Dr. Kavalipurapu Venkata Teja
Dr. Kavalipurapu Venkata Teja has completed his graduation in 2016 and currently pursuing masters in Endodontics. He has attended various national and international conferences and has publications to his credit. Currently he is working on Irrigant flow rates and endodontic pain management.
Adequate pain management is an essential key to success in both endodontics and restorative dentistry. There are several ways to reduce pain during and after the root canal treatment, one of them being administering analgesics preoperatively and/or postoperatively. Single oral preoperative dosage before root canal treatment may decrease the establishment of central sensitization, whereby spinal neurons increase their responsiveness to peripheral nociceptive input which could amplify postoperative pain and it is also helpful in reducing the postoperative analgesic intake. Whether pre-emptive analgesia is more effective than preventive regimens in managing postoperative pain is still controversial. Aim: To evaluate the postoperative pain levels and analgesic intake on pre- emptive versus postoperative oral administration of Paracetmol in single visit root canal treatment.
* To evaluate the post operative pain levels.
* To evaluate the postoperative analgesic intake.
Materials and methods: 100 patients who presented with symptomatic irreversible pulpitis and with a moderate to severe base line VAS scores were selected for the study and were randomly allocated into two groups as follows
Group I: Pre-emptive group (n=50)
Group II: Preventive group (n=50)
Patients in group I were administered preoperatively with 600mg of Paracetmol tablet 1 hour before the procedure, where as in group II patients were not administred any analgesic preoperatively. The treatment procedure was finished in single visit and 200mg Paracetmol tablet was admistered 8 hourly in both the groups. The patients were asked to take tablets only when required and evaluated for pain scores and analgesic intake at 6,24,48,72 hour intervals. Results: There was a statistical significant decrease (p<0.05) in pain levels in Pre emptive group compared to preventive group at 6,24,48 and 72 hours and the significant decrease in tablet intake in group I was seen at 24 and 48 hours where as the intake was almost nil at 72 hours in both the groups.Conclusion: Within the limitations of the present study, it can be concluded that preemptive analgesic administration was benificial in reduction of postoperative pain levels and analgesic intake in patients with symptomatic irreversible pulpitis undergoing single visit root canal treatment.