IBUPROFEN VERSUS ACETAMINOPHEN PREMEDICATION ON SUCCESS OF INFERIOR ALVEOLAR NERVE BLOCK IN IRREVERSIBLE PULPITIS

Inferior Alveolar Nerve Block

Abstract

Objectives: To compare impact of ibuprofen and acetaminophen premedication on the efficacy of inferior alveolar nerve block in irreversible pulpitis.
Study Design: Randomized controlled trial.
Place and duration: Operative Department, AFID Rawalpindi from 18 September 2007 to 17 September 2008.
Patients and Methods: Three hundred and sixty patients with irreversible pulpitis were divided into two groups. At base line patients pain was recorded. Ibuprofen was given to patients in group A and acetaminophen to group B patients. Patients were given drugs in tablet form. After 30 minutes cold test with ethyl chloride was done and patient pain was recorded on visual analogue scale. Inferior alveolar nerve block was administered. Forty five minutes from base line cold test was performed and pain was recorded. Access to the endodontic cavity with round bur in high speed handpiece was made and patient response was noted. Inferior alveolar nerve block was successful if patient had no pain to cold test at 45 minutes and on access to cavity preparation. Data was analyzed by SPSS version 12.
Results: There was no statistically significant difference between ibuprofen and acetaminophen on success rate of inferior alveolar nerve block in patient with irreversible pulpitis.
Conclusions: Ibuprofen and acetaminophen premedication has similar efficacy on success of inferior alveolar nerve block in patients with irreversible pulpitis.