Comparative evaluation of post-operative pain with different calcium hydroxide formulations when used as intracanal medicament in root canal treatment- In vivo study

Thakur, Divyangana; Makkar, Sameer; Aggarwal, Anurag; Mushtaq, Farheen; Mushtaq, Uzma

doi:10.18231/j.ijce.2020.024

Cited by 1 publication

(3 citation statements)

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“…A recent study compared the effects of chitosan (natural polysaccharide) and metapex (silicone oil-based vehicle containing iodoform) to Ca(OH) 2 paste—a polyethylene glycol paste (viscous) as a vehicle and found that it reduced postoperative pain to some extent, indicating its potential for use as a vehicle to aid in pain management [ 31 ].…”

Section: Resultsmentioning

confidence: 99%

“…Four studies [ 26 27 31 32 ] used the VAS, one study [ 29 ] used the HP VAS, and another [ 30 ] used the NRS. One study [ 28 ] used the universal pain assessment tool, whereas three studies [ 4 8 15 ] used the verbal rating scale.…”

Section: Resultsmentioning

confidence: 99%

“…Group 1: Intracanal medicament was calcium hydroxide paste (Ivoclar); Group 2: intracanal medicament Ca(OH)2 paste with iodoform (Metapex); Group 3: Ca(OH)2 points (Hygienic) were used as an intracanal medicament; Group 4: Ca(OH)2 paste with chitosan (0.2%) as a vehicle was used as an intracanal medicament; Group 5 (control group): dry sterile cotton. According to patient records in the VAS scale, the incidence and intensity of preoperative pain and experienced postoperative pain (on the 6th, 12th, 24th, and 48th h) following the first visit to treatment were analyzed [ 31 ]. The Ca(OH)2 points recorded the lowest postoperative pain at the sixth postoperative hour, while the Ca(OH)2 with iodine (Metapox) points recorded the highest postoperative pain.…”

Section: Discussionmentioning

confidence: 99%

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Influence of vehicle for calcium hydroxide on postoperative pain: a scoping review

Aneja

Gupta

Abraham

et al. 2022

J Dent Anesth Pain Med

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This review aims to identify the influence of the vehicle and its concentration used to carry calcium hydroxide (Ca(OH) 2 ) medicament on postoperative pain. The protocol for this review was registered in the open science framework (Registration DOI- 10.17605/OSF.IO/4Y8A9 ) and followed the guidelines provided by the Joanna Briggs Institute. Reporting was based on the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR). Literature screening and searches were performed on PubMed/Medline, Scopus, and EBSCO hosts. Furthermore, additional records were manually analyzed using various sources. The selected studies were published in English and included the use of any vehicle adjunct to Ca(OH) 2 to evaluate postoperative pain using qualitative and quantitative pain assessment tools. Descriptive analysis was conducted to review the study design, vehicle elements, and their effects. A preliminary search yielded 7584 studies, of which 10 were included. According to the data collected, the most commonly used Ca(OH) 2 vehicles were chlorhexidine (CHX), normal saline, and camphorated paramonochlorophenol/glycerine (CPMC/glycerine), which had a significant effect on postoperative pain. Among the included studies, six evaluated the effect of CHX as a vehicle. It was observed that a higher concentration of the vehicle (2%) showed a favorable response in reducing postoperative pain. A majority of studies have validated a positive consequence of using a vehicle on postoperative pain. Although higher vehicle concentrations were found to alter postoperative pain levels, the data were insufficient to draw a firm conclusion. Our scoping review indicates that further clinical studies should focus on using different vehicles at various concentrations and application times to check for feasible and safe exposure in addition to providing pain relief.

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Section: Resultsmentioning

confidence: 99%