Abstract

POSTOPERATIVE PAIN AFTER USE OF CALCIUM HYDROXIDE MIXED WITH NORMAL SALINE OR 0.2% CHLORHEXIDINE DIGLUGONATE AS INTRACANAL MEDICAMENT IN TREATMENT OF APICAL PERIODONTITIS

*Dr. Sana Kanwal, Dr. Syed Atta Ullah Shah, Dr. Naila Amir Ali

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Abstract

Background: Post-operative pain of root treated teeth is defined as pain of any degree after initiation of endodontic treatment. Therefore, pain after endodontic treatment can occur during intra appointment or post obturation in multiple visits or single visit endodontic treatment. Postoperative pain also includes endodontic flare-ups which are defined as strong pain with or without swelling that occurs after initiation or continuation of root canal treatment. Occurrence of post-operative pain can be very unpleasant for both patients and clinicians. Methodology: This study was part of a larger study which was a randomized controlled clinical trial carried out at the Sandeman Provincial Teaching Hospital, Quetta Balochistan. From 04-06-2020 to 04-12-2020 Approval was obtained from the Hospital’s Research and Ethics committee. The study was carried out on patients that were 17 years and above with teeth diagnosed as having apical periodontitis and required endodontic treatment. 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. 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%).

Keywords: Apical periodontitis; Calcium hydroxide; Chlorhexidine; Normal saline; Postoperative pain.