October 2020 Vol. 8 No.10

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Original Research Article

Effect of Ledermix Paste versus Calcium Hydroxide on Inter-Appointment Pain during Root Canal Therapy

Sohaib Siddique^1*, Faizan Ali², Batool Zahara³, Abid Hussain⁴, Wajiha Jabeen⁵, Sundas Ghaus⁶

¹Senior Registrar, Department of Periodontics, Shifa College of Dentistry, Islamabad, Pakistan.
²Dental Surgeon, Department of Orthodontics, The Children Hospital and Institute of Child Health, Lahore, Pakistan.
³Assistant Professor; Head of Department, Department of Periodontics, Foundation College of Dentistry, Islamabad, Pakistan.
⁴Ayub Medical College, Abbottabad, Lecturer Operative Dentistry.
⁵Assistant Professor; Head of Department, Department of Periodontics, Hitec I.M.S (Dental College) Taxila Cantt. Pakistan.
⁶Demonstrator, Department of Dental Materials, Shifa College of Dentistry, Islamabad.

*Corresponding Author's Email: sohaib.scd@stmu.edu.pk

Received: 07 October 2020  I  Accepted: 21 October 2020  I  Published: 23 October 2020  I  Article ID: MRJMMS-20-159
Copyright © 2020 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0.

Abstract

Endodontic post-treatment pain is one of the significant problems faced by the dentist. In patients with necrotic teeth and acute apical periodontitis inter-appointment pain during root canal treatment is a common finding. The objective of the study is to compare the efficacy of Ledermix paste and Calcium hydroxide on inter-appointment pain during root canal treatment in patients with acute apical periodontitis. In this comparative prospective study trial, sixty patients who were undergoing dental treatment in Islamic international dental hospital, Islamabad were selected after fulfilling the inclusion and exclusion criteria. All patients were randomly allocated in two groups. Group 1: consists of 30 patients and were treated with Ledermix paste while Group 2: include 30 patients treated with Calcium hydroxide for inter-appointment pain during root canal treatment. All Patients were interviewed regarding pain during the inter-appointment period. Visual analogue scale (VAS) was used to record pain in every patient. Independent samples t-test was used to compare mean pain score in two groups. The minimum pain score among patients was 1 and maximum was 4 with mean and standard deviation 2.95 ± 1.01. There was a significant difference found between pain score and groups i.e. Group 1 (Ledermix paste), Group 2 (Calcium hydroxide) with p-value < 0.001. Both Ledermix and Calcium hydroxide reduces the inter appointment pain in patients but Ledermix paste is more effective in pain control. Recommendation for the intracanal medicament i.e. Ledermix should be used in routine endodontic therapy.

Keywords: Calcium hydroxide, Endodontic therapy, Ledermix paste, Root canal treatment