COMPARISON OF CALCIUM HYDROXIDE AND 2% CHLORHEXIDINE GEL AS INTRACANAL MEDICATIONS IN REDUCING POSTOPERATIVE PAIN IN MOLAR TEETH WITH APICAL PERIODONTITIS AND NECROTIC PULP RANDOMIZED CLINICAL TRIAL
DOI:
https://doi.org/10.33279/jkcd.v9i02.858Keywords:
Calcium hydroxide, Chlorhexidine, Postoperative pain, Apical periodontitis and Necrotic pulpAbstract
Objective: To compare the effect of calcium hydroxide and 2% chlorhexidine gel intracanal medications in postoperative pain in molar teeth with apical periodontitis and necrotic pulp.
Materials and Methods: A Randomized clinical trial was carried from Nov 2017 to Oct 2018 at Department of Operative Dentistry, Sardar Begum Dental College Peshawar. Sixty patients with molar teeth having apical periodontitis and necrotic pulp were divided in two groups by lottery method with thirty patients in each group. Following the accesscavity preparation, canals were located and prepared by protaper files. After preparation of the canals, Calcium hydroxide was placed as intracanal medicament in one group while 2%chlorhexidine gel was placed in the second group. The effect of intracanal medicaments on postoperative pain was checked using a visual analog scale after 6, 24, 48 and 72 hours. Data was entered and analyzed using SPSS version 22.The Chi square test was applied for categorical variablesand independent sample t-test was applied to analyze the difference in continuous variables to detect in pain scores between the two groups.
Results: There was a significant difference in preoperative and postoperative pain after placing intra canal medicament but postoperative pain was found statistically unsignificant in both the groups comparing after 6,24,48 and 72 hours (p-value=0.456).
Conclusions: Both calcium hydroxide paste and 2% chlorhexidine gel when used as intracanal medicament are equally effective in reducing the postoperative pain in molar teeth with apical periodontitis and necrotic pulp.
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