The effect of Root Canal Treatment on the resolution of mechanical allodynia in healthy adjacent and contralateral teeth: A prospective clinical study
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- to evaluate percussion sensitivity and mechanicla allodynia
研究概览
简要总结
After clinical and radiographic assessment, the patient will be requested to rinse the oral cavity with 10 ml. of 0.2% chlorhexidine di-gluconate. The tooth will be anesthetised with 2% Lidocaine with 1:80,000 epinephrine and isolated with a rubber dam. Access opening will be done with high-speed bur under water coolant. Pulp chamber will be flushed with distilled water. The working length will be determined with electronic apex locater operated as per manufacturer’s recommendations .The canal is minimally instrumented (glide path)up to the working length with ISO 0.02 taper #06-20K and the preparation of the canal will be carried out with the use of ProTaper® Gold Rotary Files .Entire instrumentation will be supplemented with copious irrigation of canal with 5.25%NAOCL.The canal will be irrigated with 17% EDTA for 1min and the final flush will be done with distilled water. The canal will be dried with sterile adsorbent paper point and to be obturated using AH plus and Calamus Dual Thermoplasticized Gutta-Percha.The access cavity will be sealed with a tooth coloured resin restorative material. Post obturation IOPA is to be taken and Final restoration with composite resin restoration will be done to complete the procedure on same visit as per standard restorative protocol at division of Conservative Dentistry and Endodontics.
研究设计
- 研究类型
- Interventional
入排标准
- 年龄范围
- 18.00 Year(s) 至 40.00 Year(s)（—）
- 性别
- All
入选标准
- •1Mandibular 1 and 2nd molar with severe pulpitis.
- •2IOPA Periapical index score ≤2 3The presence of an adjacent (mesial and distal) and contralateral teeth with vital pulp.
- •4VAS score ≥45mm for diseased tooth and VAS score ≥5mmfor healthy adjacent and contralateral.
排除标准
- •1Test teeth forming part of a fixed partial prosthesis 2Persistent use of medication (e.g., analgesics, steroids, or antidepressants>7days that might alter the pain thresholds.
- •3Teeth with immature roots, Current orthodontic treatment, Teeth with subgingival caries, cracks, cusp fractures, poor periodontal health.
- •4Patient with non-odontogenic tooth pain 5Presence of Acute /chronic apical abscess.
- •6Patients with systemic conditions which could compromise the healing.
结局指标
主要结局
to evaluate percussion sensitivity and mechanicla allodynia
时间窗: 24 hours,7days,1month,3month and 6 months
次要结局
- 3.To compare the pre and postoperative intensity of mechanical allodynia in(D.Tooth with severe pulpitis)