Comparative Evaluation of the Interappointment Pain by Using Different Intracanal Medicaments—An In Vivo Study
Received: 05 January 2019
Accepted after revision: 17 January 2019
03 April 2019 (eFirst)
Objective The purpose of this in vivo study was to evaluate pain using different intracanal medicaments.
Materials and Methods Seventy-five permanent single-rooted mandibular premolars with acute apical periodontitis were selected for this study. After access cavity preparation and cleaning and shaping of canals, patients were randomly divided into five groups with different intracanal medicaments viz calcium hydroxide paste, calcium hydroxide points, triple antibiotic paste, and Ledermix paste. Interappointment pain was recorded by the patient using visual analog scale after 6 hours, 12 hours, 18 hours, 24 hours, 2 days, 3 days, 4 days, 5 days, and 6 days of intracanal medicament dressing.
Results Ledermix paste showed highly significant results in reducing the interappointment pain as compared with calcium hydroxide paste, calcium hydroxide points, and triple antibiotic paste.
Conclusion Patients with Ledermix as intracanal medicament had minimum interappointment pain.
- 1 Shetty N. Mid treatment flareups in endodontics—a dilemma 2005; xx: 20-23
- 2 Bansal R, Jain A. Overview on the current antibiotic containing agents used in endodontics. N Am J Med Sci 2014; 6 (08) 351-358
- 3 Fava LR, Saunders WP. Calcium hydroxide pastes: classification and clinical indications. Int Endod J 1999; 32 (04) 257-282
- 4 Vijayaraghavan R, Mathian VM, Sundaram AM, Karunakaran R, Vinodh S. Triple antibiotic paste in root canal therapy. J Pharm Bioallied Sci 2012; 4 (02) 230-233
- 5 Ahmed HM, Abbott PV. Discolouration potential of endodontic procedures and materials: a review. Int Endod J 2012; 45 (10) 883-897
- 6 Abbott PV. Medicaments: aids to success in endodontics. Part 1. A review of the literature. Aust Dent J 1990; 35 (05) 438-448
- 7 Mohammadi Z, Dummer PM. Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J 2011; 44 (08) 697-730
- 8 Lohbauer U, Gambarini G, Ebert J, Dasch W, Petschelt A. Calcium release and pH-characteristics of calcium hydroxide plus points. Int Endod J 2005; 38 (10) 683-689
- 9 Estrela C, Rodrigues de Araújo EstrelaC, Bammann LL, Pecora JD. Two methods to evaluate the antimicrobial action of calcium hydroxide paste. J Endod 2001; 27 (12) 720-723
- 10 Siqueira Jr JF, de Uzeda M. Intracanal medicaments: evaluation of the antibacterial effects of chlorhexidine, metronidazole, and calcium hydroxide associated with three vehicles. J Endod 1997; 23 (03) 167-169
- 11 Varalakshmi R, Parasuraman BSM. 3Mix-MP in endodontics—an overview. IOSR-JDMS 2012; 3 (01) 36-45
- 12 Kim JH, Kim Y, Shin SJ, Park JW, Jung IY. Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. J Endod 2010; 36 (06) 1086-1091
- 13 Chu FC, Leung WK, Tsang PC, Chow TW, Samaranayake LP. Identification of cultivable microorganisms from root canals with apical periodontitis following two-visit endodontic treatment with antibiotics/steroid or calcium hydroxide dressings. J Endod 2006; 32 (01) 17-23
- 14 Negm MM. Intracanal use of a corticosteroid-antibiotic compound for the management of posttreatment endodontic pain. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 92 (04) 435-439
- 15 Iranmanesh F, Parirokh M, Haghdoost AA, Abbott PV. Effect of corticosteroids on pain relief following root canal treatment: a systematic review. Iran Endod J 2017; 12 (02) 123-130
- 16 Ehrmann EH, Messer HH, Adams GG. The relationship of intracanal medicaments to postoperative pain in endodontics. Int Endod J 2003; 36 (12) 868-875
- 17 Dall AQ, Jouhar R, Khoso NA. Comparison of inter-appointment pain between Ledermix and no intracanal medicament in acute apical periodontitis. J Liaquat Uni Med Health Sci 2011; 10 (03) 106-111
- 18 Trope M. Relationship of intracanal medicaments to endodontic flare-ups. Endod Dent Traumatol 1990; 6 (05) 226-229