Skip to main content
Erschienen in: Clinical Oral Investigations 4/2008

01.12.2008 | Original Article

Postoperative pain following the use of two different intracanal medications

verfasst von: Tulio G. V. Gama, Julio C. Machado de Oliveira, Ernani C. Abad, Isabela N. Rôças, José F. Siqueira Jr.

Erschienen in: Clinical Oral Investigations | Ausgabe 4/2008

Einloggen, um Zugang zu erhalten

Abstract

This study evaluated the incidence of postoperative pain after intracanal dressings with either 0.12% chlorhexidine digluconate gel (CHX) or a calcium hydroxide/camphorated paramonochlorophenol/glycerin paste (CH/CPMC). Overall, 138 asymptomatic teeth had their canals instrumented under irrigation with 2.5% NaOCl and then dressed with either CH/CPMC or CHX. The incidence of different intensity levels of postoperative pain was registered for the period between appointments. Data revealed that 84% of the total number of cases treated with either medicament showed absence of any level of pain. No case medicated with CH/CPMC and four cases (5.8%) medicated with CHX were categorized as flare-ups. There were no statistically significant differences between all possible comparisons involving the two medicaments in treatment/retreatment cases and teeth with/without apical periodontitis lesions. The low incidence of postoperative pain after the use of both medications, coupled to their antimicrobial effectiveness, gives support to using one or the other in routine treatment/retreatment.
Literatur
1.
Zurück zum Zitat Barnett F, Tronstad L (1989) The incidence of flare-ups following endodontic treatment. J Dent Res 68(special issue):1253 Barnett F, Tronstad L (1989) The incidence of flare-ups following endodontic treatment. J Dent Res 68(special issue):1253
2.
Zurück zum Zitat Gahyva SM, Siqueira JF Jr. (2005) Direct genotoxicity and mutagenicity of endodontic substances and materials as evaluated by two prokaryotic test systems. J Appl Oral Sci 13:387–392CrossRef Gahyva SM, Siqueira JF Jr. (2005) Direct genotoxicity and mutagenicity of endodontic substances and materials as evaluated by two prokaryotic test systems. J Appl Oral Sci 13:387–392CrossRef
3.
Zurück zum Zitat Georgopoulou M, Anastasiadis P, Sykaras S (1986) Pain after chemomechanical preparation. Int Endod J 19:309–314PubMedCrossRef Georgopoulou M, Anastasiadis P, Sykaras S (1986) Pain after chemomechanical preparation. Int Endod J 19:309–314PubMedCrossRef
4.
Zurück zum Zitat Glennon JP, Ng YL, Setchell DJ, Gulabivala K (2004) Prevalence of and factors affecting postpreparation pain in patients undergoing two-visit root canal treatment. Int Endod J 37:29–37PubMedCrossRef Glennon JP, Ng YL, Setchell DJ, Gulabivala K (2004) Prevalence of and factors affecting postpreparation pain in patients undergoing two-visit root canal treatment. Int Endod J 37:29–37PubMedCrossRef
5.
Zurück zum Zitat Grecca FS, Leonardo MR, da Silva LA, Tanomaru Filho M, Borges MA (2001) Radiographic evaluation of periradicular repair after endodontic treatment of dog’s teeth with induced periradicular periodontitis. J Endod 27:610–612PubMedCrossRef Grecca FS, Leonardo MR, da Silva LA, Tanomaru Filho M, Borges MA (2001) Radiographic evaluation of periradicular repair after endodontic treatment of dog’s teeth with induced periradicular periodontitis. J Endod 27:610–612PubMedCrossRef
6.
Zurück zum Zitat Harrison JW, Baumgartner JC, Svec TA (1983) Incidence of pain associated with clinical factors during and after root canal therapy. Part 1. Interappointment pain. J Endod 9:384–387PubMedCrossRef Harrison JW, Baumgartner JC, Svec TA (1983) Incidence of pain associated with clinical factors during and after root canal therapy. Part 1. Interappointment pain. J Endod 9:384–387PubMedCrossRef
7.
Zurück zum Zitat Heling I, Steinberg D, Kenig S, Gavrilovich I, Sela MN, Friedman M (1992) Efficacy of a sustained-release device containing chlorhexidine and Ca(OH)2 in preventing secondary infection of dentinal tubules. Int Endod J 25:20–24PubMedCrossRef Heling I, Steinberg D, Kenig S, Gavrilovich I, Sela MN, Friedman M (1992) Efficacy of a sustained-release device containing chlorhexidine and Ca(OH)2 in preventing secondary infection of dentinal tubules. Int Endod J 25:20–24PubMedCrossRef
8.
