Evaluation of pretreatment analgesia and endodontic treatment for postoperative endodontic pain

被引:77
作者
Attar, Sayeed [1 ]
Bowles, Walter R. [2 ]
Baisden, Michael K. [2 ]
Hodges, James S. [3 ]
McClanahan, Scott B. [2 ]
机构
[1] Private Practice, Plymouth, MN USA
[2] Univ Minnesota, Div Endodont, Minneapolis, MN USA
[3] Univ Minnesota, Div Stat, Minneapolis, MN USA
关键词
analgesia; endodontic pain; preemptive;
D O I
10.1016/j.joen.2008.02.017
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
This study compares single-dose ibuprofen pretreatment for postoperative endodontic pain. Thirty-nine emergent patients were randomly assigned to 3 groups: placebo, ibuprofen tablets, or ibuprofen liquigels. Patients recorded their pain levels before and at the end of treatment, then every 6 hours for 24 hours after administration of the medications and standard endodontic treatment. Pain evaluations by using 3 pain scales (visual analog scale [VAS], category, and Heft-Parker) were highly correlated, suggesting the rationale for only using one pain scale in pain studies. No significant differences in postoperative pain levels were found between either single-dose ibuprofen formulation or the placebo control group (P = .84). Patients treated with calcium hydroxide versus obturation did not differ in postoperative pain levels (P = .44). This study suggests that single-dose pretreatment analgesia alone in endodontic pain patients will not significantly reduce postoperative pain below the reduction in pain from endodontic treatment.
引用
收藏
页码:652 / 655
页数:4
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