COMPARISON OF CALCIUM HYDROXIDE PASTE WITH KENACOMB (CORTICOSTEROID-ANTIBIOTIC PASTE) FOR POSTOPERATIVE ENDODONTIC PAIN IN ACUTE APICAL PERIODONTITIS: A RANDOMIZED CONTROLLED TRIAL

Apical Periodontitis

Abstract

Objective: To compare the postoperative endodontic pain following root canal treatment in teeth with acute apical periodontitis, using calcium hydroxide paste and kenacomb as intracanal medicaments.
Study Design: Randomized controlled trial.
Place and Duration of Study: Department of Operative Dentistry Armed Forces Institute of Dentistry (AFID) Rawalpindi from January 2010 to December 2010.
Patients and Methods: Seventy patients with acute apical periodontitis from necrotic pulps were divided into two groups. Calcium hydroxide was given to patients in group A and kenacomb to group B patients as intra-canal medicament in paste form. Endodontic therapy followed a strict clinical regimen that included examination, administration of local anesthetic, establishment of proper access, thorough irrigation and debridement, working length determination, root canal dressing with intra-canal medicament and sealing the access cavity with cavit in between appointments. Post-operative endodontic pain was recorded on visual analogue scale after 04 hours, 24 hours, 48 hours and 72 hours. Data was analyzed by SPSS version 12.
Results: There was no statistically significant difference between calcium hydroxide and kenacomb paste in reducing post-operative endodontic pain in patients with acute apical periodontitis.
Conclusions: Calcium hydroxide and kenacomb paste has similar effect on post-operative endodontic pain in patients with acute apical periodontitis from necrotic pulps.