Comparison of Calcium Hydroxide, Chlorhexidine and Triple Antibiotic Paste As Intracanal Medicaments In Patients With Acute Periapical Infections

Objective: To compare the effects of calcium hydroxide, triple antibiotic paste (TAP) and chlorhexidine (CHX) as theintra-canal medicaments in post-operative pain reduction.Study Design and Setting: This was a Quasi experimental study conducted in Bahria University Medical and DentalCollege, Department of Operative Dentistry for the period of six months.Methodology: Patients with acute periapical infections in single rooted teeth were divided into 3 groups. Group 1 receivedCalcium hydroxide, group 2 received Chlorhexidine and group 3 received Triple antibiotic paste as intracanal medicament.Each group comprised of 30 patients therefore the total participants of the study were 90. Patients were recalled on 2nd,7th and 15th day postoperatively and the pain was recorded by using Visual Analogue Scale.Results: Among the study participants; two patients receiving calcium hydroxide were pain free after 2 days and thisnumber increased to 11patients after 7 days. From the CHX group; nine patients were pain free after two days and 23patients reported no pain after 7 days. In TAP paste group 3 patients reported no pain after 2 days and 22 after 7 days. Nopatient reported pain after 15 days in any group. Data was statistically analyzed by using SPSS version 23 and Chi-squaretest was used for descriptive analysis.Conclusion: Intra-canal medicaments significantly reduced inter-appointment pain. The chlorhexidine and triple antibioticpaste were more effective as compared to calcium hydroxide.