Journal of Conservative Dentistry

ORIGINAL ARTICLE
Year
: 2012  |  Volume : 15  |  Issue : 4  |  Page : 310--314

The efficacy of pre-operative oral medication of paracetamol, ibuprofen, and aceclofenac on the success of maxillary infiltration anesthesia in patients with irreversible pulpitis: A double-blind, randomized controlled clinical trial


Anupama Ramachandran, Sulthan Ibrahim Raja Khan, Deepalakshmi Mohanavelu, Kumarappan Senthil kumar 
 Department of Conservative Dentistry and Endodontics, Chettinad Dental College, Rajiv Gandhi Salai, Kelambakkkam, Kanchipuram District, 603103, India

Correspondence Address:
Anupama Ramachandran
Department of Conservative Dentistry and Endodontics, Chettinad Dental College, Rajiv Gandhi Salai, Kelambakkkam, Kanchipuram - 603 103
India

Aim: To determine the effect of preoperative administration of paracetamol (PARA), ibuprofen (IBUP), or aceclofenac (ACEC) on the success of maxillary infiltration anesthesia in patients with irreversible pulpitis in a double-blinded randomized controlled trial. Materials and Methods: One hundred and twenty patients with irreversible pulpitis of a maxillary first molar participated. Patients indicated their pain scores on a Heft Parker visual analog scale, after which they were randomly divided into four groups (n = 30). The subjects received identical capsules containing 1000 mg PARA, 800 mg IBUP, 100 mg ACEC or cellulose powder (placebo, PLAC), 1 h before administration of maxillary infiltration anesthesia with 2% lidocaine containing 1:200,000 epinephrine. Access cavities were then prepared and success of anesthesia was defined as the absence of pain during access preparation and root canal instrumentation. The data were analyzed using chi-squared tests. Results: The success rates in descending order were 93.3% (IBUP), 90% (ACEC), 73.3% (PARA), and 26.5 % (PLAC). A significant (P < 0.001) difference was found between the drug groups and the PLAC group. Conclusions: Pre-operative administration of PARA, IBUP, and ACEC significantly improved the efficacy of maxillary infiltration anesthesia in patients with irreversible pulpitis.


How to cite this article:
Ramachandran A, Khan SI, Mohanavelu D, Senthil kumar K. The efficacy of pre-operative oral medication of paracetamol, ibuprofen, and aceclofenac on the success of maxillary infiltration anesthesia in patients with irreversible pulpitis: A double-blind, randomized controlled clinical trial.J Conserv Dent 2012;15:310-314


How to cite this URL:
Ramachandran A, Khan SI, Mohanavelu D, Senthil kumar K. The efficacy of pre-operative oral medication of paracetamol, ibuprofen, and aceclofenac on the success of maxillary infiltration anesthesia in patients with irreversible pulpitis: A double-blind, randomized controlled clinical trial. J Conserv Dent [serial online] 2012 [cited 2022 May 27 ];15:310-314
Available from: https://www.jcd.org.in/article.asp?issn=0972-0707;year=2012;volume=15;issue=4;spage=310;epage=314;aulast=Ramachandran;type=0