Apical Patency and Postoperative Pain.

Pain Postoperative Clinical Trial

Official title:

Influence of Maintaining Apical Patency on Postoperative Pain in Posterior Teeth With Necrotic Pulp and Apical Periodontitis: A Randomized Controlled Trial.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02768285
• Other study ID #: IAH-1
• Status: Completed
• Phase: Phase 1
• First received: May 5, 2016
• Last updated: October 23, 2017
• Start date: January 1, 2016
• Est. completion date: August 7, 2017

Study information

• Verified date: January 2016
• Source: Isparta Military Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to determine whether maintaining an apical patency causes postoperative pain in posterior teeth with necrotic pulp and apical periodontitis.

Description:

Apical patency (AP) is a procedure that prevents accumulation of soft and hard tissue debris within the cement canal. However, some RCTs indicate that maintaining an AP causes postoperative pain, whilst some RCTs pointed out there is no difference in terms of pain when AP has been performed. We, therefore, would like to conduct a RCT to increase the sample size of the previously performed RCTs to do an systematic review.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 320
• Est. completion date: August 7, 2017
• Est. primary completion date: July 17, 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 21 Years to 45 Years

Eligibility

Inclusion Criteria:

• Mature permanent teeth having plural necrosis and apical periodontitis

Exclusion Criteria:

• Systemic disorders

• Diabetes

• Pregnancy

• Less than 18 years of age

• Immunocompromised

• Patients who had taken antibiotics in the past 1 month

• Patients who had a positive history of analgesic use within the past 3 days

• Previously accessed teeth

Related Conditions & MeSH terms

• Pain Postoperative
• Pain, Postoperative

Intervention

Procedure:
• APICAL PATENCY
After determining the working length, a small and flexible size 10 K-file was inserted 1 mm beyond the WL.

Locations

Country	Name	City	State
Turkey	Isparta Military Hospital	Isparta

Sponsors (1)

Lead Sponsor	Collaborator
Isparta Military Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	100-mm Visual Analog Scale (VAS).	Pain severity was evaluated as no pain (0-4 mm), mild pain (5-44 mm), moderate pain (45-74 mm) and severe pain (75-100 mm).	7 days.
Secondary	The number of patients taking an analgesic following the endodontic treatment.	The patients were asked to take an analgesic in the 7 days of time frame.	7 days.