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Is incision and drainage necessary following endodontic debridement?

Kotapish, Matthew James
http://rave.ohiolink.edu/etdc/view?acc_num=osu1597161597187829

Abstract Details

2020, Master of Science, Ohio State University, Dentistry.
Introduction: The purpose of this prospective, randomized single-blind study is to compare the efficacy of incision and drainage (without dissection) and mock drain placement versus mock incision and drainage (with mock dissection) and mock drain placement on postoperative pain following endodontic debridement in emergency patients with symptomatic teeth, a diagnosis of pulpal necrosis, and intraoral swellings. Methods: Sixteen adult patients had emergency root canal therapy and were randomly divided into two groups: incision and drainage and mock incision and drainage. During the incision and drainage or mock incision and drainage procedure pain of incision and drainage were recorded on a 170-mm visual analog scale. A four-day postoperative survey was given to patients in both groups to record changes in their perceived pain levels and swelling size, as well as their medication usage. All patients were given a four-day supply of 600 mg Ibuprofen and 1000 mg acetaminophen along with a prescription for an escape (narcotic) medication if the patient did not experience sufficient relief from the OTC pain medications. Results: Both groups reported a decrease in postoperative pain and medication use over the four-day postoperative period. Due to the limited sample size, no statistical significance in outcome variables was assessed. While no statistical significance was assessed, the overall postoperative pain levels were higher in the incision and drainage group. Both groups noted an overall decrease in pain over the four-day postoperative period. Patients in the incision and drainage group had more postoperative pain when compared to the mock incision and drainage group over the four-day postoperative period. Overall, no patients included in the study required further interventions or hospitalizations during the study period. Conclusion: Patients who undergo incision and drainage following endodontic debridement experience increased postoperative pain and have higher pain medication usage when compared to patients who undergo endodontic debridement alone.
Sara Fowler, D.D.S., M.S. (Advisor)
Drum Melissa, D.D.S., M.S. (Committee Member)
Nusstein John, D.D.S., M.S. (Committee Member)
105 p.
Dentistry
incision and drainage; acute apical abscess; endodontic debridement; odontogenic swelling

Recommended Citations

Citations

  • Kotapish, M. J. (2020). Is incision and drainage necessary following endodontic debridement? [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1597161597187829

    APA Style (7th edition)

  • Kotapish, Matthew. Is incision and drainage necessary following endodontic debridement? 2020. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1597161597187829.

    MLA Style (8th edition)

  • Kotapish, Matthew. "Is incision and drainage necessary following endodontic debridement?" Master's thesis, Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1597161597187829

    Chicago Manual of Style (17th edition)

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