This study aims to assess the effect the intraligamentary injection of Diclofenac Potassium versus Articaine 4% on the anaesthetic efficacy \& intensity of intraoperative \& postoperative pain during single visit root canal treatment in patients with symptomatic irreversible pulpitis in mandibular molar teeth
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
40
NSAID
Efficacy of local anesthesia
using Heft parker Visual Analogue scale Binary where success is defined as no pain or faint/weak /mild pain\<55 mm). if \>55 defined as failure
Time frame: intraoperative ( access cavity preparation & instrumentation ) during root canal treatment
Intensity of intraoperative pain
using Heft parker Visual analogue scale score ranges from on a 170-mm VAS line with the ends labeled "no pain" and "unbearable pain. .no pain (\< 5 mm), mild pain (≥ 5 mm and ≤ 54 mm), Moderate pain (\> 54 mm and \< 114 mm), Severe pain (≥ 114 mm).
Time frame: intraoperative ( access cavity preparation & instrumentation ) during root canal treatment
Post-operative pain
using Heft parker Visual analogue scale on a 170-mm VAS line with the ends labeled "no pain" and "unbearable pain. .no pain (\< 5 mm), mild pain (≥ 5 mm and ≤ 54 mm), Moderate pain (\> 54 mm and \< 114 mm), Severe pain (≥ 114 mm).
Time frame: 6, 12, 24 and 48 hours post-operatively
Number of needed analgesic tablets in case of intolerable pain
by counting
Time frame: Up to 2 days post operatively
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