Status:

RECRUITING

A Randomized Controlled Trial Evaluating Whether Pre-operative Trinase Reduces Post-operative Pain in Patients With Symptomatic Irreversible Pulpitis Compared to Placebo, Using VAS Scores and Analgesic Intake Over 48 Hours.

Lead Sponsor:

Fayoum University

Conditions:

Symptomatic Irreversible Pulpitis (SIP)

Postoperative Pain After Endodontic Treatment

Eligibility:

MALE

18-50 years

Phase:

NA

Brief Summary

This study aims to determine whether Trinase, an enzyme-based anti-inflammatory medication, can reduce pain after root canal treatment in patients with symptomatic irreversible pulpitis. A total of 18...

Detailed Description

Symptomatic irreversible pulpitis is a common endodontic condition characterized by severe inflammatory dental pain. Although root canal treatment (RCT) is effective in removing the inflamed pulp tiss...

Eligibility Criteria

Inclusion Criteria:

  • Systemically healthy male patients (ASA I or II)
  • Aged 18 to 50 years
  • Presenting with symptomatic irreversible pulpitis in a restorable mandibular molar
  • Preoperative moderate to severe pain (VAS ≥45 mm)
  • Normal periapical tissue (no radiolucency, pocket depth ≤5 mm, mobility ≤ Grade I)

Exclusion Criteria:

Medically compromised patients (ASA III or higher)

  • History of allergy or intolerance to Trinase or any of its components (trypsin, bromelain, rutin)
  • Vertical root fracture
  • External or internal root resorption
  • Periodontal pocket depth >5 mm
  • Tooth mobility Grade II or III
  • Presence of periapical lesion (radiolucency)
  • Female patients (to standardize pain perception and hormonal factors)

Key Trial Info

Start Date :

August 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 15 2025

Estimated Enrollment :

182 Patients enrolled

Trial Details

Trial ID

NCT07239505

Start Date

August 1 2025

End Date

December 15 2025

Last Update

December 1 2025

Active Locations (1)

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Fayoum University

Al Fayyum, Faiyum Governorate, Egypt, 12311