Comparison the Clinical Effect of 2% Chlorhexidine and MTAD as Final Rinse in Controlling Post Operative Pain in Single Visit Root Canal Treatment

Abstract

Objectives: To compare the mean postoperative pain associated with the use of 2% chlorhexidine or MTAD as final rinse in cases of Symptomatic Apical Periodontitis presenting to the LUMHS operative dentistry department for single visit root canal treatment.

Methodology: This single blind randomized controlled trial was conducted at the Department of Conservative Dentistry LUMHS, Jamshoro from February to June 2018. We included 60 patients' teeth with symptomatic apical periodontics. Thirty patients in group A received 2% chlorhexidine solution, while thirty patients in group B received MTAD. Preoperative and postoperative pain levels were assessed using a visual analogue scale.

For qualitative variables such as gender, tooth type, and pre and postoperative pain, frequency and percentages were calculated. The chi-square test with a p value of 0.05 was used to compare the two groups.

Results: The mean age in both groups were 30 years. Most of the teeth involved in both groups were on the anterior side. Patients in group A had an average age of 30.97±7.29 years. There was no statistically significant difference in the mean pain score between groups at p=0.86 after 7 days, with a score of 0.97 for group A and 0.93 for group B, respectively.

Conclusion: Chlorhexidine and MTAD groups have been equally effective in reducing postoperative pain in a single visit as a final rinse.