Health Condition 1: K040- Pulpitis
Conditions
Interventions
Intervention1: Oral premedication with 10mg of ketorolac: Oral premedication with 10mg of ketorolac . Mental nerve incisive nerve block will be administered using a cartridge of 4% articaine with 1:10
Sponsors
Meenakshi academy of higher education and research
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with active moderate sharp spontaneous pain ( ï?³ 54 mm in Heft-Parker Visual Analog Scale (HP VAS)) or pain stimulated with hot or cold with lingering response even after removal of the stimulus with pain on biting or chewing in mandibular premolars 2. No evidence of periapical changes in radiographs (Periapical Index 3. Positive response to electric pulp testing (EPT) as well as a lingering response of more than 10 seconds to cold test (ethyl chloride spray).
Exclusion criteria
Exclusion criteria: 1. Teeth with crown/root fractures 2. Teeth with necrotic pulps following access cavity preparation 3. Patients with a lesion or swelling (periapical index > 2) (Ã?rstavik et al. 1986) at the site of injection. 4. Acute or chronic apical abscess. 5. Teeth with open apices 6. Compromised periodontium 7. Patients with any systemic diseases (American Society of Anesthesiologists Class II or higher) 8. Patients having history of allergy to local anesthetic solutions or any of the experimental drugs 9. Patients who could not interpret the HP VAS 10. Patients on long term medications that influenced pain threshold, analgesics, steroids and / or antibiotics in the recent past 24 hours. 11. Patients with a history of drug abuse 12. Patients who were unable to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Efficacy of oral pre-medication on success of articaine mental incisive nerve block symptomatic in irreversible pulpitisTimepoint: lip anaesthesia, pulpal anaesthesia, access cavity preparation, instrumentation | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of lip & pulpal anesthesia and Adverse effect / post injection pain evaluationTimepoint: After the procedure, the patient will be called for a review the next day to assess the paresthesia and pain on injection site assessment | — |
Countries
India
Contacts
Public ContactNandini Suresh
Meenakshi academy of higher education and research institute
Outcome results
None listed