el-abyad, S., Sharaan, M., Abdelsalam, N. (2025). Assessment of post-operative pain after using two formulations of calcium hydroxide intracanal medication: A randomized clinical trial.. Dental Science Updates, 6(1), 71-79. doi: 10.21608/dsu.2025.299141.1243
sarah alaa el-din el-abyad; Marwa Sharaan; Nelly Abdelsalam. "Assessment of post-operative pain after using two formulations of calcium hydroxide intracanal medication: A randomized clinical trial.". Dental Science Updates, 6, 1, 2025, 71-79. doi: 10.21608/dsu.2025.299141.1243
el-abyad, S., Sharaan, M., Abdelsalam, N. (2025). 'Assessment of post-operative pain after using two formulations of calcium hydroxide intracanal medication: A randomized clinical trial.', Dental Science Updates, 6(1), pp. 71-79. doi: 10.21608/dsu.2025.299141.1243
el-abyad, S., Sharaan, M., Abdelsalam, N. Assessment of post-operative pain after using two formulations of calcium hydroxide intracanal medication: A randomized clinical trial.. Dental Science Updates, 2025; 6(1): 71-79. doi: 10.21608/dsu.2025.299141.1243
Assessment of post-operative pain after using two formulations of calcium hydroxide intracanal medication: A randomized clinical trial.
1endodontic department, faculty of dentistry, Suez canal university, Ismailia, Egypt
2Professor of Endodontics - Faculty of Dentistry - Suez Canal University, Ismailia, Egypt.
3Associate professor Endodontics department Faculty of Dentistry Suez canal university
Abstract
Introduction: Application of intracanal medicament in infected root canals inbetween endodontic visits is targeted for additive disinfection as well as post-operative pain prevention. Aim: to elucidate the palliative effect of calcium hydroxide through comparative study of the post-endodontic pain in patients with necrotic pulp associated with symptomatic apical periodontitis using a modified visual analogue scale (MVAS). Materials and methods: Sixty patients with single-rooted lower premolars diagnosed with pulp necrosis with symptomatic apical periodontitis were included in the study. The participants were divided into three groups; Two experimental and one control (n=20 per group): G I (control group) root canals did not receive any intra canal medication, GII: root canals received calcium hydroxide intracanal medication without iodoform, and root canals in G III received calcium hydroxide intracanal medication with iodoform. All three groups received glass ionomer coronal temporization by glass ionomer. The patients recorded their pain scores in (MVAS) pre-operatively ,4, 6, 12, 24, 48, 72 hrs and after one week. Results: At all-time intervals, no significant change was detected in the pain scores in-between the experimental and control groups ( P<0.05). Conclusion: Calcium hydroxide with /without iodoform has neutral effect on postoperative pain.