Background: An endodontic flare-up is a complication of endodontic treatment which is defined as an acute exacerbation of aymptomatic pulpal or periapical pathoses after the initiation or continuation of root canal treatment. The present study was conducted to compare influence of intracanal medicaments like calcium hydroxide and tri antibiotic paste on management of flare ups. Materials & Methods: The present study was conducted on 60 patients requiring root canal treatment in mandibular posterior teeth. Patients were divided into 3 groups. In group I, patients no intracanal medicament was used. In group II, calcium hydroxide paste was used as medicament and in group III, triple antibiotic paste was used. All the treated patients were prescribed paracetamol tablets and received a questionnaire to record their pain on days 1st, 3rd, 7th, and 14th.Results: In group I, there was 2 cases of flare ups ion day 1st, 1 case on day 3rd and 1 case on day 7th, in group II, there was 1 case both on 3rd and 7th day and in group III, there was 1 case on day 3rd. The difference was significant (P< 0.05). Conclusion: Authors found that triple antibiotic paste in more effective as compared to calcium hydroxide paste in preventing flare ups in endodontics.
Key words: Calcium hydroxide, Flare up, Triple antibiotic paste