Influence of Occlusal Reduction on Endodontic Postoperative Pain
Influence of Occlusal Reduction on Endodontic Postoperative Pain: a Randomized Clinical Trial
University of Jordan
60 participants
Feb 28, 2025
INTERVENTIONAL
Summary
This study aims to assess the impact of occlusal reduction on post-operative pain after single-visit root canal treatment in patients with necrotic pulps or previously initiated (accessed).
Eligibility
Inclusion Criteria5
- Systemically healthy subjects (ASA I\&II) between the age of 18 and 70 years
- Patients diagnosed with necrotic pulp or previously initiated (accessed).
- Posterior maxillary or mandibular molar tooth.
- Presence of an opposing tooth (or teeth) with normal occlusal contact with the opposing tooth (or teeth).
- Tooth needs cuspal coverage.
Exclusion Criteria8
- Pregnant females.
- Patients with significant medical conditions (ASA III \& IV).
- Reported bruxism or clenching.
- Took analgesics\\antibiotics or other drugs that might alter their pain during the last 12 hours preoperatively.
- A history of allergic reactions to any of the medications and/or materials used.
- Patients with a tooth that had no contacts or premature contact, fewer than three teeth on one side of the jaw.
- Greater than grade I mobility or pocket depth greater than 5mm.
- Non-restorable crowns, severely curved root canals, or post-treatment endodontic disease were, also, excluded.
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Interventions
patients will be allocated to either undergo occlusal reduction (Intervention group) where all occlusal contacts on the functional and non-functional cusps as well as on the marginal ridges will be reduced using a diamond bur, or not undergo occlusal reduction (Control group) where all occlusal contacts will remain intact. The presence or absence of contact will be confirmed using articulating paper where occlusal surfaces will be dried and articulating paper will be held between the teeth with the mandible guided to the centric position. Intact occlusion will be assessed by examining the marks on the teeth. A high-speed handpiece with copious coolant will be used to remove occlusal contacts (Intervention group) or just moved above the surface of the tooth without contacting the occlusal surface (Control group) to facilitate patient blinding.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06977009