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Clinical evaluation of antibiotic prophylaxis before endodontic treatment of necrotic teeth.
- Source :
-
Minerva stomatologica [Minerva Stomatol] 2005 Mar; Vol. 54 (3), pp. 153-60. - Publication Year :
- 2005
-
Abstract
- Aim: The efficacy of antibiotic prophylaxis before endodontic treatment of necrotic teeth in the prevention of post-treatment flare-up pain and swelling was evaluated.<br />Methods: A total of 47 teeth with diagnosis of pulpal necrosis were selected in 39 patients, independently from the pre-operative symptomatology (painful or asymptomatic). Teeth were randomly divided into 2 groups. The first group (n=23) was given an antibiotic prophylaxis with 2 g amoxicillin 1 h before every appointment; the second group (n=24) did not receive any treatment (control group). The endodontic therapy was performed by shaping canals using the crown-down technique with hand devices, 5% sodium hypochlorite irrigations and 2 intermediate medications with Ca(OH)(2). Obturation was performed using randomly the vertical obturation technique or the no-stop wave technique. At the end of each appointment a questionnaire was given to each patient. The patient had to indicate if pain (absent, light, mild, severe) or swelling were present at 4, 8, 12, 24 h after every appointment. Data were statistically analysed with the Mann-Whitney, Wilcoxon and chi2 test.<br />Results: Only a case of flare-up pain and swelling was found in a patient of the study group. The statistical analysis showed that there were no significant differences between the 2 groups.<br />Conclusions: An accurate endodontic treatment of necrotic canals is sufficient to guarantee an adequate control of post-treatment pain, with no need of antibiotic prophylaxis.
- Subjects :
- Adult
Aged
Amoxicillin administration & dosage
Bacteremia prevention & control
Combined Modality Therapy
Dental Pulp Necrosis drug therapy
Disinfection
Edema prevention & control
Female
Humans
Male
Middle Aged
Pain prevention & control
Root Canal Preparation
Surveys and Questionnaires
Amoxicillin therapeutic use
Antibiotic Prophylaxis
Dental Pulp Necrosis therapy
Root Canal Obturation
Subjects
Details
- Language :
- English; Italian
- ISSN :
- 0026-4970
- Volume :
- 54
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Minerva stomatologica
- Publication Type :
- Academic Journal
- Accession number :
- 15920447