COMPARISON OF POSTOPERATIVE PAIN FOLLOWING ENDODONTIC TREATMENT OF SYMPTOMATIC APICAL PERIODONTITIS WITH AND WITHOUT THE BUCCAL INFILTRATION OF METHYLPREDNISOLONE
DOI:
https://doi.org/10.33279/jkcd.v15i04.814Keywords:
Buccal Infiltration, Endodontic Treatment, Methylprednisolone, Postoperative Pain, Symptomatic Apical Periodontitis,Abstract
Objectives: To compare postoperative pain levels following endodontic treatment of symptomatic apical periodontitis, with and without the buccal infiltration of methylprednisolone.
Materials and Methods: This quasi-experimental clinical trial was conducted at the Department of Operative Dentistry and Endodontics of Peshawar Dental College. A total of 100 patients (51 males and 49 females) experiencing moderate to severe pain due to symptomatic apical periodontitis were included. The treated teeth included maxillary and mandibular premolars and molars diagnosed with symptomatic apical periodontitis.
Patients were randomly divided into two groups: Group A (n = 50): did not receive methylprednisolone administration and Group B (n = 50): received a buccal infiltration of methylprednisolone (40 mg/mL) In Group B, methylprednisolone was administered slowly into the buccal vestibule near the root apex of the affected tooth after achieving profound soft tissue anesthesia. Once anesthesia was confirmed, standard root canal preparation was performed. Pain intensity was assessed using a Visual Analog Scale ranging from 0 (no pain) to 10 (worst possible pain) at baseline (before treatment) and 24 hours postoperatively.
Results: The mean age of participants was 38.29 ± 11.34 years. Postoperative pain was reported in 50% of patients in the methylprednisolone group and 62% in the control group. However, the difference was not statistically significant (Chi-square test, p = 0.44). Mean VAS scores also showed no significant difference at baseline or after 24 hours.
Conclusion: Buccal infiltration of methylprednisolone did not result in a statistically significant reduction in postoperative pain following cleaning and shaping of teeth with symptomatic apical periodontitis.
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