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Calcium hydroxide as an intracanal medication: effect on posttreatment pain.

Abstract
Calcium hydroxide is advocated as an intracanal medication for various purposes, including prevention of posttreatment symptoms. This study assessed whether calcium hydroxide had a pain-controlling effect at different times when compared with no intracanal medication. One hundred forty patients participated. Conditions diagnosed were pulp/periapical pathosis with or without symptoms. At least partial cleaning and shaping was completed. At random, either Ca(OH)2 plus H2O paste or a dry cotton pellet was placed in the canals of half the teeth, respectively. All teeth were temporized with Intermediate Restorative Material. Patients assessed posttreatment pain up to 48 h as none, mild, moderate, or severe. The pain levels in each test group [Ca(OH)2 versus cotton pellet] at each time period were compared statistically with a multiple-regression analysis. There was no significant difference in posttreatment pain between the two groups at any time period or with any diagnosis or symptom. The use of calcium hydroxide as an intracanal medication was unrelated to the incidence and/or severity of posttreatment pain.
AuthorsRichard E Walton, Isaac F Holton Jr, Robert Michelich
JournalJournal of endodontics (J Endod) Vol. 29 Issue 10 Pg. 627-9 (Oct 2003) ISSN: 0099-2399 [Print] United States
PMID14606782 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial)
Chemical References
  • Root Canal Irrigants
  • Calcium Hydroxide
Topics
  • Adult
  • Calcium Hydroxide (therapeutic use)
  • Female
  • Humans
  • Male
  • Pain Measurement
  • Pain, Postoperative (prevention & control)
  • Regression Analysis
  • Root Canal Irrigants (therapeutic use)
  • Toothache (prevention & control)

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