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The effect of intramuscular injection of steroid on posttreatment endodontic pain

  • Author Footnotes
    1 Dr. Marshall is an assistant professor, Endodontics, Oregon Health Sciences University School of Dentistry, Portland, OR, and was formerly a resident, Department of Endodontics, Medical College of Georgia School of Dentistry, Augusta, GA. Dr. Walton is head, Department of Endodontics, University of Iowa College of Dentistry, Iowa City, IO, and was formerly professor and chairman, Department of Endodontics, Medical College of Georgia School of Dentistry, Augusta, GA.
    J. Gordon Marshall
    Correspondence
    Reprint requests should be addressed to Dr. Marshall.
    Footnotes
    1 Dr. Marshall is an assistant professor, Endodontics, Oregon Health Sciences University School of Dentistry, Portland, OR, and was formerly a resident, Department of Endodontics, Medical College of Georgia School of Dentistry, Augusta, GA. Dr. Walton is head, Department of Endodontics, University of Iowa College of Dentistry, Iowa City, IO, and was formerly professor and chairman, Department of Endodontics, Medical College of Georgia School of Dentistry, Augusta, GA.
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  • Author Footnotes
    1 Dr. Marshall is an assistant professor, Endodontics, Oregon Health Sciences University School of Dentistry, Portland, OR, and was formerly a resident, Department of Endodontics, Medical College of Georgia School of Dentistry, Augusta, GA. Dr. Walton is head, Department of Endodontics, University of Iowa College of Dentistry, Iowa City, IO, and was formerly professor and chairman, Department of Endodontics, Medical College of Georgia School of Dentistry, Augusta, GA.
    Richard E. Walton
    Footnotes
    1 Dr. Marshall is an assistant professor, Endodontics, Oregon Health Sciences University School of Dentistry, Portland, OR, and was formerly a resident, Department of Endodontics, Medical College of Georgia School of Dentistry, Augusta, GA. Dr. Walton is head, Department of Endodontics, University of Iowa College of Dentistry, Iowa City, IO, and was formerly professor and chairman, Department of Endodontics, Medical College of Georgia School of Dentistry, Augusta, GA.
    Search for articles by this author
  • Author Footnotes
    1 Dr. Marshall is an assistant professor, Endodontics, Oregon Health Sciences University School of Dentistry, Portland, OR, and was formerly a resident, Department of Endodontics, Medical College of Georgia School of Dentistry, Augusta, GA. Dr. Walton is head, Department of Endodontics, University of Iowa College of Dentistry, Iowa City, IO, and was formerly professor and chairman, Department of Endodontics, Medical College of Georgia School of Dentistry, Augusta, GA.
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      Fifty patients participated in this controlled double-blind study. The results showed that, when compared with a placebo, injection of the steroid (dexamethasone, 4 mg) significantly reduced both the incidence and severity of pain at 4 h posttreatment and reduced pain at 24 h posttreatment. Other patient and treatment factors such as age, sex, tooth number, pulp and periapical status, and number of appointments had no effect on posttreatment pain. However, posttreatment pain did correlate with the presence of pretreatment pain in both incidence and severity.
      Cincuenta pacientes participaron en este estudio controlado a doble ciego. Los resultados demostraron que, comparada con un placebo, la inyección de un esteroide (dexametasona 4 mg) redujo en forma significativa tanto la aparición o presencia del dolor como su severidad a las cuatro horas de realizado el tratamiento y redujo el dolor a las 24 hs posttratamiento. Otros factores propios del paciente y de las condiciones del tratamiento tales como edad, sexo, tipo de diente, estado pulpar y periapical, número de sesiones, no tuvieron importancia en el dolor post-tratamiento. Sin embargo, éste sí estuvo relacionado con la presencia de dolor antes del tratamiento, tanto en incidencia como en intensidad.
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