Actively Recruiting

Phase Not Applicable
Age: 18Years - 70Years
All Genders
Healthy Volunteers
ID05935306

Effect of Photobiomodulation to Reduce Post-operative Pain After Endodontic Surgery: a Randomized Controlled Clinical Trial

Led by University of Nove de Julho · Updated on 2025-05-07

34

Participants Needed

1

Research Sites

13 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to evaluate whether photobiomodulation (FBM) can reduce postoperative pain in patients undergoing endodontic surgery on upper jaw teeth. The study is a randomized, controlled, and double-blind clinical trial involving 34 adult participants aged 18 to 70 years, all diagnosed with chronic periapical lesions smaller than 10mm and without comorbidities. The trial assesses pain levels and healing outcomes following the surgical procedure. Participants will be randomly assigned to one of two groups: an experimental group receiving photobiomodulation treatment with specific parameters (808nm wavelength, 100 mW power, 4J/cm2 energy density at five points on the vestibular area) immediately after surgery and again at 24 hours, and a control group receiving a simulated photobiomodulation procedure with placebo ibuprofen. Both groups will undergo the same standard surgical procedures considered gold standard. The study uses triple blinding so neither patients, evaluators, nor treatment administrators know group assignments. During the study, participants will be monitored for postoperative pain using a visual analog scale at baseline, 24 hours, and 7 days after surgery. Secondary measures include the amount of analgesic medication taken, swelling (edema), bruising (ecchymosis), soft tissue healing, and local and systemic temperature measured at the same time points. Radiographic images will be taken digitally at 1 and 3 months to evaluate bone repair and lesion healing. These assessments will provide comprehensive data on pain relief and tissue recovery over time.

CONDITIONS

Brief Title

Effect of Photobiomodulation to Reduce Post-operative Pain After Endodontic Surgery

Who Can Participate

Age: 18Years - 70Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients with periapical lesions smaller than 10mm who have already undergone endodontic treatment
  • Patients without comorbidities
  • Age from 18 to 70 years
  • Both genders
  • Healthy permanent teeth with good hygiene
Not Eligible

You will not qualify if you...

  • Taking drugs that affect bone metabolism or inflammation (e.g., corticosteroids, bisphosphonates)
  • Smokers, pregnant or lactating women
  • Used anti-inflammatory drugs in the last 3 months before surgery
  • Interrupted treatment by missing appointments
  • Do not follow study guidelines or have acute phase injury (pain, edema, exudate)

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - 2 days

Participants undergo endodontic surgery followed by photobiomodulation or its simulation immediately after surgery and 24 hours later to reduce postoperative pain.

2 visits (immediate post-surgery and 24 hours after surgery)

Post-operative Follow-up

Duration - 7 days

Participants are monitored for pain, edema, ecchymosis, soft tissue healing, and local and systemic temperature at baseline, 24 hours, and 7 days after surgery.

3 visits (baseline, 24 hours, and 7 days after surgery)

Long-term Monitoring

Duration - 3 months

Radiographic images are taken to evaluate bone consolidation and lesion repair at 1 and 3 months after surgery.

2 visits (1 month and 3 months post-surgery)

Trial Site Locations

Total: 1 location

1

Universidade Catolica do Uruguay

Montevideo, Uruguay

Actively Recruiting

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Research Team

R

Rolf Wilhem C Cirisola

A

Anna CR Horliana

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Photobiomodulation for postoperative pain relief following conventional periapical surgery: a randomised controlled study protocol.

Rolf Wilhem Consolandich Cirisola, Luis Eduardo Pascuali Moya, María Victoria García Olazabal...

https://pubmed.ncbi.nlm.nih.gov/41218940