Assessment of the interappointment pain by using two different intracanal medicaments

ABSTRACT

The objective of this study was to assess the interappointment pain by using two different intracanal medicaments. Comparative study in the department of operative dentistry, Liaquat Medical University Hospital Hyderabad was carried out. 60 teeth either anterior or posterior of male and female patients of 14 to 60 years age diagnosed for root canal treatment were included. Following the routine access cavity preparation, canals were located with endodontic explorer. Working length was taken with 15# k-file, and then instrumentation was performed with proTaper hand files and shaping by the crown down technique along with irrigation by using Milton's [l%Naocl] solution. Canals were dried with paper points and Ledermix paste in Group I and Calcium hydroxide in Group II patients were inserted in random sequence. The patients were recalled, to record the degree of pain on the next day, third day and one week and for clinical evaluation and obturation if the tooth was asymptomatic. Out of 60 cases, 33[55%] were male and 27[45%] were female. Post operative next day, mild pain was observed in 25% [15/60] patients and moderate pain in 20% [12/60] while severe pain in 13.3% [8/60] patients. Similarly on third day, mild pain was observed in 3.3% [2/60] only. While after one week mild pain was found in only 1.6% [1/60] case. Severity of pain was significantly low in group I than group II [p=0.999] after one week. Treatment with Ledermix was significantly better than with Calcium hydroxide in controlling severity of interappointment pain