COMPARISION OF DIFFERENT INTRACANAL MEDICAMENTS IN DECREASING POST OPERATIVE PAIN AFTER ROOT CANAL TREATMENT

To compare the efficacy of different intracanal medicaments in reducing postoperative pain at different time intervals in necrotic teeth with apical periodontitis. Study Design: Observational cross sectional Place and duration of study: 128 Military Dental Unit (MDU), Dera Nawab Sahib from September 2023 to June 2024. Methodology: Two hundred and four (204) gender matched patients of symptomatic apical periodontitis (SAP) and asymptomatic apical periodontitis (AAP) were selected after applying inclusion and exclusion criteria. They were divided into four groups based on treatment modality used. Mean ± SD pain score (0 -10) was measured pre and post operatively. Independent sample t test and ANOVA were employed to gauge any significant difference between these treatment modalities. P<0.05 was taken as statistically significant. Results: Out of total 204 patients included in our study, 103 (50.5%) were male and 101(49.5%) were female. Mean age of study population was 36.71±7.99 years. Majority of the patients (67.1%) belonged to age group 20-40 years. There was statistically significant difference observed at all levels of management (p<0.05). Calcium hydroxide had the best results in terms of decreasing pain, followed by triple antibiotics paste (TAP) and Ledermix. Conclusion: Calcium hydroxide mixture had best results in decreasing post-operative pain, followed by TAP and Ledermix.