Effect of Calcium Hydroxide Medicaments Prepared with Different Vehicles on Postoperative Pain in Treatment of Acute Apical Periodontitis

Year 2006, Volume: 33 Issue: 1 - Volume: 33 Issue: 1, 77 - 82, 01.05.2006

Ali Çağın Yücel

Abstract

The aim of our study was to evaluate the effectof calcium hydroxide medicaments prepared withdifferent vehicles on postoperative pain in treatment of acute apical periodontitis. Study was performed on 60 patients who had single rooted teethwhich was diagnosed acute apical periodontitis.Root canals were prepared using crown-down technique with ProTaper. Patients were randomly divided 3 groups. Root canals medicated with calciumhydroxide pastes which was prepared with distilledwater, 2% chlorhexidine glukonate, and ultracaine.Pain scores of initials, after 24, 48 hours, and 7days were recorded. The data were analyzed usingX2test. When pain scores of initials, after 24, 48hours, and 7 days were evaluated, there were nostatistically significant differences among groups.As a result, the medicaments tested were effectiveelimination of postoperative pain after 7 days

Keywords

Medicaments, calcium hydroxide, postoperative pain, distilled water, chlorhexidine, ultracaine

AKUT APİKAL PERİODONTİTİSİN TEDAVİSİNDE FARKLI TAŞIYICILARLA HAZIRLANAN KALSİYUM HİDROKSİT ESASLI MEDİKAMANLARIN POSTOPERATİF AĞRI ÜZERİNE ETKİSİ

Abstract

Çalışmamızın amacı akut apikal periodontitisli hastaların endodontik tedavilerinde farklıtaşıyıcılar ile hazırlanan kalsiyum hidroksit esaslıkök kanal medikamanlarının postoperatif ağrıüzerine etkisini incelemektir. Çalışmamız akutapikal periodontitis teşhisi konulan tek köklüdişlere sahip 60 hasta üzerinde yürütülmüştür. Kökkanal preparasyonu "crown-down" tekniği ile ProTaper kullan›larak gerçekleştirilmiştir. Hastalar rastgele 3 gruba ayr›lm›şt›r. Kalsiyum hidroksit tozu distile su, %2 klorheksidin glukonat ve Ultrakain ile pat haline gelinceye kadar kar›şt›r›lm›ş ve haz›rlanan pat kök kanal›na yerleştirilmiştir. Hastan›n başlang›ç, 24, 48 saat ve 7 gün sonraki ağr› skorlar› kaydedilmiştir. Veriler X2 testi kullan›larak değerlendirildi. Başlang›ç, 24 saat, 48 saat ve 7 gün sonraki elde edilen ağr› skorlar›n›n değerlendirildiğinde kalsiyum hidroksit esasl› kök kanal medikamanlar› aras›nda istatistiksel olarak anlaml› bir farkl›l›k tespit edilmemiştir p>0.05 . Sonuç olarak çal›şmam›zda test edilen medikamanlar 7 gün sonunda postoperatif ağr›n›n eliminasyonunda etkin bulunmuştur.

Keywords

medikaman, kalsiyumhidroksit, postoperatif ağrı, distile su, klorheksidin, ultrakain

References

• Nair PNR. Pathobiology of the periapex. In Cohen S, Burns RC. Pathways of the pulp. 8th ed. St. Louis: CV Mosby Co, 2002; 457-500.
• Marshall FJ. Planning endodontic treatment. Dent Clin North Am 1979; 23: 495-518.
• Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Dwyer TG, Tobias TS. Factors asso- ciated with endodontic interappointment emergen- cies of teeth with necrotic pulps. J Endod 1988;14:261–6.
• Imura N, Zuolo ML. Factors associated with endodontic flare-ups: a prospective study. Int Endod J 1995;28:261–5.
• Seltzer S, Naidorf IJ. Flare-ups in endodon- tics: I. Etiological factors. J Endodon 1985;11:472–8.
• Byström A, Claesson R, Sundqvist G. The antibacterial effect of camphorated paramono- chlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals. Endod Dent Traumatol 1985;1:170-5.
• Tornstad L, Andreasen JO, Hasselgren G, Kristerson L, Riis I. pH changes in dental tissues after root canal filling with calcium hydroxide. J Endod 1981;7:17-21.
• Hasselgren G, Olsson B, Cvek M. Effects of calcium hydroxide and sodium hypochlorite on the dissolution of necrotic porcine muscle tissue. J Endod 1988;14:125-7.
• Siqueira JF Jr, de Uzeda M. Intracanal medi- cations: evaluation of the antibacterial effects of chlorhexidine, metranidazole, and calcium hydro- xide associated with three vehicles. J Endod 1997;23:167-9.
• Solak H, Özten MD. The pH changes of four different calcium hydroxide mixtures used for intracanal medication. J Oral Rehabil 2003;30:436-9.
• Fava LRG, Saunders WP. Calcium hydro- xide pastes: classification and clinical indications. Int Endod J 1999;32:257-82.
• Fava LRG. One appointment root canal treatment: incidence of post-operative pain using a modified double-flared technique. Int Endod J 1991; 24: 258-62.
• Fava LRG. Single visit root canal treat- ment: incidence of post-operative pain using three different instrumentation techniques. Int Endod J 1995; 28: 103-7.
• Al-Omari MA, Dummer PMH. Canal blockage and debris extrusion with eight preparation techniques. J Endod 1995;21:154–8.
• Siqueira JF, Rocas IN, Favieri A, Machado AG, Gahyva SM, Oliveira JCM, Abat EC. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002; 28: 457-60.
• Chong BS, Pitt Ford TR. The role of intra- canal medication in root canal treatment. Int Endod J 1992; 25: 97-106.
• Orstavik D. Antibacterial properties of endodontic materials. Int Endod J 1988; 21: 161-9
• Flahaut S, Hartke A, Giard J-C, Auffray Y. Alkaline stress response in Enterococcus faecalis: adaptation, cross-protection, and changes in protein synthesis. Appl Environ Microbiol 1997; 63: 812-4.
• Siqueira JF Jr, Lopes HP. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J 1999;32:361-9.
• Souza V, Bernabe PFE, Holland R. Tratamento nao cirurgico das lesoes periapicais. Rev Bra Odonto 1989; 46: 39-46 In Fava LRG. Acute apical periodontitis: incidence of post-operative pain using two different root canal dressings. Int Endod J 1998; 31: 343-7.
• Pacios MG, de la Casa ML, Bulacio MA, Lopez ME. Influence of different vehicles on the pH of calcium hydroxide pastes. J Oral Sci 2004;46:107- 11.