Effect of Apical Patency and Local Corticosteroid on Pain and Neuropeptides Release in Patients With Symptomatic Irreversible Pulpitis: A Randomized Clinical Trial
Suez Canal University
40 participants
Feb 1, 2021
INTERVENTIONAL
Conditions
Summary
The goal of this randomized clinical trial is to learn the effect of using local corticosteroids and maintaining apical patency in reducing post-preparation pain in patients with acute irreversible pulpitis in molar teeth. The main question it aims to answer is: • How effective are using local corticosteroids and maintaining apical patency in reducing post-preparation pain in patients with acute irreversible pulpitis? Participants will be asked to fill a visual analogue scale to record their pain, after receiving a root canal treatment while using local corticosteroids or not as well as maintaining apical patency or not. Researchers will compare the use of corticosteroids and maintaining apical patency in reducing post-operative pain.
Eligibility
Inclusion Criteria5
- Symptomatic acute irreversible pulpitis in molar teeth.
- Normal periapical condition including periapical radiography with minimal widening of periodontal ligament.
- Normal probing depth.
- No medical condition.
- No contraindication for administration of corticosteroids and local anesthesia.
Exclusion Criteria9
- Facial or oral paresthesia.
- Pregnancy \& breastfeeding.
- Unrestorable tooth.
- Marginal periodontal disease.
- Presence of a crown on the tooth involved.
- Over instrumentation during root canal treatment.
- Long-term use of corticosteroids.
- False-positive cases of sensibility test with necrosis discovered after gaining access to the tooth.
- Cases requiring intrapulpal injection to promote anesthesia.
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Interventions
no infiltration injection of 0.7 ml of dexamethasone lateral to the involved tooth after anesthesia administration.
infiltration injection of 0.7 ml of dexamethasone lateral to the involved tooth after anesthesia administration.
Locations(1)
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NCT06457828