Assessment of Postoperative Pain After Using Two Formulations of Calcium Hydroxide Intracanal Medication : A Randomized Clinical Trial.
试验速览
- 阶段
- 4 期
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Measuring the severity of postoperative pain in both groups.
研究概览
简要总结
Calcium hydroxide is advocated as an intracanal medication for various purposes, including prevention of post-treatment symptoms. Calcium hydroxide has a pain-controlling effect at different times when compared to non-intracanal medication .
Aim:
The aim of the study to compare between postoperative pain after using two formulations of calcium hydroxide intracanal medication with and without iodoform .
详细描述
The most persuasive factor for a patient to visit a dental health care professional is the existence of odontalgia. Accordingly, the pain after a dental therapy results in demotivation of the patient. Unfortunately, mild to severe pain following a tooth-preserving therapy such as root canal treatment is reported to be experienced by 40% of the patients.
The majority of patients with symptomatic necrotic teeth had significant postoperative pain and required analgesic medication to manage this pain.
There is a correlation between the intensity of preoperative pain and postoperative pain ,The preoperative pain has a significant influence on postoperative pain.
Several strategies are suggested to manage or prevent post instrumentation pain. One of them is insertion of intracanal medicament.
The interappointment intracanal medicaments are suggested for disinfection of the infected root canal system in multi-visit endodontic treatment. Calcium hydroxide (Ca(OH)2) is considered as a universal intracanal medicament for this purpose.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
Blind allocation will be followed in the study .
- Group A: will not receive any intracanal medication.(control group)
- Group B :will recieve calcium hydroxide intracanal medication without iodoform (Metapaste)
- Group c: will receive calcium hydroxide intracanal medication with iodoform (Metapex).
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •.single-rooted teeth with pulpal necrosis and symptomatic apical periodontitis with visible radiographic disturbance of periapical lamina dura. The diagnosis of pulp necrosis was confirmed by negative response to cold test, electric pulp tester and clinically by absence of blood upon access cavity .
- •Clinical signs of apical periodontitis.
- •Teeth with sufficient coronal tooth structure for adequate rubber dam isolation were selected .
- •Patients who are over 18 years old .
排除标准
- •Presence of open apices
- •Presence of non-restorable teeth
- •Presence of large carious lesions approaching the root.
- •Presence of calcification or resorption .
- •Patients who had received antibiotics during the last 3 months .
- •Teeth with periodontal probing depth > 4 ml.
- •Teeth with previous root canal treatment .
- •Teeth with fluctuant facial swelling .
- •Pregnant females.
研究组 & 干预措施
Group B
Calcium hydroxide intracanal medication without iodoform (Metapaste )
干预措施: Calcium hydroxide intracanal medication application (Drug)
Group C
Calcium hydroxide intracanal medication with iodoform (Metapex)
干预措施: Calcium hydroxide intracanal medication application (Drug)
结局指标
主要结局
Measuring the severity of postoperative pain in both groups.
时间窗: The pain score will be recorded after one week.
Measuring the severity of postoperative pain in both groups. The patients will be informed to record their pain scores in visual analogue scale (VAS) as used by Habib et al. (1990) .The degree of the pain will have numerical value 0= no pain, 1-3= mild pain, 4-6= moderate pain , 7-9= severe pain . The pain score will be recorded after one week . No medication will be prescribed for the patients . They will be instructed to take only Ibuprofen if they experienced pain and it will be recorded in the chart.
次要结局
未报告次要终点
研究者
Sarah Alaa El Din Mohamed Hamed El Abyad
demonstrator at endodontic department
Suez Canal University