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Pre‐operative ketorolac efficacy with different anesthetics, irrigants during single visit root canal treatment of mandibular molars with acute irreversible pulpitis
Author(s) -
Nivedha V.,
Sherwood I. Anand,
Abbott Paul V.,
Ramaprabha B.,
Bhargavi P.V.
Publication year - 2020
Publication title -
australian endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.703
H-Index - 34
eISSN - 1747-4477
pISSN - 1329-1947
DOI - 10.1111/aej.12407
Subject(s) - articaine , medicine , molar , ketorolac tromethamine , anesthesia , ketorolac , root canal , lidocaine , dentistry , pulpitis , local anesthetic , anesthetic , local anesthesia , analgesic , pulp (tooth)
Mandibular molar teeth with acute irreversible pulpitis pose challenges in single visit root canal treatment – (i) success of local anaesthesia and (ii) post‐operative pain. One hundred and twenty‐six patients with pain associated with carious mandibular molar teeth were enrolled. All patients were administered 10 mg of ketorolac tromethamine prior to local anaesthesia. Local anesthetics used were 2% lignocaine with 1:80 000 adrenaline and 4% articaine with 1:100 000 adrenaline. Three irrigation solutions were used – saline, 3% sodium hypochlorite and dexamethasone. Mean intra‐operative pain scores for the lignocaine and articaine groups were 4.33 (±2.58) and 4.22 (±2.88), respectively. There was a statistically significant difference ( P = 0.000) in post‐operative pain incidence between the lignocaine and articaine groups with 16.7% (10 patients) and 49.2% (29 patients), respectively. Pre‐operative ketorolac tromethamine was not effective in reducing the intra‐operative pain incidence. However, it was effective in controlling post‐operative pain with lignocaine anesthetic group.