title: Effect of premedication with ibuprofen and dexamethasone on success rate of inferior alveolar nerve block for teeth with asymptomatic irreversible pulpitis: a randomized clinical trial.
abstract: BACKGROUND
  The aim of this study was to compare 2 kinds of anti-inflammatory medicines (ie, dexamethasone and ibuprofen) with a placebo according to their effects on the success rates of an inferior alveolar nerve block (IANB) for the endodontic treatment of mandibular molars with irreversible pulpitis.
  
  
  METHODS
  A total of 165 patients were divided into 3 groups of 55 patients each and were given a capsule of the same color and size (ie, a placebo of lactose powder, 400 mg ibuprofen, or 0.5 mg dexamethasone). One hour after the oral administration of the capsules, all the patients received a standard IANB. In patients with a successful IANB, the teeth were examined with a cold pulp test. Patients were asked to assess their pain using the visual analog scale. Then, endodontic access cavity preparation was initiated. In case of pain during the treatment, the patients were asked to rate the pain on the visual analog scale. Success was defined as no or mild pain during treatment. The chi-square test and analysis of variance were used to compare qualitative and quantitative data among the groups.
  
  
  RESULTS
  No significant differences were found regarding the sex of the patients in the 3 groups (P > .05). The dexamethasone group showed significantly higher success rates compared with the placebo group (P = .001). There were no significant differences between the ibuprofen and placebo groups (P = .055) or the dexamethasone and ibuprofen groups (P = .34).
  
  
  CONCLUSIONS
  Premedication with dexamethasone increased the success rate of an IANB in mandibular molars with asymptomatic irreversible pulpitis.
authors: Dental and Periodontal Research Center, Endodontic Department, Tabriz Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran. shahriar_shahi@yahoo.com
authors: Shahriar
authors: S
authors: Shahi
authors: Hadi
authors: H
authors: Mokhtari
authors: Saeed
authors: S
authors: Rahimi
authors: Hamid Reza
authors: HR
authors: Yavari
authors: Shima
authors: S
authors: Narimani
authors: Majid
authors: M
authors: Abdolrahimi
authors: Saeed
authors: S
authors: Nezafati
mesh_terms: D000328:Adult; D000779:Anesthetics, Local / Q000008:administration & dosage; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D058070:Asymptomatic Diseases; D003791:Dental Pulp Test; D003907:Dexamethasone / Q000627:therapeutic use*; D004311:Double-Blind Method; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007052:Ibuprofen / Q000627:therapeutic use*; D008012:Lidocaine / Q000008:administration & dosage; D008046:Lip / Q000294:innervation; D008297:Male; D008340:Mandibular Nerve / Q000187:drug effects; D008963:Molar / Q000473:pathology; D009407:Nerve Block / Q000379:methods*; D010147:Pain Measurement; D010919:Placebos; D011292:Premedication; D011446:Prospective Studies; D011671:Pulpitis / Q000503:physiopathology* / Q000628:therapy; D018915:Root Canal Preparation / Q000379:methods
chemical_list: D000779:Anesthetics, Local; D000893:Anti-Inflammatory Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D010919:Placebos; D003907:Dexamethasone; D008012:Lidocaine; D007052:Ibuprofen