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Incidence of postoperative pain after use of calcium hydroxide mixed with normal saline or 0.2% chlorhexidine digluconate as intracanal medicament in the treatment of apical periodontitis

OBJECTIVE: To compare the incidence of postoperative pain after the use of calcium hydroxide powder mixed with normal saline or 0.2% chlorhexidine digluconate as intracanal medicament. PARTICIPANTS: Fifty-five subjects aged 17–60 years with teeth diagnosed to have apical periodontitis. INTERVENTION:...

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Detalles Bibliográficos
Autores principales: Menakaya, Ifeoma Nkiruka, Oderinu, Olabisi Hajarat, Adegbulugbe, Ilemobade Cyril, Shaba, Olufemi Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4642190/
https://www.ncbi.nlm.nih.gov/pubmed/26644753
http://dx.doi.org/10.1016/j.sdentj.2015.01.007
Descripción
Sumario:OBJECTIVE: To compare the incidence of postoperative pain after the use of calcium hydroxide powder mixed with normal saline or 0.2% chlorhexidine digluconate as intracanal medicament. PARTICIPANTS: Fifty-five subjects aged 17–60 years with teeth diagnosed to have apical periodontitis. INTERVENTION: Two-visit conventional root canal treatment of seventy teeth. The teeth were divided by randomization (balloting) into two groups: control group and experimental group, each with thirty-five teeth treated with calcium hydroxide mixed with normal saline or with 0.2% chlorhexidine digluconate as intracanal medicament respectively. Incidence of postoperative pain was assessed using the universal pain assessment tool and whether or not analgesic was taken. MAIN OUTCOME MEASURED: Incidence of post-operative pain. RESULT: Postoperative pain occurred only at 1-day and 1-week reviews. In the control group, the overall incidence of pain was the same at both review periods (5.7%), while the experimental group showed a slight decrease in incidence between 1-day (17.2%) and 1-week (11.4%) reviews. Incidence of flare-ups was more in the experimental group (11.4%) than in the control group (5.7%). No significant statistical differences between the two groups were observed (p > 0.05). CONCLUSION: The incidence of postoperative pain was lower in the normal saline treatment group, but the difference was not statistically significant.