Effect of sodium hypochlorite with the addition of a proteolytic enzyme on postoperative discomfort: a multicenter randomized clinical trial.

S. Taschieri, C. Fabiani, V. Franco, T. Weinstein, M. Del Fabbro

Research output: Contribution to journalArticle

Abstract

AIM: The purpose of this study was to compare the patient's postoperative discomfort when root canal irrigation was performed either with standard sodium hypochlorite or with sodium hypochlorite with the adjunct of a proteolytic enzyme. METHODS: Two hundred patients were endodontically treated in two clinics. The type of irrigant to be used during root canal instrumentation was randomly assigned. Final irrigation was done using EDTA 17%. The canals were filled by warm vertical condensation with guttha-percha and the coronal seal was made using IRM. Patients were given a questionnaire to assess pain and swelling and the number of analgesics and other drugs taken during the first week after treatment. RESULTS: A total of 166 questionnaires could have been evaluated. No significant difference was found between groups for pain, swelling and analgesics taken. Moderate pain and swelling was reported only in the first two days after treatment. No antibiotics use was reported. No guttha-percha excess beyond root apex was found by radiographic assessment. CONCLUSIONS: The irrigating solution containing a proteolytic enzyme does not produce greater postoperative discomfort as compared to the conventional sodium hypochlorite in patients undergoing endodontic therapy.

Original languageEnglish
Pages (from-to)415-423
Number of pages9
JournalMinerva Stomatologica
Volume58
Issue number9
Publication statusPublished - Sep 2009

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Sodium Hypochlorite
Peptide Hydrolases
Randomized Controlled Trials
Dental Pulp Cavity
Pain
Analgesics
Endodontics
Edetic Acid
Therapeutics
Anti-Bacterial Agents
Surveys and Questionnaires

ASJC Scopus subject areas

  • Medicine(all)

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Effect of sodium hypochlorite with the addition of a proteolytic enzyme on postoperative discomfort : a multicenter randomized clinical trial. / Taschieri, S.; Fabiani, C.; Franco, V.; Weinstein, T.; Del Fabbro, M.

In: Minerva Stomatologica, Vol. 58, No. 9, 09.2009, p. 415-423.

Research output: Contribution to journalArticle

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AB - AIM: The purpose of this study was to compare the patient's postoperative discomfort when root canal irrigation was performed either with standard sodium hypochlorite or with sodium hypochlorite with the adjunct of a proteolytic enzyme. METHODS: Two hundred patients were endodontically treated in two clinics. The type of irrigant to be used during root canal instrumentation was randomly assigned. Final irrigation was done using EDTA 17%. The canals were filled by warm vertical condensation with guttha-percha and the coronal seal was made using IRM. Patients were given a questionnaire to assess pain and swelling and the number of analgesics and other drugs taken during the first week after treatment. RESULTS: A total of 166 questionnaires could have been evaluated. No significant difference was found between groups for pain, swelling and analgesics taken. Moderate pain and swelling was reported only in the first two days after treatment. No antibiotics use was reported. No guttha-percha excess beyond root apex was found by radiographic assessment. CONCLUSIONS: The irrigating solution containing a proteolytic enzyme does not produce greater postoperative discomfort as compared to the conventional sodium hypochlorite in patients undergoing endodontic therapy.

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