Reduction of Post-operative Endodontic Pain

sixty qualified samples (initial estimate which will be come more accurate after the pilot study on 6 patients) will be divided randomly in three groups which all of them will have an inferior Alveolar injection and before the beginning of the treatment the primary group will receive an injection of 0.4 mL ( 0.2 mL in mesio buccal and 0.2 mL in disto buccal) of Lornoxicam and the second group will be injected with 0.4 mL of normal saline( 0.2 mL in mesio buccal and 0.2 mL in disto buccal) ,in third group we will only pretend the injection but actually there is no substance injected ,making the patient believe that there was an injection . Then the patients' pain will be evaluated with visual Analogue Scale analysis (VAS) 0-170 mm in time intervals of 6, 12, 24 and 48 hours after the treatment.

Inclusion criteria

• healthy (ASA I, II);
• Patients with first or second mandibular molars who need endodontic treatment;
• Vital tooth without a history of past endodontic treatment;
• Patients with clinical evidence of irreversible Pulpits with moderate to severe pain;
• Patients without pre apical lesion and periodontal ligament enlargement more than 0.75-1mm on the x-ray images;
• Patients in the age group of 18-65 years old

Exclusion criteria

• Pregnant or nursing;
• necrotic tooth;
• Patients with allergy or contraindication toward non-opioid or opioid painkillers such as aspirin or NSAIDs;
• People who have a history of acute peptic ulcer, during the past 12 months;
• People who have bleeding problems or have been taking anticoagulant drugs over the past month;
• Patients who have taken opioid or non opioid or steroid pain killers, antidepressants or sedative drugs.