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Postoperative Pain After Root Canal Obturation With Sealer Containing Prednisolone.

Not Applicable
Completed
Conditions
Root Canal Obturation
Registration Number
NCT04935736
Lead Sponsor
ACTEON Group
Brief Summary

The study design is a multicentric randomized controlled clinical trial. 238 subjects (teeth) requiring a primary or a secondary root canal treatment will be enrolled in 2 groups (119 in each group).

The aim is to assess the effectiveness and utility of the ancillary drug substance, prednisolone acetate (1%) contained in CORTISOMOL SP (Zinc Oxide/Eugenol-type sealer) to help to decrease the possible postoperative painful reactions after root canal treatment. SEALITE REGULAR, which has a similar formulation except it is prednisolone acetate-free, is used as the comparator sealer.

Procedures of root canal treatment will be conventional and standardized for all investigational centers. The canals will be cleaned, shaped and then obturated using a Zinc oxide/Eugenol-type sealer (CORTISOMOL SP or SEALITE REGULAR) and gutta-percha.

Patients assess their pain for 7 days after permanent root canal obturation.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
243
Inclusion Criteria
  • Male or female, age > 18 years old
  • Patient requiring a primary or a secondary root canal treatment on a single or multi-rooted tooth.
  • Informed consent signed
  • Patient with social protection.
Exclusion Criteria
  • Endodontic treatment on tooth with suspected root perforation, or immature tooth,
  • Known allergy to corticosteroids, local anesthetics, or any component of the medical devices,
  • Patient taking anti-pain or anti-inflammatory treatment regularly for another pathology,
  • Presence of any significant medical finding or significant history such as uncontrolled systemic diseases that may impact the safety, the interpretation of the results and/or the participation of the subject in the study according to the opinion of the investigator,
  • Participation in another intervnetional clinical trial or subject still within the exclusion period of a previous clinical trial,
  • Vulnerable subjects referred to in articles L.1121-5 to 8 and L.1122-1-2 of the Public Health Code and article 66 of Regulation (EU) 2017/745 on medical devices are excluded from the investigation (such as known pregnancy or lactation, patients with legal protection).

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Post-operative pain assessed by a VASFrom the end of the root canal treatment (Day 0) to Day 7

The pain is assessed by patients in a diary using a Visual Analogue Scale (range from 0 (= no pain) to 100 (= the worst pain)) at different times after endodontic treatment from the end of the root canal obturation to Day 7. The maximum pain felt will be compared between the 2 groups.

Secondary Outcome Measures
NameTimeMethod
Use of oral pain treatmentFrom the end of the root canal treatment (Day 0) to Day 7

Patients reported the consumption of analgesic treatment in a diary. The proportion of patients who took oral pain medication will be compared between the 2 groups.

Number of adverse eventsFrom the end of the root canal treatment (Day 0) to the end of follow-up visit (Day 14)

Adverse events recorded from the endodontic treatment to the end of follow-up visit will be used to assess the safety of root canal sealers and endodontic procedures.

Trial Locations

Locations (2)

CHU Rennes - Centre de Soins Dentaires

🇫🇷

Rennes, France

Cabinet dentaire

🇫🇷

Saint-Coulomb, France

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