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[Clinical study on preventing endodontic interappointment pain with dexamethasone]
1Department of Oral Medicine, School of Stomatology, Sun Yat-sen University of Medical Sciences, Guangzhou 510060, China.
Summary
Local injection of dexamethasone significantly reduces endodontic interappointment pain (EIP). This study found a lower incidence of EIP in patients receiving dexamethasone compared to the control group.
Area of Science:
- Endodontics
- Pharmacology
- Pain Management
Context:
- Endodontic interappointment pain (EIP) is a common complication following root canal therapy.
- Effective pain management strategies are crucial for patient comfort and treatment success.
Purpose:
- To evaluate the efficacy of a local submucosal injection of 5 mg dexamethasone in reducing the incidence of EIP.
- To compare EIP rates between a dexamethasone treatment group and a control group.
Summary:
- A submucosal injection of 5 mg dexamethasone was administered to the apical region of 80 teeth undergoing root canal therapy for asymptomatic pulp necrosis.
- The incidence of EIP was significantly lower in the dexamethasone group (10.00%) compared to the control group (33.75%), with a P < 0.01.
- Ordinal logistic regression indicated that EIP was associated with tooth location, presence of a fistula, and the root canal therapy procedure itself.
Impact:
- Local dexamethasone injection offers a promising method for decreasing endodontic interappointment pain.
- This intervention can potentially improve patient experience and satisfaction during root canal treatments.