Aesthetic efficacy with oral premedicatio

Not Applicable

Conditions: Health Condition 1: K040- Pulpitis

Registration Number: CTRI/2021/11/038115

Lead Sponsor: Meenakshi academy of higher education and research

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: ot Yet Recruiting

Sex: Not specified

Target Recruitment: 0

Inclusion Criteria

1.Patients with active moderate sharp spontaneous pain ( ï?³ 54 mm in Heft-Parker Visual Analog Scale (HP VAS)) or pain stimulated with hot or cold with lingering response even after removal of the stimulus with pain on biting or chewing in mandibular premolars

2.No evidence of periapical changes in radiographs (Periapical Index <= 2) (Ã?rstavik et al. 1986).

3.Positive response to electric pulp testing (EPT) as well as a lingering response of more than 10 seconds to cold test (ethyl chloride spray).

Exclusion Criteria

1.Teeth with crown/root fractures

2.Teeth with necrotic pulps following access cavity preparation

3.Patients with a lesion or swelling (periapical index > 2) (Ã?rstavik et al. 1986) at the site of injection.

4.Acute or chronic apical abscess.

5.Teeth with open apices

6.Compromised periodontium

7.Patients with any systemic diseases (American Society of Anesthesiologists Class II or higher)

8.Patients having history of allergy to local anesthetic solutions or any of the experimental drugs

9.Patients who could not interpret the HP VAS

10.Patients on long term medications that influenced pain threshold, analgesics, steroids and / or antibiotics in the recent past 24 hours.

11.Patients with a history of drug abuse

12.Patients who were unable to give informed consent

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Efficacy of oral pre-medication on success of articaine mental incisive nerve block symptomatic in irreversible pulpitisTimepoint: lip anaesthesia, pulpal anaesthesia, access cavity preparation, instrumentation

Secondary Outcome Measures

Name	Time	Method
Duration of lip & pulpal anesthesia and Adverse effect / post injection pain evaluationTimepoint: After the procedure, the patient will be called for a review the next day to assess the paresthesia and pain on injection site assessment