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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
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

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.
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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Intensity of postoperative pain24, 48 and 72 hours

Using modified VAS

Secondary Outcome Measures
NameTimeMethod
Total number of analgesic tablets taken in case of intolerable painPost instrumentation at 24, 48 and 72 hours

Counted and recorded by the patient on a special table.

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