Effect of Occlusal Reduction on Post-operative Pain

Overview

effect of occlusal reduction on post-operative pain is evaluated after single visit root canal treatment in upper and lower molar teeth in patients with sypmtomatic irreversible pulpitis and apical periondontis

Full Title of Study: “Effect of Occlusal Reduction on Post-operative Pain in Patients With Irreversible Pulpitis and Symptomatic Apical Periodontitis Treated in a Single-visit: A Randomized Clinical Trial”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: Double (Participant, Outcomes Assessor)
  • Study Primary Completion Date: July 1, 2018

Interventions

  • Procedure: occlusal surface reduction
    • occlusal surface reduction after single visit root canal treatment

Arms, Groups and Cohorts

  • Experimental: occlusal surface reduction
    • occlusal surface reduction after single visit root canal treatment
  • Placebo Comparator: no occlusal surface reduction
    • No occlusal surface reduction after single visit root canal treatment

Clinical Trial Outcome Measures

Primary Measures

  • pre-operative pain before single visit root canal treatment by NRS (numerical rating scale)
    • Time Frame: Baseline
    • Primary outcome will be assessed by NRS (numerical rating scale), the unit of measurement is categorical.The scale is from (0-10) (1-3) Mild pain (4-6) Moderate pain (7-10) Severe pain
  • post-operative pain after single visit root canal treatment by NRS (numerical rating scale)
    • Time Frame: after treatment by 6 hours
    • Primary outcome will be assessed by NRS (numerical rating scale), the unit of measurement is categorical.The scale is from (0-10) (1-3) Mild pain (4-6) Moderate pain (7-10) Severe pain
  • post-operative pain after single visit root canal treatment by NRS (numerical rating scale)
    • Time Frame: after treatment by 12 hours
    • Primary outcome will be assessed by NRS (numerical rating scale), the unit of measurement is categorical.The scale is from (0-10) (1-3) Mild pain (4-6) Moderate pain (7-10) Severe pain
  • post-operative pain after single visit root canal treatment by NRS (numerical rating scale)
    • Time Frame: after treatment by 24 hours
    • Primary outcome will be assessed by NRS (numerical rating scale), the unit of measurement is categorical.The scale is from (0-10) (1-3) Mild pain (4-6) Moderate pain (7-10) Severe pain
  • post-operative pain after single visit root canal treatment by NRS (numerical rating scale)
    • Time Frame: after treatment by 48 hours
    • Primary outcome will be assessed by NRS (numerical rating scale), the unit of measurement is categorical.The scale is from (0-10) (1-3) Mild pain (4-6) Moderate pain (7-10) Severe pain

Participating in This Clinical Trial

Inclusion Criteria

1. Patient's age between 20-50 years with no sex predilection. 2. Medically free patients. 3. Patients suffering from symptomatic irreversible pulpitis with symptomatic apical periodontitis in maxillary and mandibular molars with:

  • Preoperative pain. – Vital pulp. – Sensitivity to percussion. – Occlusal contact with the opposing teeth. – Normal periapical radiographic appearance or slight widening in the periodontal membrane space. Exclusion Criteria:

1. Pregnant females. 2. Patients having a significant systemic disorder. 3. Patients who had administered analgesics or antibiotics during the last 12 hours preoperatively. 4. Patients having bruxism or clenching. 5. Teeth having :

  • No occlusal contact. – No sensitivity to percussion. – Association with swelling or fistulous tract. – Acute or chronic peri-apical abscess. – Greater than grade I mobility. – Pocket depth greater than 5mm. – No possible restorability. – Previous endodontic treatment

Gender Eligibility: All

Minimum Age: 20 Years

Maximum Age: 50 Years

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Cairo University
  • Provider of Information About this Clinical Study
    • Principal Investigator: Fadwa sheesh, Bachelor degree of oral and dental medicine – Cairo University

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