الفهرس | Only 14 pages are availabe for public view |
Abstract Aim: To evaluate the effect of piroxicam (20mg) compared to placebo on post-endodontic pain after single-visit endodontic treatment of mandibular molars with non-vital pulp. Methodology: Seventy patients were included. Following confirming the diagnosis clinically and radiographically, patients were randomly divided into two groups equally (n=35), piroxicam and placebo. The preoperative medications were given 1hour before the standard root canal treatment began. Standard endodontic treatment was performed in a single visit using ProTaper Next instrument in a crown-down technique and 2.5% sodium hypochlorite for irrigation then obturation using the modified single cone technique. The pain was assessed using the 11-point the numerical rating scale (NRS) 6h, 12h, 24h, 48h, 72h and 1w postoperatively. Data were collected and statistically analyzed significant was set at p > 0.05. Results: Piroxicam should statistically significantly less postoperative pain level and incidence at 6, 12 and 24 hours and statistically significantly less level of pain on perccession 7 days after treatment. Patient receiving piroxicam required fewer analgesic tablets than those receiving placebo at the 6-12 hours interval (p>0.05). Conclusions: A preoperative single oral dose of piroxicam can be effective in reducing endodontic postoperative pain within 24 hours after treatment and the number of rescue analgesic tablets taken by the patient within the 6-12 hours interval compared to placebo in patient with mandibular molars having a non-vital pulp treated in a single visit. |