ANALYSIS OF POST-OPERATIVE PAIN IN ROOT CANAL THERAPY USING CALCIUM HYDROXIDE (CA(OH)₂)-BASED SEALER
Main Article Content
Keywords
Analgesic consumption, Calcium hydroxide-based sealers, Healing outcomes, Post-operative pain, Root canal therapy
Abstract
Background: Post-operative pain is a common concern in root canal therapy (RCT), affecting patient comfort and treatment outcomes. Calcium hydroxide (Ca(OH)₂)-based sealers are hypothesized to provide better pain relief and healing due to their anti-inflammatory and antimicrobial properties.
Objective: To evaluate the impact of Ca(OH)₂-based sealers on post-operative pain, analgesic consumption, and healing outcomes compared to non-Ca(OH)₂-based sealers in RCT.
Study Design & Setting: This experimental study was conducted at Sharif Medical & Dental College, Lahore over six months from Jan 2023 to June 2023.
Methodology: A total of 150 patients were randomly allocated into two groups: an experimental group using Ca(OH)₂-based sealers and a control group using non-Ca(OH)₂-based sealers. Standardized RCT procedures were performed, and post-operative pain was assessed using a visual analog scale (VAS) at 6, 24, 48, and 72 hours. Analgesic consumption and healing outcomes were also recorded. Statistical analysis was performed using SPSS version 25.0, with p < 0.05 considered significant.
Results: The experimental group demonstrated significantly lower pain scores at all-time points (p < 0.001). Analgesic consumption was reduced in the experimental group, with 24% requiring pain relief compared to 51% in the control group (p < 0.001). Complete healing was observed in 90.7% of the experimental group compared to 74.7% of the control group (p = 0.01).
Conclusion: Ca(OH)₂-based sealers significantly reduce post-operative pain, lower analgesic requirements, and enhance healing outcomes, making them an effective choice for improving RCT success.
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Sarah Shami
BDS,FCPS(Operative Dentistry and Endodontics), Assistant Professor Operative Dentistry department,HBS Medical and Dental College, Islamabad
Zobia Batool
BDS Bahria University of Health Sciences Campus Karcahi,
Muhammad Moazzam
Associate Professor, Operative Dentistry Department, Sharif Medical & Dental College, Lahore
Nayab Amin
BDS, MPhil, Assistant Professor, Dental Materials, Rehman College of Dentistry, Peshawar, Pakistan,
Kashif Haroon
BDS M Orth RCS Ed(UK), CHPE, Assistant Professor Orthodontics department Azra Naheed Dental College/ Superior university
Maria Noor
Assistant Professor Department of Oral Medicine, FMH College of Medicine and Dentistry Lahore