Inter-appointment endodontic pain comparison between calcium hydroxide and triple antibiotic paste

https://doi.org/10.53730/ijhs.v7nS1.14463

Authors

  • Amna Bilal Chief Operating officer at DentoScope Institute of Advanced Dentistry Rawalpindi
  • Zahid Naeem Resident Prosthodontics bacha khan dental college Mardan
  • Usama Ijaz Lecturer KMU-IDS
  • Sadia Akram Assistant Professor Dental Materials, Abbottabad International Medical Institute, Abbottabad
  • Noorma Amjed House Officer at Margalla Institute of Health Sciences
  • Muhammad Harris Zia Assistant Professor Periodontology, Sir Syed Girls College, Karachi

Keywords:

triple antibiotic paste, calcium hydroxide, inter-appointment endodontic pain

Abstract

One of the biggest sources of dread for patients and a top concern for dentists is the anticipation and reality of root canal-related pain.1 Pain is defined as "an unpleasant sensory and emotional experience associated with actual or potential damage or described in terms of such damage" by the International Associates for the Study of Pain.2 The imbalance in the host-bacteria connection brought on by intra canal operations is the main cause of inter appointment pain. Objectives: The goal of current study was to associate the outcomes of these intracanal medications on pain experienced between endodontic appointments. This would make it easier for us to find better medications to treat discomfort between appointments. Methodology: For a period of six months, from January 6, 2022, to January 1, 2023, this randomized controlled study was carried out in the Dept. of Operative Dentistry at the MIHS in Islamabad, Pakistan. With a 5% level of significance, an 85% power of the trial, and a fraction of effectiveness of 72% with triple antibiotic paste and 38% with calcium hydroxide, a sample size of 80 people, 40 in each group, was estimated. 

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References

Khan AM, Gangoo IK, Ali NA, Khan M, Javed MQ, AlAttas MH, Abulhamael AM, Bahammam HA, Alsofi L, Yahya RS. The effect of calcium hydroxide, triple antibiotic paste and chlorhexidine on pain in teeth with symptomatic apical periodontitis: a randomised controlled trial. International Journal of Environmental Research and Public Health. 2023 Feb 10;20(4):3091.

Chandwani ND, Maurya N, Nikhade P, Chandwani J. Comparative evaluation of antimicrobial efficacy of calcium hydroxide, triple antibiotic paste and bromelain against Enterococcus faecalis: an in vitro study. Journal of Conservative Dentistry: JCD. 2022 Jan;25(1):63.

Guzman S, Caccia M, Cortes O, Bolarin JM, Requena A, Garcia-Godoy A, Garcia-Godoy F, Boj JR. Human root dentin microhardness and degradation by triple antibiotic paste and calcium hydroxide. Am. J. Dent. 2022 Aug 1;35:205-11.

Harshitha VS, Ranjini MA, Nadig RR. Antibacterial efficacy of nisin, calcium hydroxide, and triple antibiotic paste in combination with chitosan as an intracanal medicament against Enterococcus faecalis–An in vitro study. Journal of Conservative Dentistry: JCD. 2022 Sep;25(5):504.

Morsy D, Nageh M. Evaluation of the Antibacterial Activity of Ibuprofen, Triple Antibiotic Paste and Calcium Hydroxide as intracanal medicaments Against Enterococcus faecalis in Single Rooted Teeth. A Comparative Invitro Study. Egyptian Dental Journal. 2022 Apr 1;68(2):1867-74.

Asnaashari M, Mehrabinia P, Yadegari Z, Hoseini H, Sadafi M, Shojaeian S. Evaluation of Antibacterial Effects of Cold Atmospheric Plasma, Calcium Hydroxide, and Triple Antibiotic Paste on Enterococcus faecalis Biofilm in the Root Canal System: An In Vitro Study. Journal of Lasers in Medical Sciences. 2022 Jan 1;13.

Qamar S, Jayanna R, Ahuja VR. Comparative Evaluation of Antimicrobial Efficacy of Calcium Hydroxide, Chlorhexidine, and Triple Antibiotic Paste in Different Combination Forms as Intracanal Medicaments against Enterococcus faecalis in Primary Teeth: An In Vivo Randomized Clinical Trial. International Journal of Clinical Pediatric Dentistry. 2023 Jul 3;16(3):448-52.

