The Effect of Photobiomodulation Using Low-Level Diode Laser Therapy on Postoperative Pain in Symptomatic Lower Molar Teeth With Irreversible Pulpitis and Apical Periodontitis; a Randomized Controlled Clinical Trial

Not Applicable

Not yet recruiting

• Conditions: Effect of Photobiomodulation Using Diode Laser
• Interventions: Device: Photobiomodulation by low level diode laser; Other: Mock Laser Application

• Registration Number: NCT06396130
• Lead Sponsor: Cairo University

Brief Summary

this study aims to assess the effect of photobiomodulation using low-level diode laser therapy on postoperative pain after single-visit root canal treatment of mandibular molars with symptomatic irreversible pulpitis and apical periodontitis.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design

Study Timeline

• Status Verified: 2024-04
• Study First Submitted: 2024-04-29
• Study First Submitted QC: 2024-04-29
• Last Update Submitted: 2024-04-29
• Study First Posted: 2024-05-02
• Last Update Posted: 2024-05-02
• Study Start: 2024-06-20
• Primary Completion: 2025-04-20
• Study Completion: 2025-05-29

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• . Mature multirooted mandibular molar teeth with: i. Pre-operative sharp pain marked on the VAS scale by reading not less than 6. ii. Clinical diagnosis of symptomatic irreversible pulpitis with periapical periodontitis.

iii. Normal periapical radiographic appearance or slight widening in lamina dura. iv. Positive response and pain provoked by percussion.

• Patients who agree to provide written consent and attend for recall appointments.

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Exclusion Criteria

• Patients who used NSAIDs in the 24 hours before treatment.

• Medically compromised patients having significant systemic disorders. (ASA III or IV).

• Patients with two or more adjacent teeth requiring endodontic treatment.

• Pregnant or nursing females. 5. Teeth that have:

  i. Periodontal affection (with pocket depth greater than 5mm, associated with swelling orfistulous tract, or greater than grade I mobility).

ii. No possible restorability. iii. Signs of pulpal necrosis; associated sinus tract or swelling.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Photobiomodulation using diode laser	Photobiomodulation by low level diode laser	Irradiation of periapical tissues with low level diode laser therapy buccally and lingually
Placebo/ Mock Laser	Mock Laser Application	Application of laser probe without device activation

Primary Outcome Measures

Name	Time	Method
Intensity of postoperative pain	24, 48 and 72 hours	Using modified VAS

Secondary Outcome Measures

Name	Time	Method
Total number of analgesic tablets taken in case of intolerable pain	Post instrumentation at 24, 48 and 72 hours	Counted and recorded by the patient on a special table.