Zurück zum Zitat Imura N, Zuolo ML (1995) Factors associated with endodontic flare-ups: a prospective study. Int Endod J 28:261–265PubMedCrossRef Imura N, Zuolo ML (1995) Factors associated with endodontic flare-ups: a prospective study. Int Endod J 28:261–265PubMedCrossRef
9.
Zurück zum Zitat Maddox D, Walton R, Davis C (1977) Incidence of post treatment endodontic pain related to medicaments and other factors. J Endod 3:447–452CrossRef Maddox D, Walton R, Davis C (1977) Incidence of post treatment endodontic pain related to medicaments and other factors. J Endod 3:447–452CrossRef
10.
Zurück zum Zitat McGurkin-Smith R, Trope M, Caplan D, Sigurdsson A (2005) Reduction of intracanal bacteria using GT rotary instrumentation, 5.25% NaOCl, EDTA, and Ca(OH)2. J Endod 31:359–363PubMedCrossRef McGurkin-Smith R, Trope M, Caplan D, Sigurdsson A (2005) Reduction of intracanal bacteria using GT rotary instrumentation, 5.25% NaOCl, EDTA, and Ca(OH)2. J Endod 31:359–363PubMedCrossRef
11.
Zurück zum Zitat Morse DR, Koren LZ, Esposito JV, Goldberg JM, Sinai IH, Furst ML (1986) Asymptomatic teeth with necrotic pulps and associated periapical radiolucencies: relationship of flare-ups to endodontic instrumentation, antibiotic usage and stress in three separate practices at three different time periods. Parts 1–5. Int J Psychosom 33:5–87PubMed Morse DR, Koren LZ, Esposito JV, Goldberg JM, Sinai IH, Furst ML (1986) Asymptomatic teeth with necrotic pulps and associated periapical radiolucencies: relationship of flare-ups to endodontic instrumentation, antibiotic usage and stress in three separate practices at three different time periods. Parts 1–5. Int J Psychosom 33:5–87PubMed
12.
Zurück zum Zitat Ohara P, Torabinejad M, Kettering JD (1993) Antibacterial effects of various endodontic irrigants on selected anaerobic bacteria. Endod Dent Traumatol 9:95–100PubMedCrossRef Ohara P, Torabinejad M, Kettering JD (1993) Antibacterial effects of various endodontic irrigants on selected anaerobic bacteria. Endod Dent Traumatol 9:95–100PubMedCrossRef
13.
Zurück zum Zitat Peters LB, van Winkelhoff AJ, Buijs JF, Wesselink PR (2002) Effects of instrumentation, irrigation and dressing with calcium hydroxide on infection in pulpless teeth with periapical bone lesions. Int Endod J 35:13–21PubMedCrossRef Peters LB, van Winkelhoff AJ, Buijs JF, Wesselink PR (2002) Effects of instrumentation, irrigation and dressing with calcium hydroxide on infection in pulpless teeth with periapical bone lesions. Int Endod J 35:13–21PubMedCrossRef
14.
Zurück zum Zitat Rosenthal S, Spangberg L, Safavi K (2004) Chlorhexidine substantivity in root canal dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98:488–492PubMedCrossRef Rosenthal S, Spangberg L, Safavi K (2004) Chlorhexidine substantivity in root canal dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98:488–492PubMedCrossRef
15.
Zurück zum Zitat Siqueira JF Jr, de Uzeda M (1996) Disinfection by calcium hydroxide pastes of dentinal tubules infected with two obligate and one facultative anaerobic bacteria. J Endod 22:674–676PubMedCrossRef Siqueira JF Jr, de Uzeda M (1996) Disinfection by calcium hydroxide pastes of dentinal tubules infected with two obligate and one facultative anaerobic bacteria. J Endod 22:674–676PubMedCrossRef
16.
Zurück zum Zitat Siqueira JF Jr, Lopes HP (1999) Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J 32:361–369PubMedCrossRef Siqueira JF Jr, Lopes HP (1999) Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J 32:361–369PubMedCrossRef
17.
Zurück zum Zitat Siqueira JF Jr, Rôças IN, Favieri A, Machado AG, Gahyva SM, Oliveira JC, Abad EC (2002) Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 28:457–460PubMedCrossRef Siqueira JF Jr, Rôças IN, Favieri A, Machado AG, Gahyva SM, Oliveira JC, Abad EC (2002) Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 28:457–460PubMedCrossRef
18.
Zurück zum Zitat Siqueira JF Jr, Barnett F (2004) Interappointment pain: mechanisms, diagnosis, and treatment. Endod Topics 7:93–109CrossRef Siqueira JF Jr, Barnett F (2004) Interappointment pain: mechanisms, diagnosis, and treatment. Endod Topics 7:93–109CrossRef
19.
Zurück zum Zitat Siqueira JF Jr (2005) Reaction of periradicular tissues to root canal treatment: benefits and drawbacks. Endod Topics 10:123–147CrossRef Siqueira JF Jr (2005) Reaction of periradicular tissues to root canal treatment: benefits and drawbacks. Endod Topics 10:123–147CrossRef
20.
