To assess effect of maintaining apical patency on post operative pain in posterior teeth: A Prospective Randomised Clinical Trial
试验速览
- 阶段
- 1 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 112
- 试验地点
- 1
- 主要终点
- Incidence of post-operative pain in posterior vital teeth with irreversible pulpitis maintaining apical patency
研究概览
简要总结
Background: The concept of instrumentation beyond the apical foramen i.e. maintaining apical patency(AP) by a small flexible file to prevent blockage is a controversial issue in endodontics. However, maintaining patency might endow postoperative pain, thus the matter of dilemma is to maintain apical patency or not.
Aim: Aim of the study is to evaluate pain the association between apical patency and post-operative pain in posterior vital teeth with irreversible pulpitis. The primary objective of the study was to evaluate the incidence and compare intensity of post-operative pain with and without maintaining apical patency in posterior vital teeth with irreversible pulpitis.
Materials and Methods: One hundred twelve patients were included in the study. Patients were randomly divided into: Group A (n = 56) contained apical patency maintaining group and Group B (n = 56) contained those treated without maintaining apical patency. Incidence of post-operative pain of patient was recorded on 1st day (24hrs), 2nd day (48hrs), and 7th day using Visual Analog Scale (VAS).
Results: There was no statistically significant difference between the pain scores in both the groups on Day 1, Day 2 and Day 7. Pain intensity is maximum in Day 1 and least in Day 7.
Conclusion: Maintenance of apical patency during biomechanical preparation had no significant influence on post-operative pain in posterior teeth with vital pulps in irreversible pulpitis cases.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 21.00 Year(s) 至 90.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients age 21 years and above of either gender.
- •Healthy co-operative adults were taken in the study who were willing to participate.
- •Only patients requiring endodontic treatment with vital maxillary or mandibular posterior teeth with irreversible pulpitis were included.
排除标准
- •Patients with non-vital pulp.
- •Presence of complications during treatment (impossibility to achieve apical patency in any canal, calcified canals).
- •Medically compromised mentally challenged adults.
- •Pregnancy or breast feeding.
- •Cases of grossly decayed teeth where rubber dam isolation was difficult.
- •Re treatment cases.
- •Patients with restricted mouth opening.
- •Patients who have taken medication for pre-operative pain.
- •Failure to obtain patients consent.
结局指标
主要结局
Incidence of post-operative pain in posterior vital teeth with irreversible pulpitis maintaining apical patency
时间窗: 7 days
次要结局
- To compare the intensity of post-operative pain with and without(maintaining apical patency in posterior vital teeth with irreversible)