Ziad H. Deleme^1,, Abdul Hameed N. Aldabagh¹

Although dropping need for apecoectomy as the modern endodontic therapy carry greatly promising outcomes but it is regularly done in dental clinics and may accompanied by some bothering points as ache, edema, so the main goal of this research is to evaluate the usefulness of dissimilar modalities in reducing edema and pain succeeding to the periapical surgery. Materials and Methods: This research done by involving twenty cases with periapical lesion need apecoectomy. Ten of them was given Chlorhexidine 0.2% (PerioKIN) gel to operative area and the other 10 patients given Diclofenac sodium (Voltarin) tablet 50mg, 3 periods a day for 7 days. Edema was assessed by a subjective clinical examination, ache using a visual analogue scale. Estimations done in the first 24 hours and on 72 hours and on 7 days. Results: No significant alterations were recognized for the edema but significant differences observed at seventh day after operation, pain values there was a highly significant difference at day three and day one and day seven there wasn’t important differences between study groups after operation. Conclusions: Administration of PerioKIN in form of gel showed effects resemble to diclofenac tablets in dropping the edema and pain readings, Chlorhexidine could be used as an additional therapy in some medical conditions like heart diseases or with active pulmonary illnesses or gravid women or with stomach sore or inability of prescribing NSAIDs that is utilized empirically to diminish pain and edema consequent to periapical surgical procedures.

Chlorhexidine gel, Diclofenac sodium, periapical surgery