Effect of mixing Calcium Hydroxide paste and 2% Chlorhexidine Gel in Comparison to pure Calcium Hydroxide Paste on Postoperative Pain in teeth with chronic periapical periodontitis: Randomized Clinical Trial

Document Type : Original Article

Authors

1 Ph.d. Candidate, Armed Forces

2 Professor, Endodontics Department, Faculty of Dentistry, Cairo University

3 Professor, Microbiology and Immunity Department, Faculty of Pharmacy, Cairo University

Abstract

Abstract
Aim: Assessment of post-operative pain in adult patients suffering from necrotic pulp condition with chronic periapical periodontitis by using calcium hydroxide paste intracanal medication with 2% chlorhexidine gel and Calcium hydroxide paste intracanal medication only and with mechanical preparation without intracanal medications as control group.
Methods: Forty five patients with single rooted teeth suffering from necrotic pulp status were divided into 3 groups (n=15), the first group received mechanical preparation only , the second group received calcium hydroxide intracanal medication only, while the third group received mixture of calcium hydroxide and 2 % chlorhexidene gel intracanal medication. Numerical pain scale was used to assess the pain experience post operatively.
Results: Calcium hydroxide was superior in decreasing the postoperative pain at time interval 4 hours and 24 hours in comparison to the mixture of calcium hydroxide paste and 2 % chlorhexidene gel significantly
Conclusion: Using one of the intracanal medications for 2 week time interval in necrotic teeth can help to allivate postoperative pain.

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Egyptian Dental Journal
Volume 70, Issue 1 - Serial Number 5
January (Conservative Dentistry and Endodontics)
January 2024
Pages 777-782

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