Comparison of inter appointment pain between calcium hydroxide mixed with normal saline and calcium hydroxide mixed with 2% chlorhexidine during root canal treatment
AbstractIntroduction: Pain is one of the major and common symptoms a patient goes through during root canal treatment (RCT). Calcium hydroxide [Ca(OH)2] combined with normal saline (NS) is commonly used as an intracanal medicament against root canal pathogens, but combination of Ca (OH)2 with chlorhexidine (2% CHX) is not routinely used. Aim of this study is to compare the combination of Ca(OH)2 +NS and Ca(OH)2 +2% CHX to reduce the interappointment pain in RCT.
Methods: A comparative, prospective, qualitative study was conducted in the Department of Conservative Dentistry and Endodontics, KIST Medical College and Teaching Hospital from September 2022 to March 2023. Total of 60 patients aged 16-70 years were included in the study. Group I received Ca(OH)2+NS and group II received Ca(OH)2 +2% CHX. Pain score was recorded using visual analogue scale (VAS) from baseline to 6,12,24 and 48 hours.
Results: The mean pain score after 6 hours for Group I was 0.93(±0.83) and Group II was 1.43 (±0.63); P=0.011. The mean pain score after 12 hours for Group I was 0.40(±0.56) and Group II was 0.90(±0.66); P=0.003. 24 hours, mean pain score for Group I was 0.27(±0.45) and Group II was 0.60(±0.56); P=0.014. Patients reported reduction of pain after 24 hours, with Ca(OH)2 +NS (Group I) than Ca(OH)2 +2% CHX (Group II).
Conclusion: The combination of Ca(OH)2 +NS was more effective in reducing interappointment pain than Ca(OH 2 +2%CHX.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright and Open Access Policy
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.
JSSN applies the Creative Commons Attribution (CC BY) license to all works we publish. Under the CC BY license, authors retain ownership of the copyright for their article, but authors allow anyone to download, reuse, reprint, distribute, and/or copy articles in JSSN, so long as the original authors and source are cited. No permission is required from the authors or the publishers.
Article by JSSN is licensed under a Creative Commons Attribution 4.0 International License.
Based on a work at http://www.jssn.org.np/index.php?journal=jssn.