Intraligamentary Injections and Post-endodontic Pain

Pulpitis Clinical Trial

Official title:

Effect of Different Intraligamentary Injections on the Post-endodontic Pain in Patients With Symptomatic Irreversible Pulpitis

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06186921
• Other study ID #: Postendo pain Intraligamentary
• Status: Recruiting
• Phase: N/A
• Start date: December 2, 2023
• Est. completion date: March 3, 2024

Study information

• Verified date: December 2023
• Source: Jamia Millia Islamia
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will aim to evaluate postoperative pain after intraligamentary injections of dexamethasone (4mg/ml), diclofenac sodium (25mg/ml), 0.5% bupivacaine and 2% lidocaine given to the patients with symptomatic irreversible pulpitis after completion of the first appointment. Objectives: 1. To evaluate postoperative pain in patients receiving intraligamentary injections of either dexamethasone (4mg/ml), diclofenac sodium (25mg/ml), 0.5% bupivacaine or 2% lidocaine. 2. To compare the postoperative pain in different groups.

Description:

The patients will receive a primary Inferior alveolar nerve block injection using 1.8 mL of 2% lidocaine with 1: 80 000 epinephrine using a direct Halsted approach. The needle will be inserted until bony resistance is felt. After reaching the target area, aspiration will be performed, and the solution will be deposited over 60 seconds. After 10 minutes, the patients will be asked about the lip numbness. Patients without profound lip numbness will be excluded from the study since the block will be considered as 'missed'. A conventional access opening will be initiated after isolation with a rubber dam. After endodontic instrumentation and placement of temporary restoration, the patients shall receive intraligamentary injections of dexamethasone (4mg/ml), diclofenac sodium (25mg/ml), 0.5% bupivacaine, and 2% lidocaine. The patients will be randomly allocated to treatment groups with the help of an online random generator. The presence of postoperative pain (using Heft Parker visual analog pain scale) will be assessed at 2 hours, 6 hours, 24 hours, and 72 hours after treatment. The pain score proforma shall be collected at the subsequent visit.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 140
• Est. completion date: March 3, 2024
• Est. primary completion date: March 3, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 50 Years

Eligibility

Inclusion Criteria:

• Symptomatic carious exposed mandibular first or second molars.

• Positive and prolonged response to thermal sensitivity tests and electric pulp tests.

• Vital coronal pulp on access cavity preparation.

• American Society of Anesthesiologists class I or II medical history.

• Ability to understand the use of pain scales.

Exclusion Criteria:

• Active pain in more than 1 tooth

• Teeth with fused roots.

• Radiographic evidence of an extra root.

• Large restorations with overhanging margins.

• Full crowns or deep periodontal pockets.

• Known allergy or contraindications to any content of the local anesthetic solution or NSAIDs

• History of known or suspected drug abuse.

• Taking any drugs which could affect the pain perception, e.g, opioids, antidepressants, anticonvulsants, muscle relaxants, anxiolytics, sedatives, NSAIDs.

• Pregnant or breastfeeding patients.

• Patients with asthma, gastric ulcers, and bleeding disorders.

Related Conditions & MeSH terms

• Pulpitis

Intervention

Drug:
• Dexamethasone
After endodontic instrumentation and placement of temporary restoration, the patients shall receive intraligamentary injections.

Locations

Country	Name	City	State
India	Faculty of Dentistry, Jamia MIliia Islamia	New Delhi

Sponsors (1)

Lead Sponsor	Collaborator
Jamia Millia Islamia

Country where clinical trial is conducted

India, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Post operative pain	The presence of postoperative pain (using Heft Parker visual analog pain scale) will be assessed at 2 hours, 6 hours, 24 hours and 72 hours after treatment.	2 hours, 6 hours, 24 hours and 72 hours after treatment