J Interdiscip Dentistry
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Year : 2021  |  Volume : 11  |  Issue : 2  |  Page : 73-77

Comparative assessment of role of intracanal medicaments in pain reduction during endodontic treatment: In vivo: Visual analog scale study

Department of Conservative Dentistry and Endodontics, CSMSS Dental College and Hospital, Aurangabad, Maharashtra, India

Correspondence Address:
Dr. Aishwarya Rajesh Mantri
Ratan-Deep, Gokul Vihar, Civil Club Road, Jalna - 431 203, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jid.jid_83_20

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Background: The presence of microorganisms as a result of failure to properly disinfect the canal is the most common cause of pain. Thus, the main focus of endodontic therapy is on maximum elimination of these bacteria. Intracanal medicaments have been advocated as inter appointment dressings to eliminate the remaining bacteria after root canal preparation and reduce periapical inflammation of tissues. Aims and Objectives: The aim of this study is to evaluate the effectiveness of calcium hydroxide, triple antibiotic paste and corticosteroid antibiotic paste as an intracanal medicament in pain reduction. Materials and Methods: One hundred and twenty patients with a chief complaint of pain and planned for root canal treatment were randomly selected and were further divided into four groups. Group I (n-30) - control group, Group II (n-30) - receiving calcium hydroxide, Group III (n-30) - receiving triple antibiotic paste and Group IV (n-30) - receiving corticosteroid- antibiotic paste (Ledermix) as an intracanal medicament. Pain was measured using visual analogue scale (VAS). The scores were recorded preoperatively, at 24 hours, 48 hours and 72 hours. The result was tabulated and statistically analysed. Results: At baseline, the mean score pain for all four groups were in the same range. There was no statistically significant difference between the preoperative mean pain score values. Group IV showed the highest pain reduction followed by Group III, Group II and Group I respectively. Conclusions: Under the conditions of this study, painful single rooted teeth that had been dressed with Ledermix paste showed higher pain reduction than the other three groups.

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