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Fuller_Thesis_Grad School.pdf (1.28 MB)

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Postoperative Pain Management with a Steroid in Teeth Diagnosed with Pulpal Necrosis

Fuller, Michael, Fuller
http://rave.ohiolink.edu/etdc/view?acc_num=osu1501071636481289

Abstract Details

2017, Master of Science, Ohio State University, Dentistry.
Introduction: Previous studies in clinical conditions without infection have shown positive effects of steroids in controlling postoperative pain. The purpose of this study is to evaluate whether a steroid will reduce pain in a symptomatic clinical condition of pulpal necrosis. Methods: Eighty-three patients presenting for emergency debridement of a symptomatic tooth diagnosed with pulpal necrosis participated. All patients received local anesthesia and endodontic debridement, and were randomly divided into two groups. In a double-blind manner, the study groups received either a 96 mg dose (4 capsules) of methylprednisolone or an identical placebo (4 capsules) immediately following debridement. They were instructed to take 48 mg (2 capsules) of the same medication, or placebo (2 capsules), upon waking for five consecutive days. All patients received 600 mg ibuprofen tablets to take as needed, and also a prescription of Tylenol #3 to take only if the ibuprofen did not control their pain. Patients were given an eight-day journal to record their pain levels. Success was defined as no or mild postoperative pain and no narcotic use. Results for success were analyzed using a chi-square test of fixed effects. Results: The success rate of the steroid group was 49% and 48% for the placebo group with no significant difference between the groups. Conclusions: For symptomatic patients diagnosed with pulpal necrosis, a high dose of methylprednisolone did not significantly increase success, defined as no or mild postoperative pain and no narcotic use, when compared to a placebo.
Drum Melissa (Advisor)
Reader Al (Committee Member)
Nusstein John (Committee Member)
Fowler Sara (Committee Member)
Beck Frank (Committee Member)
137 p.
Dentistry
Steroids, Endodontics, Pulpal Necrosis, Postoperative Pain

Recommended Citations

Citations

  • Fuller, Fuller, M. (2017). Postoperative Pain Management with a Steroid in Teeth Diagnosed with Pulpal Necrosis [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1501071636481289

    APA Style (7th edition)

  • Fuller, Fuller, Michael. Postoperative Pain Management with a Steroid in Teeth Diagnosed with Pulpal Necrosis. 2017. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1501071636481289.

    MLA Style (8th edition)

  • Fuller, Fuller, Michael. "Postoperative Pain Management with a Steroid in Teeth Diagnosed with Pulpal Necrosis." Master's thesis, Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1501071636481289

    Chicago Manual of Style (17th edition)

osu1501071636481289
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This open access ETD is published by The Ohio State University and OhioLINK.