E-ISSN 2548-0839
Volume : 7 Issue : 3 Year : 2024

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European Endodontic Journal Effectiveness of Single Dose Premedication of Piroxicam and Prednisolone on Post Endodontic Pain in One Visit Root Canal Treatment: A Randomized Clinical Trial [Eur Endod J]
Eur Endod J. 2022; 7(3): 187-192 | DOI: 10.14744/eej.2022.24119

Effectiveness of Single Dose Premedication of Piroxicam and Prednisolone on Post Endodontic Pain in One Visit Root Canal Treatment: A Randomized Clinical Trial

Anum Tanwir1, Shahbaz Ahmed2, Hira Akhtar2, Umair Wahid2, Maria Shakoor Abbasi3, Naseer Ahmed3
1Department of Pediatric Dentistry, Baqai Medical University (BMU), Karachi, Pakistan
2Department of Operative Dentistry & Endodontics, Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences (DIKIOHS) at Dow University of Health Sciences (DUHS), Karachi, Pakistan
3Department of Prosthodontics, Altamash Institute of Dental Medicine (AIDM), Karachi, Pakistan

Objective: The objective of this study was to compare the effectiveness of premedication drugs including single dose Piroxicam and Prednisolone in regard to post endodontic pain at different time intervals (24, 48, 72 and 96 hours) after single visit root canal treatment.
Methods: This randomized clinical trial (registration no. NCT04124822) was performed in operative dentistry department of a private clinical institute. One hundred twenty patients identified with symptomatic irreversible pulpitis were included in the study. The pain intensity levels were marked through the use of visual analog scale (VAS) before the commencement of treatment. The participants were randomly allocated in three groups, Group I (n=40) received no medication (control), Group II (n=40) received Piroxicam (20 mg) and Group III (n=40) received Prednisolone (20 mg). The drugs were administered thirty minutes before the endodontic procedure was initiated. Root canal treatmentwas carried out followed by placement of provisional restoration in a single appointment. The patients were instructed to continue marking their pain intensity levels after 24, 48, 72 and 96 hours using VAS. All patients were called for follow up after 4 days for clinical evaluation and the placement of permanent restoration. The effectiveness of each drug over different time interval was studied employing ANOVA test. The significance level was set at P≤0.05.
Results: The results of the present study revealed that a higher percentage of patients in all 3 groups, reported no post-operative pain at all evaluated time durations (24, 48, 72, and 96 hours). However, the long term effectiveness (96 hours) of both drugs to reduce post-endodontic pain was observed to be statistically insignificant. There was no significant difference in demographic data in terms of age (P=0.14), gender (P=0.12), whilst tooth type (P≤0.05) showed statistically significant value.
Conclusion: Pre-medication with either single dose piroxicam or prednisolone was able to prevent post-endodontic pain in patients with symptomatic irreversible pulpitis. (EEJ-2021-07-129)

Keywords: Endodontic treatment, piroxicam, prednisolone, post-endodontic pain, pre-medication

Anum Tanwir, Shahbaz Ahmed, Hira Akhtar, Umair Wahid, Maria Shakoor Abbasi, Naseer Ahmed. Effectiveness of Single Dose Premedication of Piroxicam and Prednisolone on Post Endodontic Pain in One Visit Root Canal Treatment: A Randomized Clinical Trial. Eur Endod J. 2022; 7(3): 187-192

Corresponding Author: Anum Tanwir
Manuscript Language: English
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