Comparison of the Efficacy of Prophylactic Intraligamentary Injection of Piroxicam
Versus Mepivacaine for Management of Post-endodontic Pain in Posterior Teeth:
(Double Blind Randomized Clinical Trial)
Hend Hassan Swellam1*, Hebatallah Mohamed Elfar2 and Sherif Adel El khodary3
1Master of Endodontics, Faculty of Dentistry, Cairo University, Egypt
2Professor of Endodontics, Faculty of Dentistry, Cairo University, Egypt
3Associate Professor of Endodontics, Faculty of Dentistry, Cairo University, Egypt
*Corresponding Author: Hend Hassan Swellam, Master of Endodontics, Faculty of Dentistry, Cairo University, Egypt.
Received: September 24, 2021; Published: November 10, 2021
The aim of this research was to evaluate the effect of piroxicam (feldene) on reducing the pain after single visit endodontic treatment, a non-selective non-steroidal anti-inflammatory drug. Twenty-six patients, aged between 25 and 50 years with irreversible pulpitis and symptomatic apical periodontitis in mandibular molar teeth were randomly divided into two groups. The experimental group received intraligamentary injections totaling 0.4 mL of piroxicam, while the control group received the same amount of intraligamentary mepivacaine.
Single visit root canal treatment was performed by a single endodontist. Numeric Rating Scale was used to record pain before treatment and at 4, 8, 12, 24 and 48 h postoperatively. The decrease in the intensity of post-treatment pain between the two groups was statistically significant. Intraligamentary injection of piroxicam can be considered an effective method for decreasing post-endodontic pain.
Keywords: Post-endodontic Pain; Mepivacaine; Teeth
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