Dessai A, Shetty N, Saralaya V, Natarajan S, Mala K. Carnosic Acid as an intracanal medicament performs better than triple antibiotic paste and calcium hydroxide to eradicate Enterococcus faecalis from root canal: An in vitro confocal laser scanning microscopic study. Journal of Conservative Dentistry: JCD. 2022 Jan;25(1):20.

Datta G, Raghu R, Shetty A, Manjunath GP, Patel D, Rajasekhara S. An in vitro comparative evaluation of the effect of three intracanal medicaments–chlorhexidine gel, triple antibiotic paste, and calcium hydroxide paste on the push-out bond strength of MTA Plus, Biodentine, and calcium-enriched mixture. Endodontology. 2023 Jan 1;35(1):60-4.

El-Geleel A. Investigating the Potential of 2% Chlorhexidine as a Vehicle for Enhancing the Antibacterial Effect of Calcium Hydroxide and Triple Antibiotic Paste Intracanal Medicaments in Primary Teeth. Egyptian Dental Journal. 2022 Apr 1;68(2):1231-8.

KOWSIK GE, GARLAPATI R, BOLLA N, VEMURI S, SUNIL CR, NANDIPATI KP. Effect of Calcium Hydroxide (CH), Triple Antibiotic Paste (TAP), Nano-sized CH and Nano-sized TAP as Intracanal Medicament on the Push-out Bond Strength of Biodentine: An In-vitro Study. Journal of Clinical & Diagnostic Research. 2022 Mar 1;16(3).

Joshi K, Bhatt R, Makwani D, Patel F, Patel C, Patel M. Comprehensive Assessment Of Intracoronal Stains Induced Via Triple Antibiotic Paste, Mineral Trioxide Aggregate And Calcium Hydroxide Powder Combined With Aquatic Solution Of Chlorhexidine–An In Vitro Study. Journal of Pharmaceutical Negative Results. 2022 Nov 16:1871-6.

Narayanan S, Teja KV, Ramesh S. Comparative evaluation of inter appointment pain and analgesic intake with calcium hydroxide and triple antibiotic paste as intracanal medicaments in patients with apical periodontitis–a randomized controlled single-blinded clinical trial: Interappointment and analgesic intake on using two different medicaments. Brazilian Dental Science. 2022 Jun 23;25(3).

Muneer M, Choudhry M, Waris S, Iqbal MP, Shahid A, Noureen F. Comparison of Calcium Hydroxidea and Triple Antibiotic Paste on Inter-Appointment Endodontic Pain. Pakistan Journal of Medical & Health Sciences. 2023 Feb 21;17(01):209-.

Riaz S, Azlina A, Mahmood Z, Htun AT. Long-term treatment of dentine with triple antibiotic paste promotes stem cell viability and attachment. Journal of Taibah University Medical Sciences. 2022 Aug 1;17(4):630-9.

Malu K, Khubchandani M. Triple Antibiotic Paste: A Suitable Medicament for Intracanal Disinfection. Cureus. 2022 Sep 15;14(9).

Nisa TU, Gulzar I, Gupta N, Khurana A, Batra R. In-Vitro Evaluation of Antimicrobial Efficacy of Triple Antibiotic Paste with Chitosan Against Enterococcus Faecalis.

Jain G, Sharma S, Rastogi S, Rajkumar B, Boruah LC. In-Vitro Evaluation of Antimicrobial Efficacy of Triple Antibiotic Paste, Metapex and Newly Introduced Iodine Based Asphaline Temp as Intracanal Medicament Against Enterococcus Faecalis.

Moradi S, Moushekhian S, Najafi E, Sedigh HS, Navabi S. Efficacy of propolis and triple antibiotic paste as intra-canal medicaments for revascularisation of immature teeth in dogs: a comparative study. European Archives of Paediatric Dentistry. 2023 Jun 14:1-6.

Published

27-07-2023

How to Cite

Bilal, A., Naeem, Z., Ijaz, U., Akram, S., Amjed, N., & Zia, M. H. (2023). Inter-appointment endodontic pain comparison between calcium hydroxide and triple antibiotic paste. International Journal of Health Sciences, 7(S1), 2151–2157. https://doi.org/10.53730/ijhs.v7nS1.14463

Issue

Section

Peer Review Articles