Acute Pain Rate of Single Versus Two-visit Root Canal Treatment of Teeth With Necrotic Pulps

Phase 2

• Conditions: Pain, Postoperative
• Interventions: Procedure: Ibuprofen for post operative pain

• Registration Number: NCT04115904
• Lead Sponsor: Universidad Autonoma de Baja California

Brief Summary

Aim to compare acute pain rate after single-visit ortwo-visits treatment of teeth with necrotic pulp and apical periodontitis .90 teeth with a diagnosis of pulp necrosis and apical radiolucency at the apex.Working length was established with EAL and confirmed radiographically. Flex-R files were used to complete canal preparation. Level ofdiscomfort were recorded and cases with acute postoperative pain.

Detailed Description

90 teeth with a diagnosis of pulp necrosis and apical radiolucency at the apex.Working length was established with EAL and confirmed radiographically. M4system with Flex-R files were used to complete canal preparation. Level ofdiscomfort were recorded and cases with severe postoperative pain and/orswelling were classified as acute pain.

Study Timeline

• Study Start: 2018-02-08
• Primary Completion: 2018-09-29
• Study Completion: 2019-09-28
• Status Verified: 2019-10
• Study First Submitted: 2019-10-02
• Study First Submitted QC: 2019-10-03
• Last Update Submitted: 2019-10-03
• Study First Posted: 2019-10-04
• Last Update Posted: 2019-10-04

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

a) Radiographic evidence of apical periodontitis (minimum size ≥2.0mm x 2.0 mm) and a diagnosis of pulpal necrosis confirmed by negativeresponse to hot and cold tests and b) Need for retreatment. Thermal pulptesting was performed by the author, and radiographic interpretation wasverified by one certified oral surgeon

Exclusion Criteria

• patients without inclusion requirements or failure to obtain patient ́sauthorization. Patients, were excluded if they were younger than 18 yearsold, pregnant, had a positive history of antibiotic use within the past month,suffered from diabetes, or other systemic diseases. Teeth with periodontalpockets deeper than 4 mm also were excluded of the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Post-endodontic Pain after a RCT	Ibuprofen for post operative pain	Ibuprofen for Post operative pain. Take 400 mg takena week after. Incidence of flare ups after a single vsmultiple visits root canal treatments.
Acute pain	Ibuprofen for post operative pain	Acetaminophen 325 mg for Acute pain. Taken secondday after. Incidence of Post operative pain after rootcanal treatment in one vs two visits

Primary Outcome Measures

Name	Time	Method
Pain intensity measure with general pain scale	a week	Each patient will recall a week to evaluate post operative pain

Trial Locations

Locations (3)

Jose Clemente; 🇲🇽 Tijuana, BC, Mexico

Jorge Paredes Vieyra; 🇲🇽 Tijuana, Baja Califronia, Mexico

Jose Clemente Orozco; 🇲🇽 Tijuana, BC, Mexico