EFFECT OF LASER ASSISTED ARTICAINE LOCAL ANESTHESIA IN SINGLE-VISIT ROOT CANAL TREATMENT FOR MANDIBULAR MOLAR WITH SYMPTOMATIC IRREVERSIBLE PULPITIS: A RANDOMIZED CLINICAL TRIAL.
试验速览
- 阶段
- 2 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 64
- 试验地点
- 1
- 主要终点
- Comparison of intraoperative pain control between diode laser group and articaine injection group during single visit root canal treatment of mandibular molar with sympromatic irreversible pupitis.
研究概览
简要总结
This study is a double-blind randomized controlled clinical trial conducted at the Department of Conservative Dentistry and Endodontics, IGIDS, SBV Puducherry, to compare the anesthetic efficacy of inferior alveolar nerve block (IANB) using 4% articaine with 1:100,000 epinephrine versus adjunctive 980 nm diode laser irradiation in patients with symptomatic irreversible pulpitis of mandibular molars undergoing single-visit root canal treatment. Sixty-four patients aged 18–45 years with moderate to severe pain were randomized into two groups. Outcomes assessed included pulpal anesthesia success using the Visual Analog Scale (VAS), intraoperative pain intensity, and physiological parameters. The trial aims to determine whether laser-assisted anesthesia enhances pain control and anesthesia efficacy in challenging inflamed pulpal tissue scenarios, ensuring safer and more effective endodontic management.
研究设计
- 研究类型
- Interventional
- 分配方式
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 45.00 Year(s)（—）
- 性别
- All
入选标准
- •1 Patients with normal general health willing to participate in this study 2 Patients aged 18-45 yrs 3 Mandibular molars with symptoms of irreversible pulpitis 4 Case that is ideal to perform single visit root canal technique.
- •5 Moderate to severe pain 6 Lingering response to cold pulp sensibility test.
排除标准
- •1 Patients with systemic diseases or condition that hindering single visit root canal treatment.
- •2 Pregnant patients or nursing mothers.
- •3 Allergic to local anaesthesia.
- •4 Presence of any periapical radiolucency on radiographs.
- •5 Pain symptoms not indicative of irreversible pulpitis or no pain.
结局指标
主要结局
Comparison of intraoperative pain control between diode laser group and articaine injection group during single visit root canal treatment of mandibular molar with sympromatic irreversible pupitis.
时间窗: Comparison of intraoperative pain control between diode laser group and articaine injection group during single visit root canal treatment of mandibular molar with sympromatic irreversible pupitis. it does not include weeks or months as it is single visit RCT, the time line is mostly baseline and post operative
次要结局
- the intraoperative pain scores measured during the root canal procedure using the Visual Analog Scale (VAS) & the recording of physiological parameters such as pulse rate. These measures supplement the primary outcome of anesthetic success by assessing patient comfort & systemic response during treatment. The study compares the effectiveness of 980 nm diode laser adjunct anesthesia versus conventional anesthesia methods in reducing pain intensity & physiological stress during endodontic therapy for symptomatic irreversible pulpitis within around 3 months of time in the upcoming year(The secondary outcome (intraoperative pain & pulse rate) was recorded continuously during root canal treatment & immediately post-operatively, within 3 months of time period)
研究者
JENCY ABARNA S
INDIRA GANDHI ISTITUTE OF DENTAL SCIENCE