The relationship of intracanal medicaments to postoperative pain in endodontics

Ehrmann, E. H.; Messer, Harold H.; Adams, Geoff

doi:10.1111/j.1365-2591.2003.00735.x

Cited by 117 publications

(116 citation statements)

References 23 publications

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“…Therefore, we decided to use alternative intracanal medicaments in our study (Ledermix and TAP). Ledermix was reported an effective intracanal medicament for the control of postoperative pain associated with acute apical periodontitis [23]. TAP may also be a good alternative intracanal medicament with regard to its antibacterial activities.…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of postoperative pain intensity after single-visit and multiple-visit retreatment cases: a prospective randomized clinical trial

Uyan

Olcay

Özcan

2018

BDS

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26 ResumoObjetivo: Este estudo foi projetado para avaliar a dor pós-operatória após o retratamento endodôntico. Material e Métodos: Foram incluídos dentes molares e pré-molares multirradiculados e assintomáticos que necessitavam de retratamento com lesões periapicais de 2-5 mm. Setenta e oito dentes foram distribuídos aleatoriamente em quatro grupos (n = 20): sessão única (controle, grupo I), Ledermix (grupo II), metronidazol, ciprofloxacina, mistura de minociclina (grupo III), hidróxido de cálcio (grupo IV). A dor pós-operatória foi registrada usando um VAS às 6, 12, 24 e 48 h após o retratamento. A análise estatística foi realizada utilizando ANOVA de dois fatores para medidas repetidas e teste de Tukey. Resultados: Ocorreu dor leve em 67,5%, moderada em 30% e agudizações 2,5%, e houve diferença significativa entre os grupos (p <0,01). Foi observada dor pós-operatória significativamente menor nos grupos TAP e hidróxido de cálcio (p <0,05). Nos intervalos de 6, 12 e 24 h, houve diferença significativa nos níveis de dor (p <0,05). Conclusão: TAP e hidróxido de cálcio são eficazes para reduzir a dor pós-operatória após o retratamento. ABsTRACTObjectives: This study was designed to evaluate postoperative pain after endodontic retreatment. Material and Methods: Asymptomatic, multirooted molar & premolar teeth requiring retreatment with 2-5 mm periapical lesions were included. Seventy-eight teeth were randomly placed in four groups (n=20): single-visit (control, group 1), Ledermix (group 2), metronidazole, ciprofloxacin, minocycline mixture (group 3), calcium hydroxide (group 4). The postoperative pain was recorded using a VAS at 6, 12, 24, and 48 h after retreatment. Statistical evaluation was performed using TwoWay Repeated Measures ANOVA and Tukey test. Results: Mild pain occurred in 67.5%, moderate in 30%, and flare-ups in 2.5%, and there was a significant difference between the groups (p<0.01). Significantly lower postoperative pain was observed in TAP and CaOH2 groups (p<0.05). In the 6, 12, and 24 h intervals, there was a significant difference in the pain levels (p<0.05). Conclusion: TAP and CaOH 2 are effective for reducing postoperative pain after retreatment. O R I G I N A L A R T I C L EComparative evaluation of postoperative pain intensity after single-visit and multiple-visit retreatment cases: a prospective randomized clinical trial Avaliação comparativa da intensidade da dor pos-operatoria após casos de retratamento em sessao unica ou multipla: estudo clínico randomizado prospectivo PAlAvRAs-ChAveMedicamentos intracanais; Múltiplas sessões; Dor pós-operatória; Retratamento; Sessão única.

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Section: Discussionmentioning

confidence: 99%

Comparative evaluation of postoperative pain intensity after single-visit and multiple-visit retreatment cases: a prospective randomized clinical trial

Uyan

Olcay

Özcan

2018

BDS

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“…121,122 Ledermix has been shown to effectively reduce the incidence of postoperative pain in endodontics. 123 However, the superiority of Ledermix over calcium hydroxide in reducing the incidence of postoperative pain associated with acute apical periodontitis is controversial. Ehrmann et al 123 reported superior results with Ledermix over calcium hydroxide in reducing postoperative pain, whereas Fava 124 found no difference between the 2 medicaments in reducing postoperative pain.…”

Section: Antibiotic Preparationsmentioning

confidence: 99%

“…123 However, the superiority of Ledermix over calcium hydroxide in reducing the incidence of postoperative pain associated with acute apical periodontitis is controversial. Ehrmann et al 123 reported superior results with Ledermix over calcium hydroxide in reducing postoperative pain, whereas Fava 124 found no difference between the 2 medicaments in reducing postoperative pain. The control of postoperative pain and inflammation attributable to the use of Ledermix appear to be more likely related to the anti-inflammatory effects of corticosteroid rather than its antibacterial effects.…”

Section: Antibiotic Preparationsmentioning

confidence: 99%

The antimicrobial effects of root canal irrigation and medication

Karim

Kennedy

Hussey

2007

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, an

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“…14 Root canal treatments are generally finished in a single session, but, especially in very painfully acute apical periodontitis or abscesses, treatment of a root resorption due to trauma, total elimination of the microorganisms from the root canal with root canal preparation and irrigation is impossible, root canal treatment should be finished in the other session after using root canal medicaments. 4,5,21 The effect of long time and short time usage of Ca(OH) 2 on the root fracture has been studied in the literature and the results of these studies are controversial. 10,14,15,22,23 Batur et al 10 indicated that long-term Ca(OH) 2 treatment could significantly reduce the fracture resistance of the teeth.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Vertical Root Fracture Resistance of Teeth Treated With Calcium Hydroxide and Ledermix Paste

Ok¹,

Ersoy²,

Altunsoy³

et al. 2016

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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Aim:The aim of this in vitro study was to compare the effect of Ledermix paste and Calcium hydroxide (Ca(OH) 2 ) on root fracture resistance. Materials and Methods: Sixty extracted human mandibular premolars with single canals and straight roots were used. After the crowns were removed, the root canals were prepared with Reciproc R50 files. Smear layer of roots were removed using 17% EDTA followed by 5.25% NaOCl and distilled water. The roots were then randomly divided into four groups (n = 15) according to the medicaments used: Ledermix paste, Ca(OH) 2 , negative control, and positive control. Samples were stored at 37°C and 100% humidity for 3 weeks. The specimens in experimental and control groups were obturated with cold lateral compaction technique before fracture resistance assessment. Then the apical ends of the roots were embedded vertically inside 4 mm of the acrylic resin. A load was applied on the roots of all teeth to their long axis until fracture occurred. Data were analyzed using one-way analysis of variance (ANOVA) and post-hoc Tukey tests.

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The relationship of intracanal medicaments to postoperative pain in endodontics

Cited by 117 publications

References 23 publications

Comparative evaluation of postoperative pain intensity after single-visit and multiple-visit retreatment cases: a prospective randomized clinical trial

Comparative evaluation of postoperative pain intensity after single-visit and multiple-visit retreatment cases: a prospective randomized clinical trial

The antimicrobial effects of root canal irrigation and medication

Comparison of the Vertical Root Fracture Resistance of Teeth Treated With Calcium Hydroxide and Ledermix Paste

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