Zurück zum Zitat Siqueira JF Jr, Guimarães-Pinto T, Rôças IN (2007) Effects of chemomechanical preparation with 2.5% sodium hypochlorite and intracanal medication with calcium hydroxide on cultivable bacteria in infected root canals. J Endod 33:800–805PubMedCrossRef Siqueira JF Jr, Guimarães-Pinto T, Rôças IN (2007) Effects of chemomechanical preparation with 2.5% sodium hypochlorite and intracanal medication with calcium hydroxide on cultivable bacteria in infected root canals. J Endod 33:800–805PubMedCrossRef
21.
Zurück zum Zitat Siqueira JF Jr, Magalhães KM, Rôças IN (2007) Bacterial reduction in infected root canals treated with 2.5% NaOCl as an irrigant and calcium hydroxide/camphorated paramonochlorophenol paste as an intracanal dressing. J Endod 33:667–672PubMedCrossRef Siqueira JF Jr, Magalhães KM, Rôças IN (2007) Bacterial reduction in infected root canals treated with 2.5% NaOCl as an irrigant and calcium hydroxide/camphorated paramonochlorophenol paste as an intracanal dressing. J Endod 33:667–672PubMedCrossRef
22.
Zurück zum Zitat Siqueira JF Jr., Rôças IN, Paiva SS, Guimarães-Pinto T, Magalhães KM, Lima KC (2007) Bacteriologic investigation of the effects of sodium hypochlorite and chlorhexidine during the endodontic treatment of teeth with apical periodontitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:122–130PubMedCrossRef Siqueira JF Jr., Rôças IN, Paiva SS, Guimarães-Pinto T, Magalhães KM, Lima KC (2007) Bacteriologic investigation of the effects of sodium hypochlorite and chlorhexidine during the endodontic treatment of teeth with apical periodontitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:122–130PubMedCrossRef
23.
Zurück zum Zitat Sjögren U, Figdor D, Spangberg L, Sundqvist G (1991) The antimicrobial effect of calcium hydroxide as a short-term intracanal dressing. Int Endod J 24:119–125PubMedCrossRef Sjögren U, Figdor D, Spangberg L, Sundqvist G (1991) The antimicrobial effect of calcium hydroxide as a short-term intracanal dressing. Int Endod J 24:119–125PubMedCrossRef
24.
Zurück zum Zitat Tanomaru Filho M, Leonardo MR, Silva LAB, Anibal FF, Faccioli LH (2002) Inflammatory response to different endodontic irrigating solutions. Int Endod J 35:735–739PubMedCrossRef Tanomaru Filho M, Leonardo MR, Silva LAB, Anibal FF, Faccioli LH (2002) Inflammatory response to different endodontic irrigating solutions. Int Endod J 35:735–739PubMedCrossRef
25.
Zurück zum Zitat Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Dwyer TG, Tobias TS (1988) Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 14:261–266PubMedCrossRef Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Dwyer TG, Tobias TS (1988) Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 14:261–266PubMedCrossRef
26.
Zurück zum Zitat Trope M (1990) Relationship of intracanal medicaments to endodontic flare-ups. Endod Dent Traumatol 6:226–229PubMedCrossRef Trope M (1990) Relationship of intracanal medicaments to endodontic flare-ups. Endod Dent Traumatol 6:226–229PubMedCrossRef
27.
Zurück zum Zitat Walton R, Fouad A (1992) Endodontic interappointment flare-ups: a prospective study of incidence and related factors. J Endod 18:172–177PubMedCrossRef Walton R, Fouad A (1992) Endodontic interappointment flare-ups: a prospective study of incidence and related factors. J Endod 18:172–177PubMedCrossRef
28.
Zurück zum Zitat Walton RE, Holton IF Jr., Michelich R (2003) Calcium hydroxide as an intracanal medication: effect on posttreatment pain. J Endod 29:627–629PubMedCrossRef Walton RE, Holton IF Jr., Michelich R (2003) Calcium hydroxide as an intracanal medication: effect on posttreatment pain. J Endod 29:627–629PubMedCrossRef
29.
Zurück zum Zitat Yoldas O, Topuz A, Isci AS, Oztunc H (2004) Postoperative pain after endodontic retreatment: single- versus two-visit treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98:483–487PubMedCrossRef Yoldas O, Topuz A, Isci AS, Oztunc H (2004) Postoperative pain after endodontic retreatment: single- versus two-visit treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98:483–487PubMedCrossRef
Metadaten
Titel
Postoperative pain following the use of two different intracanal medications
verfasst von
Tulio G. V. Gama
Julio C. Machado de Oliveira
Ernani C. Abad
Isabela N. Rôças
José F. Siqueira Jr.
Publikationsdatum
01.12.2008
Verlag
Springer-Verlag
Erschienen in
Clinical Oral Investigations / Ausgabe 4/2008
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-008-0199-3

