Actively Recruiting
The Role Of Trinase In Reducing Post-Operative Pain For Patients With Symptomatic Irreversible Pulpitis: A Randomized Controlled Trial
Led by Fayoum University · Updated on 2025-12-01
182
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to evaluate whether Trinase, an enzyme-based anti-inflammatory medication containing trypsin, bromelain, and rutin, can reduce pain after root canal treatment in male patients diagnosed with symptomatic irreversible pulpitis. The study focuses on 182 healthy male adults aged 18 to 50 years who experience moderate to severe tooth pain. It is designed as a randomized, double-blind, placebo-controlled clinical trial to assess post-operative pain relief and analgesic use following treatment. Participants are randomly assigned to receive either a single oral Trinase tablet or a matching placebo 30 minutes before undergoing a standard single-visit root canal treatment. The procedure involves local anesthesia, rubber dam isolation, mechanical canal cleaning with rotary instruments, irrigation, and canal obturation using a modified technique. All treatments are performed by the same experienced operator to ensure consistency. Both groups follow the same clinical protocol, with only the premedication differing. Patients will record pain intensity on a Visual Analogue Scale (VAS) at baseline and then at 6, 12, 24, and 48 hours after root canal treatment. They will also document the number of pain-relief tablets taken during this 48-hour period. The study will analyze differences in pain scores and analgesic consumption between the Trinase and placebo groups. The total active participation duration for each participant is about 48 hours post-treatment, with no additional invasive procedures beyond standard care.
CONDITIONS
Brief Title
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.
Who Can Participate
Eligibility Criteria
You may qualify if you...
- 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 645 mm)
- Normal periapical tissue (no radiolucency, pocket depth 65 mm, mobility 4 Grade I)
You will not qualify if you...
- 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)
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Single day
Participants receive a single oral tablet of Trinase or placebo 30 minutes before a single-visit root canal treatment. The procedure includes local anesthesia, rubber dam isolation, canal instrumentation, irrigation, obturation, and temporary restoration performed by an experienced operator.
1 treatment visit (in-person)
Duration - 48 hours
Participants record their pain levels using a pain diary at 6, 12, 24, and 48 hours after treatment. They also document any analgesic tablets consumed during this 48-hour period.
Pain diary entries at 4 timepoints over 48 hours; no in-person visits required
Trial Site Locations
Total: 1 location
1
Fayoum University
Al Fayyum, Faiyum Governorate, Egypt, 12311
Actively Recruiting
Research Team
A
Ahmed Maged Negm, Associate Professor
How is the study designed?
Study Type
INTERVENTIONAL
Masking
QUADRUPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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