أثر الحقن الوقائي حول الذروي للبيروكسيكام و الكيتورولاك في تدبير الألم التالي للمعالجة اللبية للأرحاء العلوية و السفلية

Abstract EN

The aim of this study was to compare the efficacy of the prophylactic buccal injections of ketorolac and piroxicam in the management of moderate to severe post-endodontic pain in upper and lower molars with irreversible pulpitis.

Methods: Thirty patients were included in this study.

All patients received block and infiltration anesthesia injections.

Five minutes later, they received buccal injections with numerically coded, previously loaded insulin syringes.

The insulin syringes were randomly assigned to patients, and they contained 1 mL of: piroxicam (10 syringes), ketorolac (10 syringes), or saline (10 syringes).

After administering the buccal injections, a single operator performed a single-visit endodontic treatment.

Visual analogue scale was used to record pain after 8, 12, 24 and 48 hours of the buccal injection.

Data were statistically analyzed using ANOVA, Bonferroni and t-student tests.

Results: After 8 hours, piroxicam was as effective as ketorolac (p>0.05).

However, after 12, 24 and 48 hours, only piroxicam was effective (p<0.05).

At these time intervals, there were no statistically significant differences between ketorolac and control groups (p>0.05).

Conclusions: Prophylactic buccal injections of both ketorolac and piroxicam were found to be effective in reducing post-endodontic pain in molar teeth with irreversible pulpitis.

However, the analgesic effect of piroxicam lasted-longer (48 hours) than ketorolac (8 hours).