Effect of Preoperative Single Dose of Sodium Ibuprofen Versus Placebo on Post-operative Pain for Patient With Symptomatic Irreversible Pulpitis Related to Mandibular Molar Teeth: Double Blind Randomized Controlled Trial
Overview
- Phase
- Phase 1
- Intervention
- nurofen
- Conditions
- Irreversible Pulpitis
- Sponsor
- Cairo University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- postoperative pain
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The aim of this study is to clinically compare post-operative pain levels after administration of preoperative single dose of sodium ibuprofen versus placebo for patient with symptomatic irreversible pulpitis related to mandibular molar teeth.
Detailed Description
Oral pharmacologic agents have been the primary option, and the use of drugs has increased exponentially. Many pharmacological agents have been used to manage endodontic pain, including Non-steroidal Anti-inflammatory Drugs (NSAIDs),.administration of NSAIDs before root canal treatment will reduce inflammatory process before it begins. NSAIDs are widely used to control post endodontic pain They act by blocking the activity of cyclooxygenase (COX 1 and 2) enzyme. In human dental pulps with irreversible pulpitis, a higher level of expression of COX 2.In cases of irreversible pulpitis NSAIDS can be administered preoperatively since they reduce the level of prostaglandinE2(PGE2) which is responsible for sensitization of nociceptors. Ibuprofen is one of the most commonly used NSAIDs and a potent inhibitor of prostaglandin (PG) synthesis that can manage various pain types and has anti-inflammatory activity. Enhancements in ibuprofen acid's pharmacokinetics have led to the development of ibuprofen salts with a faster dissolution rate and onset of action. These ibuprofen salts.Fast acting ibuprofen like Sodium ibuprofen delivers maximum plasma drug concentrations at about 30-40 min, compared with around 90-120 min for standard ibuprofen acid formulations
Investigators
Samah Sobhie Abdalla
principal investigator
Cairo University
Eligibility Criteria
Inclusion Criteria
- •Patients above 18 years old and below
- •Male or female
- •Patients seeking root canal treatment
- •Mandibular posterior molarteeth with Symptomatic irreversible pulpitis .
- •Spontaneous pain
- •Systematically healthy patient(ASA I,II)
Exclusion Criteria
- •Medically compromised patients having significant systemic disorders. (ASA III or IV)
- •History of intolerance to NSAIDS.
- •Patients with two or more adjacent teeth requiring endodontic treatment.
- •External root resorption
- •Internal root resorption
- •Vertical root fracture
- •Periapical lesion
- •Pregnancy
- •Use of ibuprofen in the last 12 hour
- •Bleeding disorder
Arms & Interventions
nurofen
sodium ibuprofen 1 tablet (256) 30 minutes before treatment administered once (oral)
Intervention: nurofen
placebo
starch tablet 30 minutes before treatment administered once (oral)
Intervention: nurofen
Outcomes
Primary Outcomes
postoperative pain
Time Frame: Post-operative pain will be assessed immediately after treatment ,at 6 hours, at 12 hours, at 24 hours and 48 hours
pain will be measured by visual analogue scale(VAS). Postoperative pain levels were documented by the patients immediately after obturation, 6, 12, 24 and 48 hours post-treatment. The VAS consists a 10-cm line anchored by 2 extremes, ''no pain'' and ''pain as bad as it could be.'' Patients were asked to make a mark on the line that represents their level of perceived pain. Readings were transformed into categories; no pain (range of 0-4mm), mild pain (range of 5-44mm), moderate pain (range of 45-74mm) and severe pain (range of 75-100mm)
Secondary Outcomes
- need for rescue medication(Amount of analgesics taken by the patient after root canal treatment, up to 48 hours postoperatively)