Acute Pain Clinical Trial
Official title:
Effect of Low Power Laser in Pain Modulation During Irreversible Inflammation of Tooth Pulp
Anxiety, pain and discomfort are common stressful situations that occur during the dentistry
practice, especially in the urgency endodontic practice. Studies have concluded that low
intensity laser therapy is effective in treating pain. However, most studies have reported
the low intensity laser therapy in chronic pain, few studies have shown its application on
acute pain and none have evaluated the low intensity laser´s analgesic effect in acute pain
of the pulp inflammation. Since the pulp tissue has the peculiar characteristic to be
surrounded by dentin, in acute pulpits, the inflammatory reaction is more complicated than
usual. Furthermore, during the inflammatory process, sometimes anesthesia is not always
completely effective. Thus, this present study aims to evaluate whether previous therapy
with low intensity laser could, by its analgesic effect, promote greater comfort especially
to this type of patient. 60 patients with acute pulpits pain will be selected to this study
(randomized and double-blinded) and they will be divided in 4 groups:
Group 1 ( n=15) - Control Group; Group 2 (n=15) - Laser 1: 780 nanometers (nm); 40
milliwatts (mW); 4 seconds per point; 0.16 Joules/point; total irradiated points: 02; Group
3 (n=15) - Laser 2: 780nm; 40 mW; 40 seconds per point; 1.6 Joules/point, total irradiated
points: 02; Group 4 (n=15) - Placebo group - Sham Laser Irradiation.
The pain will be evaluated by a visual analogue scale (VAS) in 3 different times: initial
pain, pain immediately after and 15 minutes after interventions (laser irradiation, or sham
laser irradiation). After that, patients with acute pulp irreversible inflammation will be
submitted to conventional endodontic urgency treatment. Data concerning the need of
complimentary local anesthesia will be also taken into account. Data of different groups and
times will be statistically compared.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject)
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