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CTRI Number  CTRI/2024/10/075476 [Registered on: 17/10/2024] Trial Registered Prospectively
Last Modified On: 14/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   TO COMPARE THE EFFECTIVENESS OF KETOROLAC TROMETHAMINE AND DEXAMETHASONE WHEN USED AS FINAL IRRIGANT AFTER PULPECTOMY IN REDUCTION OF POST TREATMENT ENDODONTIC PAIN IN CHILDREN AGED 7 - 9 YEARS A RANDOMISED CONTROLLED CLINICAL TRIAL 
Scientific Title of Study   COMPARATIVE EVALUATION OF THE EFFECTIVENESS OF KETOROLAC TROMETHAMINE AND DEXAMETHASONE IRRIGATION ON POST TREATMENT ENDODONTIC PAIN IN CHILDREN AGED 7 to 9 YEARS OF AGE: A RANDOMIZED CONTROL TRIAL 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Arjun Desani 
Designation  Post-graduate student 
Affiliation  Pacific Dental College and Hospital 
Address  Dept. of Pediatric and Preventive Dentistry, Room No. 09, Pacific Dental College and Hospital Debari Near Airport Road
Dept. of Pediatric and Preventive Dentistry, Room No. 09, Pacific Dental College and Hospital Debari Near Airport Road
Udaipur
RAJASTHAN
313024
India 
Phone  8866111978  
Fax    
Email  killadrama3@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dinesh Rao 
Designation  HOD Pg guide 
Affiliation  Pacific Dental College and Hospital  
Address  Dept. of Pediatric and Preventive Dentistry, Room No. 09, Pacific Dental College and Hospital Debari Near Airport Road
Dept. of Pediatric and Preventive Dentistry, Room No. 09, Pacific Dental College and Hospital Debari Near Airport Road
Udaipur
RAJASTHAN
313024
India 
Phone  9414158235  
Fax    
Email  pedodinesh2003@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr. Arjun Desani 
Designation  Post - graduate student  
Affiliation  Pacific Dental College and Hospital  
Address  Dept. of Pediatric and Preventive Dentistry, Room No. 09, Pacific Dental College and Hospital Debari Near Airport Road
Dept. of Pediatric and Preventive Dentistry, Room No. 09, Pacific Dental College and Hospital Debari Near Airport Road
Udaipur
RAJASTHAN
313024
India 
Phone  8866111978  
Fax    
Email  killadrama3@gmail.com  
 
Source of Monetary or Material Support  
Dept. of Pediatric and Preventive Dentistry, Room No. 09, Pacific Dental College and Hospital Debari, Near Airport Road, Udaipur Rajasthan, 313024  
 
Primary Sponsor  
Name  Dr Arjun Desani 
Address  Dept. of Pediatric and Preventive Dentistry, Room No. 09, Pacific Dental College and Hospital Debari Near Airport Road, Udaipur, Rajasthan, 313024 
Type of Sponsor  Other [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 
Arjun Desani  Pacific Dental College and Hospital  Department of Pediatric and Preventive Dentistry first floor room number nine Pacific Dental College and Hospital, Airport road, Debari, Udaipur (Rajasthan) - 313024
Udaipur
RAJASTHAN 
8866111978

killadrama3@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Pacific Dental College and Hospital   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K040||Pulpitis, (2) ICD-10 Condition: B950||Streptococcus, group A, as the cause of diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  KETOROLAC TROMETHAMINE AND DEXAMETHASONE   After cleaning and shaping, the canals will be dried in groups one and two. Ketorolac tromethamine (0.5 mg/ml) and dexamethasone (0.5 mg/ml) will be irrigated intracanally. The method of placement will be as follows: a 27-gauge needle will be placed into the canal until resistance is felt, then 5 ml of the irrigation solution will be expressed slowly into each canal. 
Comparator Agent  Saline  a 27-gauge needle will be placed into the canal until resistance is felt, then 5 ml of the irrigation solution will be expressed slowly into each canal, Patients in this group will receive oral placebo as normal saline irrigation 
 
Inclusion Criteria  
Age From  7.00 Year(s)
Age To  9.00 Year(s)
Gender  Both 
Details  Medically fit children aged between 7 to 9 years
•
Children who are mentally capable of communication and those who can follow the instructions and be able to interpret the pain perception appropriately
•
Patients undergoing root canal treatment of primary mandibular teeth
•
All the patients who will report moderate to severe pain of continuous or nocturnal, radiating, or throbbing pain
•
Teeth responding to the cold sensibility test with exaggerated pain 
 
ExclusionCriteria 
Details  1. Patients with acute signs and symptoms requiring emergency treatment, with previous painful dental experience, and who are medically compromised
2. Grossly decayed teeth
3. History of any post-traumatic stress disorders or specific phobias related to dental settings
4. History of systemic mental or physical disorders
5. Restored, root fractures, periapical pathology, variations in roots
6. Cardiac patients
7. Patients taking medication 3 days prior
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Centralized 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
FINAL IRRIGATION WITH KETOROLAC TROMETHAMINE AND DEXAMETHASONE RESULTED IN LESS POST TREATMENT ENDODONTIC PAIN AND REDUCED THE NEED FOR TAKING ANALGESIC AFTER TREATMENT  AFTER FINAL IRRIGATION DONE USING KETOROLAC TROMETHAMINE AND DEXAMETHASONE, POST TREATMENT ENDODONTIC PAIN WAS REDUCED SIGNIFICANTLY, AND THE NEED FOR TAKING ANALGESICS FOR POST TREATMENT ENDODONTIC PAIN WAS ALSO REDUCED 
 
Secondary Outcome  
Outcome  TimePoints 
FINAL IRRIGATION WITH KETOROLAC TROMETHAMINE AND DEXAMETHASONE RESULTED IN NO REDUCTION OF POST TREATMENT ENDODONTIC PAIN AND THE PATIENT NEEDED ANALGESICS TO RELIEVE PAIN  EVEN AFTER USING KETOROLAC TROMETHAMINE AND DEXAMETHASONE AS THE FINAL IRRIGANTS, THERE WAS NO REDUCTION IN POST TREATMENT ENDODONTIC PAIN AND PATIENT NEEDED TO TAKE ANALGESICS TO RELIEVE PAIN 
 
Target Sample Size   Total Sample Size="45"
Sample Size from India="45" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   25/10/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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  

The use of ketorolac tromethamine and dexamethasone as root canal final irrigants can optimize pain management strategies in pediatric endodontic treatments, leading to improved clinical outcomes and patient experiences. It can also help in eliminating the need for taking post - treatment endodontic pain.

 
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