Postoperative Pain and Incidence of Extrusion Following the Use of Two Intra-Canal Medications in Retreatment of Single Rooted Teeth A Prospective Clinical Trial | ||||
| Al-Azhar Assiut Dental Journal | ||||
| Volume 8, Issue 1, April 2025, Page 131-142 PDF (2.42 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aadj.2025.372929.1209 | ||||
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| Authors | ||||
Dalia Ali Moukarab   1; Ahmed Ali Youssif 2
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| 1Department of Endodontics, Faculty of Dentistry, Minia University, El-Minia, Egypt | ||||
| 2Department of Endodontics, Faculty of Dentistry, Minia University, El Minia , Egypt | ||||
| Abstract | ||||
| Aim: Compare the postoperative pain intensity and flare up and extrusion incidence of two intracanal medications in retreatment of single rooted teeth in a double blinded prospective clinical trial. Subjects and methods: Thirty healthy patients; diagnosed with asymptomatic apical periodontitis; equally and randomly divided into two groups according to the applied intracanal medication (Metapex (MP) group and Bio-C Temp (BC) group) after complete removal of the old obturation material. Postoperative Pain intensity were documented on visual analog scale (VAS) 12 hours then every 24h for 7 days. Incidence of apical extrusion and flare ups were also recorded. Results: All pairwise comparisons between time points intragroup were significant at p value ≤ (0.004), demonstrating a clear pattern of progressive pain reduction over the observation period. However, intergroup comparison at any of the measured time points and flare up incidence showed no significance. MP group showed significantly higher extrusion rate than did BC group with p value = (0.005). In the MP group, 8 participants (53.3%) experienced extrusion compared to only 1 participant (6.7%) in the BT group. Conclusion: Bioceramic based intracanal medicament is as effective and safe as calcium hydroxide in reducing postoperative pain and flare up incidence in retreatment cases. However, it is significantly lower regarding extrusion incidence. | ||||
| Keywords | ||||
| Postoperative pain; Flare up; Apical extrusion; Endodontic retreatment; Bioceramic based intracanal medicament | ||||
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