Authors: Jaykumar T, Pari Anand*, Srirekha A, Champa C, Ashwija Shetty, Archana S
Background: Post-endodontic pain is a challenge to clinicians. In this context the evidence for use of preoperative medication is not consistent. Aim: The study's objective is to assess the effects of dexamethasone and triamcinolone acetonide administered submucosally in single doses on postoperative pain following single-visit root canal treatment for teeth with symptomatic irreversible pulpitis. Materials and Methods: Thirty patients were randomly allocated in three groups. Group I received saline (control), Group II received dexamethasone (8mg) and Group III received triamcinolone acetonide (40mg) before endodontic treatment was initiated. Root canal treatment was performed in a single appointment for all the participants. Post-operative pain was assessed using Heft-Parker visual analogue scale (HP VAS). Statistical Analysis Used: Comparison of HP VAS scores was done using Kruskal Wallis Test and Mann Whitney Test. Results: There was no significant difference in the mean HP VAS scores between 3 groups at pre-op period (P=0.74). At 6,12 and 24h post-operative period the mean HP VAS scores in Group 2 and 3 was significantly lesser as compared to Group 1. Conclusion: Corticosteroid preoperative dosages led to a reduction in post endodontic pain after single visit root canal treatment of teeth with symptomatic irreversible pulpitis. Keywords: Dexamethasone, Postoperative pain, Triamcinolone acetonide
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