Effect of mixing Calcium Hydroxide paste and 2% Chlorhexidine Gel in Comparison to pure Calcium Hydroxide Paste on Postoperative Pain in teeth with chronic periapical periodontitis: Randomized Clinical Trial

Hendy, Yasser Mohamed; Ahmed, Geraldine Mohamed; Sadek, Hany Samy; Khatab, Rania Abd El Moniem

doi:10.21608/edj.2023.243245.2748

	Effect of mixing Calcium Hydroxide paste and 2% Chlorhexidine Gel in Comparison to pure Calcium Hydroxide Paste on Postoperative Pain in teeth with chronic periapical periodontitis: Randomized Clinical Trial
Egyptian Dental Journal
Volume 70, Issue 1 - Serial Number 5, January 2024, Page 777-782 PDF (593.57 K)
Document Type: Original Article
DOI: 10.21608/edj.2023.243245.2748
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Authors
Yasser Mohamed Hendy ¹; Geraldine Mohamed Ahmed ²; Hany Samy Sadek ²; Rania Abd El Moniem Khatab ³
¹Ph.d. Candidate, Armed Forces
²Professor, Endodontics Department, Faculty of Dentistry, Cairo University
³Professor, Microbiology and Immunity Department, Faculty of Pharmacy, Cairo University
Abstract
Abstract Aim: Assessment of post-operative pain in adult patients suffering from necrotic pulp condition with chronic periapical periodontitis by using calcium hydroxide paste intracanal medication with 2% chlorhexidine gel and Calcium hydroxide paste intracanal medication only and with mechanical preparation without intracanal medications as control group. Methods: Forty five patients with single rooted teeth suffering from necrotic pulp status were divided into 3 groups (n=15), the first group received mechanical preparation only , the second group received calcium hydroxide intracanal medication only, while the third group received mixture of calcium hydroxide and 2 % chlorhexidene gel intracanal medication. Numerical pain scale was used to assess the pain experience post operatively. Results: Calcium hydroxide was superior in decreasing the postoperative pain at time interval 4 hours and 24 hours in comparison to the mixture of calcium hydroxide paste and 2 % chlorhexidene gel significantly Conclusion: Using one of the intracanal medications for 2 week time interval in necrotic teeth can help to allivate postoperative pain.
Keywords
Intracanal medications; calcium hydroxide; 2% chlorhexidene gel; post-operative pain; pain scales


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