EFFICACY OF PROPHYLACTIC USE OF ANTIBIOTICS TO AVOID FLARE-UP DURING NON-SURGICAL ROOT CANAL TREATMENT IN TYPE 2 CONTROLLED DIABETIC PATIENTS DIAGNOSED WITH SYMPTOMATIC APICAL PERIODONTITIS
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Keywords
Symptomatic Apical Periodontitis, Prophylactic use, Non-surgical root canal treatment, Type 2 controlled diabetic
Abstract
Background: Non-surgical root canal therapy (NS-RCT) for symptomatic apical periodontitis (AP) is more likely to cause flare-ups in type 2 diabetics because to increased infection and inflammation. The role of prophylactic antibiotics in preventing these flare-ups remains uncertain.
Objective: To evaluate the efficacy of antibiotics as a prophylactic measure to prevent flare-ups during non-surgical root canal treatment in patients with Type 2 controlled diabetics with symptomatic apical periodontitis.
Methods: Department of Operative Dentistry and Endodontic, Institute of Dentistry, Liaquat University of Medical and Health Science Jamshoro/Hyderabad did this quasi-experimental research. Two groups were formed from 110 Type 2 controlled diabetics with symptomatic apical periodontitis receiving NS-RCT. The experimental group (n=55) received 2 gm. of Amoxicillin orally one hour before the first visit, whereas the control group (n=55) received no medicine. In this research, flare-up was defined as moderate to severe pain and swelling within 3 days after endodontic visit and required emergency treatment. Patients were instructed to call the operator if they experienced severe pain or swelling. Patients were reminded to return the proforma within 3 days.
Results: The average age of the experiment group of patients was 41.53±8.21 years and in control group was 44.80±7.13 years. Rate of Flare-up was not statistically significant between groups (p=0.999).
Conclusion: Prophylactic antibiotic treatment may not be necessary to prevent post-endodontic flare-ups in controlled type 2 diabetic patients undergoing non-surgical root canal treatment.
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Shaikh Zaid
FCPS Trainee (Operative Dentistry and Endodontics), Institute of Dentistry, Liaquat University of Medical and Health Science, Jamshoro, Pakistan
Nadia Bashir
Lecturer Operative Dentistry, Bibi Aseefa Dental College, Larkana, Pakistan
Sharjeel
Sharjeel Dental Care, Matiari, Pakistan
Dr Hasan Afaq Zaidi
Assistant Professor Operative Dentistry, Baqai Dental College, Karachi, Pakistan
Muhammad Zohaib Younus
Assistant Professor Paediatric Dentistry, Hamdard University Dental Hospital, Karachi, Pakistan
Moomal Aslam Khan
Senior Lecturer, Department of Pathology, United Medical and Dental College, Karachi, Pakistan