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CTRI Number  CTRI/2025/01/079047 [Registered on: 20/01/2025] Trial Registered Prospectively
Last Modified On: 11/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of Occlusal Reduction on Pain Following Root Canal Treatment in Lower Molars 
Scientific Title of Study   Role of Occlusal Reduction on Post-operative Pain Following Single Visit Root Canal Treatment in Mandibular Molars  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sathvika K 
Designation  Post Graduate Student  
Affiliation  CSI College of Dental Sciences and Research 
Address  Room no. 6, Department of Conservative Dentistry and Endodontics, 129, East Veli Street, CSI College of Dental Sciences and Research, Madurai.

Madurai
TAMIL NADU
625001
India 
Phone  7708197871  
Fax    
Email  drsathvika.kan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr I Anand Sherwood 
Designation  HOD and Professor of Operative Dentistry and Endodontics 
Affiliation  CSI College of Dental Sciences and Research 
Address  Room no. 6, Department of Conservative Dentistry and Endodontics, 129, East Veli Street, CSI College of Dental Sciences and Research, Madurai.

Madurai
TAMIL NADU
625001
India 
Phone  9443805150  
Fax    
Email  anand.sherwood@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr I Anand Sherwood 
Designation  HOD and Professor of Operative Dentistry and Endodontics 
Affiliation  CSI College of Dental Sciences and Research 
Address  Room no. 6, Department of Conservative Dentistry and Endodontics, 129, East Veli Street, CSI College of Dental Sciences and Research, Madurai.

Madurai
TAMIL NADU
625001
India 
Phone  9443805150  
Fax    
Email  anand.sherwood@gmail.com  
 
Source of Monetary or Material Support  
(Self) Room no. 6, Department of Conservative Dentistry and Endodontics, 129, East Veli Street, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu, India. Pincode - 625001. 
 
Primary Sponsor  
Name  Sathvika K 
Address  (Self) Room no. 6, Department of Conservative Dentistry and Endodontics, 129, East Veli Street, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu, India. Pincode - 625002.  
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 
Sathvika K  CSI College of Dental Sciences and Research  Room no. 6, Department of Conservative Dentistry and Endodontics, 129, East Veli Street, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu, India. Pincode: 625001.
Madurai
TAMIL NADU 
7708197871

drsathvika.kan@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee and Institutional Review Board  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  No Occlusal Reduction   Single visit root canal in mandibular molars without occlusal reduction. 
Intervention  Occlusal Reduction   Single visit root canal in mandibular molars with occlusal reduction. Frequency - Once. Duration - Few seconds.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  (1)Systemically healthy adult patients
(2)Age group: 18-70 years
(3)Patients with both asymptomatic and symptomatic irreversible pulpitis in mandibular first and second molars who are willing to provide informed consent 
 
ExclusionCriteria 
Details  (1)Re-RCTs
(2)Teeth with additional roots or canal variations
(3)Patients with an allergy to lignocaine
(4)Patients who took analgesics/anti-inflammatories before root canal treatment
(5)Patients with pre-existing absence of occlusal contacts
(6)Patients with bruxism and other para-functional habits contributing to disproportionate occlusal loads  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the incidence of postoperative pain following single-visit root canal treatment in mandibular molars with irreversible pulpitis - with and without occlusal reduction.  24 hours, 48 hours, 1 week following root canal treatment 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the role of different categories of preoperative pain scores and the effect of occlusal reduction on it.  24 hours, 48 hours, 1 week following root canal treatment 
 
Target Sample Size   Total Sample Size="280"
Sample Size from India="280" 
Final Enrollment numbers achieved (Total)= "280"
Final Enrollment numbers achieved (India)="280" 
Phase of Trial   N/A 
Date of First Enrollment (India)   31/01/2025 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
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  

This study aims to compare the incidence of postoperative pain following single-visit root canal treatment in mandibular molars with irreversible pulpitis - with and without occlusal reduction in various sub-gradients of preoperative pain. 

 
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