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BEUS thesis.pdf (690.14 KB)

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Does an Incision and Drainage Need to Be Performed Following Root Canal Treatment?

Beus, Hannah
http://rave.ohiolink.edu/etdc/view?acc_num=osu1469879530

Abstract Details

2016, Master of Science, Ohio State University, Dentistry.
The purpose of this randomized, prospective, single-blind investigation was to compare the efficacy of incision and drainage vs. mock incision and drainage following emergency endodontic debridement of a tooth with a pulpal diagnosis of necrosis accompanied by an acute apical abscess or cellulitis. Eighty-one adult patients had emergency root canal therapy and were randomly divided into two treatment groups: incision and drainage or mock incision and drainage. During the I&D or Mock I&D procedure pain of incision, drainage, and dissection were recorded on 170 mm visual analog scales. A four day postoperative survey was supplied to patients where daily pain was rated on a 170 mm VAS and pain medication use was recorded. A significant difference was noted in the male patient population between procedures for the I&D and Mock I&D group where the Mock I&D had significantly lower pain ratings. From the four day postoperative survey a significant difference was seen between gender, day, and group. The male gender had significantly more days that were recorded as a success (as defined by no-to-mild pain and no narcotic use) during the four days postoperatively. A significant difference of successful recordings was noted between the initial days compared to the final days. The Mock I&D group had significantly more successful recordings compared with the I&D group. In conclusion, the Mock I&D procedure resulted in significantly decreased pain ratings and less narcotic use, when compared to the I&D group in symptomatic patients experiencing an acute apical abscess or cellulitis.
Sara Fowler, DDS, MS (Advisor)
Melissa Drum, DDS, MS (Committee Member)
Alfred Reader, DDS, MS (Committee Member)
John Nusstein, DDS, MS (Committee Member)
Courtney Jatana, DDS, MS (Committee Member)
Frank Beck, DDS, MA (Committee Member)
131 p.
Dentistry
incision and drainage; pain

Recommended Citations

Citations

  • Beus, H. (2016). Does an Incision and Drainage Need to Be Performed Following Root Canal Treatment? [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1469879530

    APA Style (7th edition)

  • Beus, Hannah. Does an Incision and Drainage Need to Be Performed Following Root Canal Treatment? 2016. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1469879530.

    MLA Style (8th edition)

  • Beus, Hannah. "Does an Incision and Drainage Need to Be Performed Following Root Canal Treatment?" Master's thesis, Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1469879530

    Chicago Manual of Style (17th edition)

osu1469879530
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This open access ETD is published by The Ohio State University and OhioLINK.