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The effect of Root Canal Treatment to reduce the pain on nearby and opposite healthy teeth on same arch-A clinical study

Phase 4
Not yet recruiting
Conditions
Dental caries, unspecified,
Registration Number
CTRI/2024/07/071412
Lead Sponsor
CENTRE FOR DENTAL EDUCATION AND RESEARCH ALL INDIA INSTITUTE OF MEDICAL SCIENCES NEW DELHI
Brief Summary

After clinical and radiographic assessment, the patient will be requested to rinse the oral cavity with 10 ml. of 0.2% chlorhexidine di-gluconate. The tooth will be anesthetised with 2% Lidocaine with 1:80,000 epinephrine and isolated with a rubber dam. Access opening will be done with high-speed bur under water coolant. Pulp chamber will be flushed with distilled water. The working length will be determined with electronic apex locater operated as per manufacturer’s recommendations .The canal is minimally instrumented (glide path)up to the working length with ISO 0.02 taper #06-20K and the preparation of the canal will be carried out with the use of ProTaper® Gold Rotary Files .Entire instrumentation will be  supplemented with copious irrigation of canal with 5.25%NAOCL.The canal will be irrigated with 17% EDTA for 1min and the final flush will be done with distilled water. The canal will be dried with sterile adsorbent paper point  and to be  obturated using AH plus and Calamus Dual Thermoplasticized Gutta-Percha.The access cavity will be sealed with a tooth coloured resin restorative material. Post obturation IOPA is to be taken and Final restoration with composite resin restoration will be done to complete the procedure on same visit as per standard restorative protocol at division of Conservative Dentistry and Endodontics.

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
All
Target Recruitment
60
Inclusion Criteria
  • 1Mandibular 1 and 2nd molar with severe pulpitis.
  • 2IOPA Periapical index score ≤2 3The presence of an adjacent (mesial and distal) and contralateral teeth with vital pulp.
  • 4VAS score ≥45mm for diseased tooth and VAS score ≥5mmfor healthy adjacent and contralateral.
Exclusion Criteria
  • 1Test teeth forming part of a fixed partial prosthesis 2Persistent use of medication (e.g., analgesics, steroids, or antidepressants>7days that might alter the pain thresholds.
  • 3Teeth with immature roots, Current orthodontic treatment, Teeth with subgingival caries, cracks, cusp fractures, poor periodontal health.
  • 4Patient with non-odontogenic tooth pain 5Presence of Acute /chronic apical abscess.
  • 6Patients with systemic conditions which could compromise the healing.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
to evaluate percussion sensitivity and mechanicla allodynia24 hours,7days,1month,3month and 6 months
Secondary Outcome Measures
NameTimeMethod
3.To compare the pre and postoperative intensity of mechanical allodynia inD.Tooth with severe pulpitis

Trial Locations

Locations (1)

All india institute of medical science

🇮🇳

Delhi, DELHI, India

All india institute of medical science
🇮🇳Delhi, DELHI, India
sufina mohammad sirajudheen
Principal investigator
9567123442
sufinams@gmail.com

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