in the Department of Operative Dentistry at Lahore Medical and Dental College. It included patients of both genders, aged 18 to 60, with symptomatic irreversible pulpitis in mandibular molars and pre-endodontic pain of VAS 7-10 for 10 days or less. Patients were divided into two groups: Group A (normal saline) and Group B (cryotherapy). Patients were instructed on using the Visual Analogue Scale (VAS) to assess pain. Group B received final irrigation with 20 ml normal saline at 2.5°C for 5 minutes, while Group A received 20 ml normal saline at room temperature. Pain scores were recorded preoperatively and at 24 and 48 hours’ post-treatment via telephone interviews. Data were analyzed using SPSS version 25 and a repeated measures ANOVA test assessed VAS scores across time points. A p-value <0.05 was considered significant. Results: 45 (46%) were male and 53 (54%) were female patients, with mean age of patients being 35.71 ± 10.71years. At 24 hours postoperatively, the mean VAS score was 1.51 ± 1.2 for the normal saline group and 0.98 ± 0.9 for the cryo-treated saline group. By 48 hours postoperatively, the mean VAS score further decreased to 0.27 ± 0.5 for the normal saline group and 0.12 ± 0.4 for the cryo-treated saline group. The mean differences in VAS scores at 24 hours showed significant difference in mean pain score (P-value<0.05) but at 48 hours between the two groups showed no significant difference (p = 0.104). Conclusions: Both saline groups significantly decreased pain, the type of saline, normal or cryo-treated, did not significantly impact overall pain scores differently between the groups.

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Comparison of calcium hydroxide and chlorhexidine gel as intracanal medicament in relieving interappointment pain: Effect of gender and age.

Cited by 2 publications

References 12 publications

Comparison Of Inter-Appointment Pain Between Calcium Hydroxide Mixed With Normal Saline And Calcium Hydroxide Mixed With 2% Chlorhexidine During Root Canal Treatment

Comparison Of Inter-Appointment Pain Between Calcium Hydroxide Mixed With Normal Saline And Calcium Hydroxide Mixed With 2% Chlorhexidine During Root Canal Treatment

Determining Efficacy of Intracanal Cryotherapy on Post Endodontic Pain in Irreversible Pulpitis

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