Pain evaluation after one time root canal treatment in patients with irreversible pulpitis using two different rotating instruments- A Randomised controlled trial.
- Conditions
- patients suffering with symptomatic irreversible pulpitis with deep caries lesion involving pulp
- Registration Number
- CTRI/2015/02/005487
- Lead Sponsor
- Narayana Dental College and Hospital
- Brief Summary
Root canal treatment is the removal of vital or necrotic pulp from the canal system of an infected tooth followed by replacement with an inert filling material.Traditionally, root canal treatment was performed in multiple visits, with medication between root canal preparation and obturation, which aims to reduce or eliminate microorganisms and their by-products before obturation.In recent times, there is a growing concern about the multiple appointments as there is no significant differences in antimicrobial efficacies have been reported between the single- and multiple-visit treatments . Furthermore, the recent invention of rotary systems and improvements in the irrigation delivery systems have facilitated the better instrumentation and disinfection of the root canal, which inturn makes the single-appointment treatment more convenient than before along with other advantages like timesaving, better patient acceptance, and reduction of the interappointment infection risks, reduced flare-ups (*Walton & Fouad 1992, Imura & Zuolo 1995, Albashaireh & Alnegrish 1998).* However the argument for single-visit treatment still relies heavily on microbial eradication,postoperative pain, healing rate. Numerous studies evaluated the effectiveness and post treatment pain of single- versus multiple-appointment root canal treatment and reported no significant difference in effectiveness (healing rates) and postoperative pain between these 2 treatment regimens. *Sathorn et al* conducted a metaanalysis in which he gave the conclusion that single-visit root canal treatment appeared to be slightly more effective than multiple visit, i.e. 6.3% higher healing rate.The aim of the present randomized controlled clinical trial is to evaluate the post-operative pain in patients underwent single visit root canal treatment with Mtwo and Protaper next rotary systems.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Not Yet Recruiting
- Sex
- All
- Target Recruitment
- 60
1.Single rooted teeth with irreversible pulpitis with normal periapical radiographic appearance 2.Prolonged response of pain even after the removal of stimulus 3.No signs of periapical lesion or radiolucency 4.patient who has ability to understand the use of pain scales will be provided informed consent for endodontic treatment.
1.patients with sinus tract, periapical abscess or facial cellulitis 2.patient with known allergies or any contraindication to opioid and non opioid analgesics 3.patients with known allergy to local anaesthesia sodium hypochlorite and chlorhexidine 4.presence of systemic diseases like cardio vascular disease, renal disease and any bleeding disorder within last month 5.pregnant and lactating mothers 6.patients who are unable to complete the pain questionnaries 7.patients who are unwilling to sign the informed consent.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method post operative pain evaluation using verbal descriptor scale post operative pain evaluation using verbal descriptor scale at 8hrs,24hrs and 48hrs.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Narayana Dental College and Hospital
🇮🇳Nellore, ANDHRA PRADESH, India
Narayana Dental College and Hospital🇮🇳Nellore, ANDHRA PRADESH, IndiaDrTV SwathiPrincipal investigator9291259199tvs9891.wowie@gmail.com