Evaluation of Pretreatment Analgesia and Endodontic Treatment for Postoperative Endodontic Pain

Attar, Sayeed; Bowles, Walter R.; Baisden, Michael K.; Hodges, James S.; McClanahan, Scott B.

doi:10.1016/j.joen.2008.02.017

Cited by 118 publications

(152 citation statements)

References 18 publications

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“…It integrates irregular spacing of 6 categorical scale descriptive words onto a 170-mm horizontal line. The inventors stressed that patients make categorical judgments on the basis of their understanding of the words, and that the categorical ratings are not an ordinal index (39). Although the HP VAS might show deficiencies regarding understanding and perception, it provides a validated and meaningful measure of anesthetic efficiency; it is used for this purpose by many authors (1).…”

Section: Discussionmentioning

confidence: 99%

Anesthetic Efficacy of Four Percent Articaine for Pulpal Anesthesia by Using Inferior Alveolar Nerve Block and Buccal Infiltration Techniques in Patients with Irreversible Pulpitis: A Prospective Randomized Double-blind Clinical Trial

Poorni

Veniashok

Senthilkumar

et al. 2011

Journal of Endodontics

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Section: Discussionmentioning

confidence: 99%

Anesthetic Efficacy of Four Percent Articaine for Pulpal Anesthesia by Using Inferior Alveolar Nerve Block and Buccal Infiltration Techniques in Patients with Irreversible Pulpitis: A Prospective Randomized Double-blind Clinical Trial

Poorni

Veniashok

Senthilkumar

et al. 2011

Journal of Endodontics

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“…However, these cases usually constitute a real emergency and frequently demand unscheduled visit for treatment [5]. Managing of postoperative pain has been the matter of many research studies, involving preoperative explanations and instructions [6], long-acting anesthesia [7], the glide path [8], occlusal reduction [9], treatment using salicylic acid [10], non-steroid anti-inflammatory drugs (NSAIDs) [11], combination of ibuprofen and acetaminophen [12], narcotic analgesics [13], a combination of narcotic analgesics with aspirin [14] or acetaminophen [15], and steroidal anti-inflammatory drugs [16].…”

mentioning

confidence: 99%

The Outcome of Preoperative Administration of Single-Dose Ketorolac, Ibuprofen 400mg and Placebo on Postoperative Pain in Teeth with Irreversible Pulpitis and Apical Periodontitis

Vieyra¹

2018

OAJDS

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Aim: To compare the outcome of preoperative administration of single-dose ketorolac, ibuprofen 400mg and placebo on postoperative pain in teeth with irreversible pulpitis and apical periodontitis. Methodology:A total of 54 patients (29 women and 25 men), 18 to 60 years of age with 54 eligible teeth consented to participate in the study, were divided into three groups (n = 18) according to the type of preoperative drug administrated, as follows: Group A: ketorolac 10mg, Group B: Ibuprofen 400mg, and Group C: A placebo (capsule filled with sugar). The data were analyzed with chi square test, one-way ANOVA. The Kruskal-Wallis nonparametric test was applied to compare the incidence of postoperative pain. The level of significance adopted was 5% (p= 0.05). Results:At Days 1 and 3, preoperative administration of analgesic resulted in lower pain levels than the placebo. At Days 5 and 7, however, while preoperative administration of analgesic still resulted in less pain than the placebo, there was no significant difference between the analgesic and placebo (p= 0 .05). Ketorolac and Ibuprofen 400mg showed clinically significant relief in pain for the next three days compared with the placebo. In addition, no significant differences were demonstrated between ketorolac and ibuprofen 400mg (Table 3). Conclusion:A single dose of ketorolac was as effective or as safe as NSAID for the relief of pain after operations on postoperative pain in teeth with symptomatic apical periodontitis.

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“…Although preoperative administration of analgesics has been found to be effective in reducing postoperative pain (31,32), there has been no study related to the effect of the preoperative oral administration of antihistamines on postoperative pain. Thus, the purpose of this study was to evaluate the effect of preoperative administration of antihistamine on postoperative pain in molar teeth with symptomatic apical periodontitis as compared to that of analgesic and placebo.…”

Section: Discussionmentioning

confidence: 99%

“…A recent systematic review showed that between 3% and 58% of patients were reported to have experienced endodontic postoperative pain (5). The management of postoperative pain has been the subject of many research studies, including preoperative explanations and instructions (6), long-acting anesthesia (7), the glide path (8), occlusal reduction (9, 10), medication using salicylic acid (11), non-steroid anti-inflammatory drugs (NSAIDs) (12), combination of ibuprofen and acetaminophen (13), narcotic analgesics (14), a combination of narcotic analgesics with aspirin (15) or acetaminophen (16), and steroidal anti-inflammatory drugs (17,18).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Preoperative Administration of Antihistamine, Analgesic and Placebo on Postoperative Pain in Teeth with Symptomatic Apical Periodontitis: A Randomized Controlled Trial

Arslan¹,

Gundogdu²

2017

Eur Endod J

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Objective:To compare the effect of preoperative administration of an antihistamine, an analgesic, or a placebo on postoperative pain in maxillary molar teeth with symptomatic apical periodontitis. Design: A randomized, controlled trial. Methods: Population: A total of 51 patients with moderate-to-severe maxillary molar tooth pain who have undergone a root canal treatment. Intervention: Preoperative administration of either an antihistamine or an analgesic. Control: Versus placebo Outcomes: Reduction in postoperative pain? The data were analyzed with chi-square, one-way analysis of variance (ANOVA) and least significant difference (LSD) post-hoc tests. Results: At days 1 and 3, preoperative administration of the antihistamine and analgesic resulted in lower pain levels than the placebo. At days 5 and 7, however, while preoperative administration of the antihistamine still resulted in less pain than the placebo, there was no significant difference between the analgesic and placebo (P>0.05). Conclusion: Within the limitations of the present study, the preoperative administration of an antihistamine can be beneficial in reducing the postoperative pain of endodontic treatments.

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Evaluation of Pretreatment Analgesia and Endodontic Treatment for Postoperative Endodontic Pain

Cited by 118 publications

References 18 publications

Anesthetic Efficacy of Four Percent Articaine for Pulpal Anesthesia by Using Inferior Alveolar Nerve Block and Buccal Infiltration Techniques in Patients with Irreversible Pulpitis: A Prospective Randomized Double-blind Clinical Trial

Anesthetic Efficacy of Four Percent Articaine for Pulpal Anesthesia by Using Inferior Alveolar Nerve Block and Buccal Infiltration Techniques in Patients with Irreversible Pulpitis: A Prospective Randomized Double-blind Clinical Trial

The Outcome of Preoperative Administration of Single-Dose Ketorolac, Ibuprofen 400mg and Placebo on Postoperative Pain in Teeth with Irreversible Pulpitis and Apical Periodontitis

The Effect of Preoperative Administration of Antihistamine, Analgesic and Placebo on Postoperative Pain in Teeth with Symptomatic Apical Periodontitis: A Randomized Controlled Trial

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