A comparison of the effectiveness of additional injections of opioid and anaesthetic in emergency root canal treatment of adultlower teeth
- Conditions
- Health Condition 1: K040- Pulpitis
- Registration Number
- CTRI/2019/05/018900
- Lead Sponsor
- nil
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 34
1. Healthy adults (ASA-I or ASA-II), aged between 18 â?? 65 years, who signed consent form.
2. Symptomatic irreversible pulpitis of the mandibular first or second molar.
a) The patients who have pain in a mandibular molar (visual analog scale >54) with prolonged response to cold testing (lingering pain for more than 45 seconds).
b) Absence of any periapical radiolucency on a periapical radiograph (except for a widened periodontal ligament of no more than 0.75â??1 mm and no pain on percussion).
3. Vital teeth with no history of previous root canal therapy.
4. Ability to understand the consent forms and the pain record scales.
1. A known allergy, sensitivity, or contraindications to any local anaesthetics or opioids. Those patients who show any abnormal reaction to the test dose of the drugs.
2. History of seizures, systemic diseases such as diabetes, uncontrolled hypertension, acute or severe bronchial asthma, significant respiratory depression, decreased renal or liver function.
3. Pregnancy or lactation.
4. History of narcotics or psychotic drugs, patients who had taken NSAIDs or sedatives within 24 hours before the root canal treatment.
5. Patients experiencing pain in more than 1 mandibular molar.
6. During the procedure, patients will be excluded if lip numbness is not achieved after the inferior alveolar nerve block.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Modified Heft Parker Visual Analog Scale pain scoreTimepoint: 1) Pre-operative pain score <br/ ><br>2) Intra-operative pain score <br/ ><br>3) Post-operative pain score after 6 hours <br/ ><br>4) Post-operative pain after 12 hours <br/ ><br>
- Secondary Outcome Measures
Name Time Method Heart rateTimepoint: Intra-operative