THE EFFECT OF LEDERMIX PASTE AND CALCIUM HYDROXIDE AS INTRACANAL MEDICAMENT ON PAIN AFTER INSTRUMENTATION OF ROOT CANALS

Abstract

Objective: To compare the effect of Ledermix paste and Calcium hydroxide as intracanal medicament on the mean postoperative pain after instrumentation of the root canals.

Study Design: Comparative prospective study.

Place and Duration of Study: Department of Operative Dentistry, Armed Forces Institute of Dentistry, Rawalpindi, from Sep 2017 to Mar 2018.

Methodology: A total of 256 patients (128 patients in each group) were included in the study. Cases were divided into two groups i.e., group-A and group-B randomly based on lottery method dressed with Ledermix paste and Calcium hydroxide respectively. Access cavity was sealed with cavit, each patient was given an evaluation sheet and visual analogue pain scale was explained.

Results: Mean age of the patients was 27.45 ± 7.52 and 26.77 ± 7.32 years in group-A and B, respectively. In group-A 80 patients (62.5%) and in group-B 63 patients (49.2%) were males while 48 patients (37.5%) from group-A and 65 patients (50.8%) from group-B were females. Comparison of mean pain score after 72 hours shown statistically significant difference between group-A and group-B (1.90 ± 1.52 vs. 3.47 ± 2.16) with p-value <0.001.

Conclusion: Calcium hydroxide was found inferior to ledermix treatment in controlling the postoperative pain after instrumentation of the root canals.