"Impact of Different Techniques on the Efficacy of Anaesthesia in Mandibular Molars With Acute Irreversible Pulpitis: A Randomized Controlled Trial"
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 188
- 试验地点
- 1
- 主要终点
- The effect of intraligamentary dexamethazone injection on the success rate of inferior alveolar nerve block
研究概览
简要总结
The goal of this clinical trial is to assess the effect of
-
Preoperative intraligamentary corticosteroids injection
-
Cryotherapy which is cold application on :
-
Hard tooth structure ( crown of the tooth )
-
Soft tissue overlying roots on the efficacy of the inferior alveolar nerve block anaesthesia in patients with mandibular molars with symptomatic irreversible pulpitis. The main question it aims to answer are: • Does intraligamentary dexamethazone injection increase the success rate of inferior alveolar nerve block without the need for oral premedication.
Participants will describe their preoperative pain level to the investigator and describe their pain level during the treatment.
Researchers will compare cryotherapy to see if it increases the success rate of inferior alveolar nerve block.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 25 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Participants willing to commit for the entire period of the trial and agreed to sign the written consent after full explanation of the study.
- •Having a mandibular molar tooth diagnosed with symptomatic irreversible pulpitis (hot tooth - vital pulp, intermittent or continuous sharp pain that lasts longer after removal of the stimulus).
排除标准
- •Presence of any systemic disease or allergic reactions.
- •Vulnerable group; prisoners, pregnant females, mentally ill, etc...
- •The presence of a periapical radiolucency.
- •Teeth with open apices.
- •A previous root canal treatment.
- •Sinus tracts.
- •Local gum swelling around the affected tooth.
- •Severe periodontal disease .
- •Presence of periodontal pockets >3 mm in the affected tooth.
- •Absence of bleeding in the pulp chamber on access cavity preparation.
- •Patients with doubted diagnosis due to multiple carious teeth.
研究组 & 干预措施
intraligamentary dexamethazone
干预措施: Dexamethasone sodium phosphate injection (Drug)
Endo-ice cryotherapy
干预措施: 1,1,1,2 tetrafluoroethane (Other)
Intraoral soft tissue cryotherapy
干预措施: intraoral soft tissue cryotherapy (Other)
结局指标
主要结局
The effect of intraligamentary dexamethazone injection on the success rate of inferior alveolar nerve block
时间窗: Assessed up to 30 minutes, from lip numbness point until the end of pulp extirpation.
Percentage of the successful participants among total participants
次要结局
未报告次要终点