Effect of Premedication with Ibuprofen and Meloxicam on the efficacy of Inferior Alveolar Nerve Block in Irreversible Pulpitis
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 5
Abstract
Pain relief 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 non-steroidal antiinflammatory drugs on local anaesthesia during endodontic therapy. In a prospective, randomised, double blinded clinical trial, 75 patients (25 per group) with symptomatic irreversible pulpitis were selected. They were given either placebo, 600 mg ibuprofen, or 7.5mg meloxicam an hour before local anaesthesia. Each participant recorded their pain score on a 10 centimetre visual analogue scale four times during the procedure. Pain was recorded: 1) before taking the analgesic, 2) 15 minutes after anaesthesia in response to an electric pulp test, 3) during access cavity preparation and 4) during biomechanical preparation. No or mild pain at any stage was reported as success. Data were analysed by the Kruskal-Wallis and one way analysis of variance tests. Ibuprofen and meloxicam showed significantly better results than placebo (p<0.05). The success rates were 92%, 88% and 60% for ibuprofen, meloxicam and placebo, respectively. There was no significant difference between ibuprofen and meloxicam (p>0.05). The study concludes premedication with ibuprofen and meloxicam significantly enhances the effectiveness of local anaesthesia in patients with irreversible pulpitis
Authors and Affiliations
Dr Suman Lamba
Keywords
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