Efficacy comparison of periapical infiltration injection of dexamethasone, morphine and placebo for postoperative endodontic pain

Shantiaee, Yazdan; Mahjour, Faranak; Dianat, Omid

doi:10.1111/j.1875-595x.2011.00092.x

Cited by 26 publications

(32 citation statements)

References 21 publications

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“…Dodson et al stated that using corticosteroids in dental procedures decreases pain significantly compared to other methods of pain relief (29). Shantiaee et al reported that using intracanal corticosteroids is among the most effective techniques to relieve endodontic pain (30). In our study, corticosteroids were the most commonly used intracanal medicaments for pain relief; this finding is in agreement with the results of previous studies (31).…”

Section: Discussionsupporting

confidence: 83%

Attitude of Dentists Towards the Administration of Analgesics for Management of Post-Endodontic Pain in Hamadan

Jamshidi¹,

Baghaei²,

Doniavi³

et al. 2014

Avicenna J Dent Res

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Background: Prevention or management of pain is an important objective in root canal treatment. Post-endodontic pain has always been an important concern for patients and clinicians. Informing patients regarding the possibility of postendodontic pain and drug administration for its management can improve their trust in dentists, raise their pain threshold and increase their tendency to seek further dental treatments. Objectives: This study aimed to assess the attitude of Hamadan dentists towards the administration of analgesics for the management of postendodontic pain. Patients and Methods: This descriptive, cross-sectional study was conducted in 2011 in Hamadan city, Iran. Data was collected using a questionnaire including demographic information and questions about administration of analgesics for endodontic patients. All participants filled out the questionnaires anonymously. Collected data was analyzed using SPSS version 16.0 and descriptive statistics. Results: Eighty questionnaires were completed by dentists. Most dentists reported to use ibuprofen mostly to alleviate mild to moderate and severe endodontic pain in healthy individuals. Only 42 dentists (52.5%) used intracanal medicaments to relieve pain. Conclusions:The overall level of knowledge of general dentists in Hamadan city about the prescription of analgesics was satisfactory. Dentists should be aware of the latest advancements in their field and maintain their level of knowledge by regularly participating in continuous education programs and accessing relevant scientific resources.

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Section: Discussionsupporting

confidence: 83%

Attitude of Dentists Towards the Administration of Analgesics for Management of Post-Endodontic Pain in Hamadan

Jamshidi¹,

Baghaei²,

Doniavi³

et al. 2014

Avicenna J Dent Res

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show abstract

“…In this study, no adverse effects were detected which negates a previous study where dizziness was detected in 10% of patients after periapical infiltration injection of dexamethasone to control postoperative endodontic pain (Shantiaee et al 2012). Although some concerns may exist as to the harmful effects of the use of glucocorticoids, for example increasing the susceptibility to infection, a single dose has been reported to have no detrimental effects (Liesinger et al 1993, Alexander & Throndson 2000, Mehrvarzfar et al 2008.…”

Section: Discussionsupporting

confidence: 43%

The effect of preoperative oral administration of prednisolone on postoperative pain in patients with symptomatic irreversible pulpitis: a single‐centre randomized controlled trial

et al. 2017

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“…Glucocorticoids are another class of drugs that prevent the production or release of inflammatory mediators. Previous studies have shown that dexamethasone can help reduce or prevent postoperative endodontic pain, regardless of the route of administration (single oral dose, periapical infiltration, or intraligamentary injection) 10,17,22) . Dexamethasone is well absorbed after oral administration and has a bioavailability of 61 to 86%.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Effect of Oral Premedication with Ibuprofen or Dexamethasone on Anesthetic Efficacy of Inferior Alveolar Nerve Block in Patients with Irreversible Pulpitis: A Prospective, Randomized, Controlled, Double-blind Study

Bidar

Mortazavi

Forghani

et al. 2017

Bull. Tokyo Dent. Coll.

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The purpose of this prospective, randomized, double-blind, placebo-controlled study was to determine the effect of preoperative oral administration of ibuprofen or dexamethasone on the success rate of inferior alveolar nerve block (IANB) in patients with symptomatic irreversible pulpitis. Seventy-eight patients with irreversible pulpitis were randomly divided into 3 groups (26 per group) and given one of the following at 1 hr prior to performing local anesthesia: a placebo; 400 mg ibuprofen; or 4 mg dexamethasone. Each patient recorded their pain level on a visual analog scale before taking the medication or placebo, at 15 min after completion of IANB, and during treatment if pain occurred. The success of the anesthesia was defined as no or mild pain at any stage during the endodontic procedure. The success rate of the IANB was 38.5, 73.1, and 80.8% with the placebo, ibuprofen, and dexamethasone, respectively. Both ibuprofen and dexamethasone were significantly more effective than the placebo. No significant difference was observed, however, between the two experimental medications in terms of effectiveness. The results of the present study suggest that premedication with ibuprofen or dexamethasone increases the success rate of an IANB in patients with symptomatic irreversible pulpitis in the mandibular molars.

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Efficacy comparison of periapical infiltration injection of dexamethasone, morphine and placebo for postoperative endodontic pain

Abstract: Periapical infiltration of dexamethasone and morphine led to a considerable decrease in postoperative endodontic pain during the first 24 h after operation. Dexamethasone was more effective than morphine in pain reduction.

Cited by 26 publications

References 21 publications

Attitude of Dentists Towards the Administration of Analgesics for Management of Post-Endodontic Pain in Hamadan

Attitude of Dentists Towards the Administration of Analgesics for Management of Post-Endodontic Pain in Hamadan

The effect of preoperative oral administration of prednisolone on postoperative pain in patients with symptomatic irreversible pulpitis: a single‐centre randomized controlled trial

Comparison of Effect of Oral Premedication with Ibuprofen or Dexamethasone on Anesthetic Efficacy of Inferior Alveolar Nerve Block in Patients with Irreversible Pulpitis: A Prospective, Randomized, Controlled, Double-blind Study

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