Comparative Evaluation of Laser and Ibuprofen on the Success of Inferior Alveolar Nerve Block in Irreversible Pulpitis. A Clinical Study
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 8
Abstract
Introduction: Pain control during endodontic treatment in irreversible pulpitis cases with inferior alveolar nerve block is difficult, more-so in the case of mandibular molars. The present study evaluated the effect of premedication with nonsteroidal anti-inflammatory drug and low level laser therpy on local anaesthesia during endodontic treatment. Material and methods: 150 patients (50 per group) with irreversible pulpitis were 600 mg ibuprofen, or low level laser irradiation and placebo 1 hour before local anesthesia. Each patient recorded their pain score on a visual analog scale before taking the medication, 15 minutes after anesthesia in response to a cold test, during access cavity preparation and during root canal instrumentation. No or mild pain at any stage was considered a success. Data were analyzed by the chi-square and analysis of variance tests. Results: Overall success rates for, ibuprofen, and low level laser and placebo were 76%, 60%, and 34%, respectively (p < 0.001). Ibuprofen and low level laser were significantly better than placebo (p < 0.01). There was no difference between ibuprofen and laser (p = 0.24). Conclusions: Premedication with ibuprofen and low level laser significantly increased the success rates of inferior alveolar nerve block anesthesia for teeth with irreversible pulpitis.
Authors and Affiliations
Shahnaz Nabi, Ajaz Masoodi, Riyaz Farooq, Aamir Rashid, Fayaz Ahmad
Keywords
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