Weitere Artikel der Ausgabe 4/2008

Clinical Oral Investigations 4/2008 Zur Ausgabe

Parodontalbehandlung verbessert Prognose bei Katheterablation

19.04.2024 Vorhofflimmern Nachrichten

Werden Personen mit Vorhofflimmern in der Blanking-Periode nach einer Katheterablation gegen eine bestehende Parodontitis behandelt, verbessert dies die Erfolgsaussichten. Dafür sprechen die Resultate einer prospektiven Untersuchung.

Invasive Zahnbehandlung: Wann eine Antibiotikaprophylaxe vor infektiöser Endokarditis schützt

11.04.2024 Endokarditis Nachrichten

Bei welchen Personen eine Antibiotikaprophylaxe zur Prävention einer infektiösen Endokarditis nach invasiven zahnärztlichen Eingriffen sinnvoll ist, wird diskutiert. Neue Daten stehen im Einklang mit den europäischen Leitlinienempfehlungen.

Zell-Organisatoren unter Druck: Mechanismen des embryonalen Zahnwachstums aufgedeckt

08.04.2024 Zahnmedizin Nachrichten

Der Aufbau von Geweben und Organen während der Embryonalentwicklung wird von den Zellen bemerkenswert choreografiert. Für diesen Prozess braucht es spezielle sogenannte „Organisatoren“. In einer aktuellen Veröffentlichung im Fachjournal Nature Cell Biology berichten Forschende durch welchen Vorgang diese Organisatoren im Gewebe entstehen und wie sie dann die Bildung von Zähnen orchestrieren.

Die Oralprophylaxe & Kinderzahnheilkunde umbenannt

11.03.2024 Kinderzahnmedizin Nachrichten

Infolge der Umbenennung der Deutschen Gesellschaft für Kinderzahnheilkunde in Deutsche Gesellschaft für Kinderzahnmedizin (DGKiZ) wird deren Mitgliederzeitschrift Oralprophylaxe & Kinderzahnheilkunde in Oralprophylaxe & Kinderzahnmedizin umbenannt. Aus diesem Grunde trägt die erste Ausgabe in 2024 erstmalig den neuen Titel.

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.