Effect of laser activation of LI4 (Hegu) point on the inferior alveolar nerve block for mandibular molars with symptomatic irreversible pulpitis – a randomised controlled clinical trial
试验速览
- 阶段
- 1/2 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- Success of IANB will be assessed using VAS scores (subjective measure) and the scores given by blinded observers in SEM scale (objective measure).
研究概览
简要总结
It frequently becomes difficult to achieve pulpal anesthesia in teeth with symptomatic irreversible pulpitis. Acupressure is an integral part of many non-pharmacological pain management techniques implemented during root canal therapy. The most common application of laser activation at acupressure points is to reduce pain during dental procedures. The study aims to assess the effect of low level laser activation on LI4 (Hegu) acupressure point in enhancing the success rate of inferior alveolar nerve block. In addition, it is expected to help reduce the patients’ anxiety levels while they receive root canal therapy along with LI4 laser activation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Other
- 盲法
- Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients with mild or no systemic diseases according to ASA physical status classification (Class 1 and 2).
- •The patient with moderate to severe (more than or equal to 66) pain prior to the procedure scored using a visual analog scale.
- •Patient diagnosed with symptomatic irreversible pulpitis in mandibular first or second molar that will be confirmed with cold test and electric pulp testing.
- •Radiographic confirmation of caries involving pulp and devoid of any periapical changes.
- •History of spontaneous pain or nocturnal pain.
排除标准
- •Patients who had taken any analgesics or systemic steroids in the past 24 hours at the time of intervention.
- •Patients allergic to local anesthetic or other NSAIDS.
- •Patients under opioids, antidepressants and other medications for mental disorders.
- •Pregnant & breast-feeding women.
- •History of gastrointestinal tract related disease, metabolic and hormonal disorders.
- •Teeth with periodontal disease, non-restorable tooth structure loss, and radiographic observations like break in lamina dura and periapical radiolucency.
- •Patients with history of any other painful orofacial diseases.
结局指标
主要结局
Success of IANB will be assessed using VAS scores (subjective measure) and the scores given by blinded observers in SEM scale (objective measure).
时间窗: One time assessment of pain score immediately after the procedure.
次要结局
- Pulse rate, respiratory rate & SpO2 values.(Assessment of Pulse rate, respiratory rate & SpO2 values during the procedure & immediately after the procedure.)
研究者
Sankar Vishwanath
KSR Institute of Dental science and Research