Status:

COMPLETED

Evaluation of Post-operative Pain and Expression of IL-8 Using Ketolac or Cryoirrigation as a Final Flush in Single Visit Endodontic Treatment in Teeth With Symptomatic Irreversible Pulpitis and Apical Periodontitis.Randomized Clinical Trial.

Lead Sponsor:

Cairo University

Conditions:

Post-operative Pain

Eligibility:

All Genders

18-40 years

Phase:

PHASE1

Brief Summary

To compare the effect of cryotherapy versus ketorolac tromethamine irrigating solutions used as a final flush in single visit endodontic treatment in mandibular molars, with symptomatic irreversible p...

Detailed Description

The main rationale of endodontic treatment is to eliminate micro-organisms from the infected root canal system by adequate chemo-mechanical debridement followed by a three-dimensional hermetic seal to...

Eligibility Criteria

Inclusion

  • \- Medically free patients
  • Age between 18-40 years old
  • Males or females
  • Participants able to understand Visual Analogue Scale (the pain chart diary) and sign the informed consent ( Appendix I,II).
  • Mandibular permanent molar teeth:
  • Diagnosed clinically with symptomatic irreversible pulpitis associated with apical periodontitis.
  • Presence of spontaneous pain and sharp pain to cold tester (ethyl-chloride) that lingers after removal of the stimulus compared to the contra-lateral tooth
  • Tenderness to percussion with normal periapical radiographic appearance or slight widening of the lamina dura

Exclusion

  • \- Participants allergic to NSAIDS
  • Pregnant females
  • Participants having significant systemic disorder
  • If analgesics or antibiotics have been taken by the patient during the past 24 hours pre-operatively.
  • Participants with psychological disturbances
  • Participants with bruxism or clenching
  • Participants having acute pain in more than one mandibular molar
  • Participants with mandibular molar teeth showing:
  • Swelling or fistulous tract
  • Acute or chronic periapical abscess
  • Mobility greater than grade I
  • Periodontitis
  • Previous endodontic treatment or non-restorability

Key Trial Info

Start Date :

September 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2023

Estimated Enrollment :

48 Patients enrolled

Trial Details

Trial ID

NCT04733326

Start Date

September 1 2021

End Date

March 1 2023

Last Update

September 19 2024

Active Locations (1)

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1

Faculty of dentistry, Cairo univresity

Giza, Egypt, 11211