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CTRI Number  CTRI/2024/04/065122 [Registered on: 03/04/2024] Trial Registered Prospectively
Last Modified On: 13/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of the anesthetic efficacy of lidocaine 2% with articaine 4% in dental pain anesthesia. 
Scientific Title of Study   Comparative Evaluation of Anesthetic Efficacy of two different Local Anesthetic Agents in Maxillary Posterior Teeth with Irreversible Pulpitis: A Prospective Randomized Double-Blind Study 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  EDE Sumit Nagaraj 
Designation  JUNIOR RESIDENT 
Affiliation  Dr Ziauddin Ahmad Dental College & Hospital Aligarh Muslim University Aligarh 
Address  Department of Conservative Dentistry and Endodontics, Dr Z. A. Dental college, Aligarh Muslim University, Aligarh.
Department of Conservative Dentistry and Endodontics, Dr Z. A. Dental college, Aligarh Muslim University, Aligarh.
Aligarh
UTTAR PRADESH
202001
India 
Phone  9552489345  
Fax    
Email  edesumit11@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ashok Kumar  
Designation  Professor 
Affiliation  Dr Ziauddin Ahmad Dental College & Hospital Aligarh Muslim University Aligarh 
Address  Department of Conservative Dentistry and Endodontics, Dr Ziauddin Ahmad Dental College & Hospital Aligarh Muslim University Aligarh
Department of Conservative Dentistry and Endodontics, Dr Ziauddin Ahmad Dental College & Hospital Aligarh Muslim University Aligarh
Aligarh
UTTAR PRADESH
202002
India 
Phone  9412732327  
Fax    
Email  ashokoperative@yahoo.in  
 
Details of Contact Person
Public Query
 
Name  Dr Syed Mukhtar ArUnNisar Andrabi 
Designation  Assistant Professor 
Affiliation  Dr Ziauddin Ahmad Dental College & Hospital Aligarh Muslim University Aligarh 
Address  Department of Conservative Dentistry and Endodontics, Dr Ziauddin Ahmad Dental College & Hospital Aligarh Muslim University Aligarh
Department of Conservative Dentistry and Endodontics, Dr Ziauddin Ahmad Dental College & Hospital Aligarh Muslim University Aligarh
Aligarh
UTTAR PRADESH
202002
India 
Phone  7599112249  
Fax    
Email  mukhtarandrabi@gmail.com  
 
Source of Monetary or Material Support  
Department of Conservative Dentistry and Endodontics, Dr Ziauddin Ahmad Dental College & Hospital Aligarh Muslim University Aligarh, Uttar Pradesh, India. 202002 
 
Primary Sponsor  
Name  EDE Sumit Nagaraj 
Address  Dr Ziauddin Ahmad Dental College & Hospital Aligarh Muslim University Aligarh 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sumit Nagaraj EDE   Dr Ziauddin Ahmad Dental College & Hospital Aligarh Muslim University Aligarh,  OPD NO. 7, Post Graduate Clinic, Department of Conservative Dentistry and Endodontics, Dr Ziauddin Ahmad Dental College & Hospital Aligarh Muslim University Aligarh, Uttar Pradesh, India, 202002
Aligarh
UTTAR PRADESH 
9552489345

edesumit11@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Jawahrlal Nehru Medical College and Hospital, Faculty of Medicine, Aligarh Muslim Universiity, Aligarh, Uttar Pradesh 202002  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K040||Pulpitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  4% articaine with 1:100,000 epinephrine.  (1) 26 patients shall receive PSA nerve block injection using 1.8 ml of 4% articaine with 1:100,000 epinephrine 15 minutes before the start of the root canal treatment. (2) 26 patients shall receive infiltration injection of 1.8 ml of 4% articaine with 1:100,000 epinephrine 15 minutes before the start of the root canal treatment. 
Intervention  2% lidocaine with 1:100,000  (1) 26 patients shall receive PSA nerve block injections using 1.8 ml of 2% lidocaine with 1:100,000 epinephrine, 15 minutes before the start of the root canal treatment (2)26 patients shall receive infiltration using 1.8 ml of 2% lidocaine with 1:100,000 epinephrine 15 minutes before the start of the root canal treatment  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Those Patients who are at least 18 years old, having good oral and general health, possessing vital symptomatic maxillary posterior teeth,moderate to severe pain in the maxillary molar, a prolonged response to cold testing with an endofrost spray and an exaggerated response to electric pulp testing,the absence of any periapical radiolucency on radiographs except for a widened periodontal ligament, a vital coronal pulp on access opening, and the ability of subject to understand the use of pain scales.
 
 
ExclusionCriteria 
Details  Subjects younger than 18 years of age or older than 50 years of age, patients having active pain in more than 1 maxillary molar, subjects taking any pain-relieving medication including over-the-counter analgesics at least 12 hours before enrolment in the study and swelling near the tooth in question. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Subjective and Objective Signs of onset of complete pulpal anesthesia after the injection of the anesthetic agent   15 minutes after the injection of the anesthetic agent, and the same shall be verified by negative response to electric pulp testing 
 
Secondary Outcome  
Outcome  TimePoints 
patients who have received the injection of the anesthetic agent must feel no pain during endodontic access opening & instrumentation   complete pulpal anesthesia 15 minutes after the injection & no sensation of pain up to 1 hour. 
 
Target Sample Size   Total Sample Size="104"
Sample Size from India="104" 
Final Enrollment numbers achieved (Total)= "104"
Final Enrollment numbers achieved (India)="104" 
Phase of Trial   Phase 3/ Phase 4 
Date of First Enrollment (India)   10/04/2024 
Date of Study Completion (India) 05/09/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 05/09/2025 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  

The present study aims to evaluate the efficacy of two different local anesthetic agents (Lidocaine 2% and Articaine 4%) in maxillary posterior teeth with irreversible pulpitis. The study is a Double Blind Randomized Clinical Trial with participant and outcome assessor blinded. The present study will be conducted in the Department of Conservative Dentistry and Endodontics, Dr. Ziauddin Ahmad Dental College, AMU. Patients will be selected from the pool of patients visiting the department of Conservative Dentistry and Endodontics, seeking endodontic treatment. Patients will be selected from the pool of patients visiting the department of conservative dentistry and endodontics with the chief complaints of pain in maxillary posterior teeth. A quorum of at least 104 volunteer patients fulfilling the inclusion criteria will be included in the study. The study will be conducted for about 1 and half years from the date of recruitement.


 
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