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CTRI Number  CTRI/2024/10/075485 [Registered on: 18/10/2024] Trial Registered Prospectively
Last Modified On: 25/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Chances of Pain and swelling after Root canal treatment- one sitting versus multiple sitting in cases of infection at root tip (using Calcium with iodoform inside tooth) 
Scientific Title of Study   Incidences of flare ups after single visit and multiple visit endodontic therapy with and without metapex in permanent teeth with periapical lesion 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Anjali Sharma 
Designation  Ph.D Research Scholar 
Affiliation  Teerthanker Mahaveer Dental College and Research Centre, Moradabad 
Address  Room no. 4, Department of Conservative Dentistry and Endodontics, 4th floor, TMDC&RC, TMU, NH-24, Delhi road, Moradabad, U.P (244001)

Moradabad
UTTAR PRADESH
244001
India 
Phone  7017996796  
Fax    
Email  anjali357512@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Rohit Kumar Sharma 
Designation  Professor  
Affiliation  Teerthanker Mahaveer Dental College and Research Centre, Moradabad 
Address  Room no.4, Department of Conservative Dentistry and Endodontics, TMDC&RC,TMU, NH-24, Delhi road, Moradabad, U.P (244001)

Moradabad
UTTAR PRADESH
244001
India 
Phone  7618192324  
Fax    
Email  rohit357512@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Anjali Sharma 
Designation  Ph.D Research Scholar 
Affiliation  Teerthanker Mahaveer Dental College and Research Centre, Moradabad 
Address  Room No.4, Department of Conservative Dentistry and Endodontics, 4th floor, TMDC&RC, TMU, NH-24, Delhi road, Moradabad, U.P (244001)

Moradabad
UTTAR PRADESH
244001
India 
Phone  7017996796  
Fax    
Email  anjali357512@gmail.com  
 
Source of Monetary or Material Support  
Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Uttar Pradesh (244001), India 
 
Primary Sponsor  
Name  Self 
Address  TMU, NH-24, Delhi road, Moradabad, Uttar Pradesh (244001),India 
Type of Sponsor  Other [Individual] 
 
Details of Secondary Sponsor  
Name  Address 
Rohit Kumar Sharma  TMU, NH-24, Delhi road, Moradabad 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Anjali Sharma  Teerthanker Mahaveer Dental College and Research Centre  Room No.4, Department of Conservative Dentistry and Endodontics, 4th floor, TMDC&RC TMU, NH-24, Delhi road, Moradabad (244002), INDIA
Moradabad
UTTAR PRADESH 
7017996796

anjali357512@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Teerthanker Mahaveer Dental College and Research Centre, Delhi road, Moradabad  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K047||Periapical abscess without sinus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Metapex with zinc oxide eugenol in multiple sitting   Metapex with zinc oxide eugenol will be used in multiple sitting RCT in presence of periapical lesion 
Intervention  Metapex with zinc oxide eugenol in single sitting  Metapex with zinc oxide eugenol will be used in single sitting RCT in presence of periapical lesion 
Comparator Agent  Zinc oxide eugenol in multiple sitting RCT   Metapex will not be used in multiple sitting RCT in presence of periapical lesion. Only zinc oxide eugenol used as sealer. 
Comparator Agent  Zinc oxide eugenol in Single sitting RCT  Metapex will not be used in single sitting RCT in presence of periapical lesion. Only Zinc oxide eugenol will be used 
 
Inclusion Criteria  
Age From  14.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1)Age above 14 years with deep caries approaching or involving pulp and indicated for a root canal treatment
2)Gender both male and females
3)Free from any systemic disease
4)No history of intake of medication for that complaint for last 24 hrs
5)Periapical lesion
 
 
ExclusionCriteria 
Details  1)Pregnant and lactating women
2)Not giving proper consent
3)Root fractures
4)Medically compromised patients
5)Preoperative intra oral or extra oral swelling
6)More than one third root resorption
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain- Heft Parker Visual Analog Scale  1, 2, 3, 4, 5, 6, 7 day in between and post obturation 
 
Secondary Outcome  
Outcome  TimePoints 
Swelling- Verbal rating scale  1, 2, 3, 4, 5, 6, 7 day in between and post obturation 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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 4 
Date of First Enrollment (India)   01/11/2024 
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="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response - Informed Consent Form

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [anjali357512@gmail.com].

  6. For how long will this data be available start date provided 01-11-2024 and end date provided 01-11-2027?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

The Purpose of the present study is to comparatively evaluate the incidences of flare‑up after single‑ and multiple‑visit endodontic therapy with and without medicament (metapex) in permanent teeth with periapical lesion. Hypothesis of our study is that there will be more chance of flare ups in cases of single sitting RCT whether in presence or absence of Metapex in cases of asymptomatic periapical lesion.

 
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