Efficacy of Nano-Pulsed Magneto Infrared Laser Therapy with a Fixed Dose Combination Tablet of Oral Ibuprofen and Paracetamol on the Reduction of Postendodontic Pain: A Clinical Study
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 8
Abstract
Introduction: The occurrence of mild pain is relatively common after post-endodontic therapy. The combination of analgesics offer enhanced pain relief and improved tolerability. Cold laser therapy has been reported to be significantly effective in the reduction of post- endodontic pain. The purpose of this study was to evaluate the effect of fixed dose combination of ibuprofen and paracetamol with low level laser therapy in patients with post-endodontic pain. Material and Methods: One hundred twelve patients (mean age=35years) with mild to moderate postendodontic pain (VAS score of ≥30 mm) were selected. Patients were randomly assigned into four groups. Group 1(n=30) received 400 mg of ibuprofen+ 500 mg paracetamol orally. Group 2(n=30) irradiation of a Magneto-Infrared Nano Pulsed Cold Laser therapy (MILTA-DENT™) in analgesic mode for 10 min extra orally. Group 3(n=30) 400 mg of ibuprofen+ 500 mg paracetamol followed with laser for 10 min. Group 4(n=30) received no ibuprofen and no laser irradiation. The patients were dismissed with a VAS chart to be filled out at 4, 8, 12, 24 and 48 hrs after initiation of therapy. Results: The test groups were compared using Kruskal-Wallis and Mann-Whitney U tests. The combination of laser and fixed dose combination drug resulted in better pain relief and the difference was statistically significant at 4 and 8 hours (P= <0.001). The difference was also statistically significant when comparing group 2 and 3 with placebo at all time periods. Conclusion: Magneto-Infrared Nano Pulsed Cold Laser therapy had a significant role in the relief of postendodontic pain and can be advocated as a non- pharmacological approach in patients experiencing mild to moderate postendodontic pain.
Authors and Affiliations
Fayaz Ahmed Ahangar, Amina Samoon, Amir Rashid Purra, Riyaz Farooq
Keywords
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