Pain, Dental, Postoperative Pain
Conditions
Keywords
intra-canal medications
Brief summary
Is to evaluate the influence of the calcium hydroxide / chlorhexidine combination and calcium hydroxide alone as an intra-canal medication in postoperative flare-up in two visits endodontic retreatment cases
Detailed description
Problem: patient needs retreatment Intervention: calcium hydroxide chlorhexidine combination as an intra-canal medicament Control: calcium hydroxide alone as an intra-canal medicament Outcome: postoperative flare-up (pain and swelling) Time: after 7 days from 1st visit. population will be examined: 1. Patients' needs retreatment. 2. Patients in good health with no systemic disease (American Society of Anesthesiologists Class II) 3. Age range is between 20 and 50 years. 4. Patients who can understand the categorical tool (points)for measurement 5. Patients able to sign informed consent.
Interventions
Endodontic intra-canal medicament used for decreasing postoperative signs ans symptoms
Endodontic intra-canal medicament used for decreasing postoperative signs and symptoms.
Sponsors
Study design
Eligibility
Inclusion criteria
* 1\. Patients' needs retreatment. * 2\. Patients in good health with no systemic disease (American Society of Anesthesiologists Class II) * 3\. Age range is between 20 and 50 years. * 4\. Patients who can understand the categorical tool (points)for measurement * 5\. Patients able to sign informed consent.
Exclusion criteria
* 1\) Complicating systemic disease * 2\) Having severe pain and/or acute apical abscesses * 3\) Being under 18 years of age * 4\) Using antibiotics or corticosteroids, * 5\) having multiple teeth that required retreatment to eliminate the possibility of pain referral * 6\) Having root canals that could not be treated well with initial root canal treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| measuring patients postoperative pain and swelling following endodontic re-treatment sessions using Categorical (4 points) unit using questionnaire. | 7 days between the 2 visits ( one week) | postoperative pain and swelling will be measured by:Categorical (4 points). The incidence of postoperative discomfort was recorded and expressed as numbers and percentages Subjectively into 4 points: 1. no pain 2. Mild pain: recognizable but not discomforting pain that required no analgesics. 3. Moderate pain: discomforting but bearable pain(analgesics if used were effective in relieving pain) 4. Severe pain: difficult to bear (analgesics were effective in relieving pain). Patients with severe postoperative pain and/or occurrence of swelling were classified as flare-ups.3 Objectively : percussion test |
Countries
Egypt