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Foraminal Enlargement and Postoperative Pain.

Phase 1
Completed
Conditions
Pain Postoperative
Registration Number
NCT02770053
Lead Sponsor
Isparta Military Hospital
Brief Summary

The purpose of this study is to determine whether enlarging the apical foramen causes postoperative pain in teeth with necrotic pulp and apical periodontitis.

Detailed Description

Foraminal enlargement (FE) is an intentional procedure that enlarges the cement canal. However, some RCTs indicate that enlarging the FE causes postoperative pain, flare-up, and destroy the apical constriction, whilst some RCTs pointed out there is no difference in terms of pain when a FE has been performed. The investigators, therefore, would like to conduct a RCT to increase both sample size and the number of published studies to do a systematic review for this topic.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • Mature permenent teeth having pulpal necrosis and apical periodontitis.
Exclusion Criteria
  • Systemic disorders
  • Diabetes
  • Pregnancy
  • Less than 18 years of age
  • Immunocompromised
  • Patients who had taken antibiotics in the past 1 month
  • Patients who had a positive history of analgesic use within the past 3 days
  • Previously accessed teeth

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
4-step pain intensity measures using a Visual Analog Scale (VAS).7 days.

The severity of pain in 1-7 days according to the VAS: 0-3 mild pain, 4-7 moderate pain, and 8-10 severe pain.

Secondary Outcome Measures
NameTimeMethod
The number of patients taking an analgesic following the endodontics treatment.7 days.

The patients were asked to take an analgesic in the 7 days of time frame.

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