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CTRI Number  CTRI/2025/07/091525 [Registered on: 23/07/2025] Trial Registered Prospectively
Last Modified On: 17/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Other 
Public Title of Study   A clinical study of laser photobiomodulation synergy with lignocaine and tramadol to increase depth of anesthesia 
Scientific Title of Study   Laser photobiomodulation synergy with lignocaine and tramadol An In vivo 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  Dr Shlesha Sheth 
Designation  Post Graduate Student 
Affiliation  Narsinhbhai Patel Dental college and hospital 
Address  S P Sahakar Vidhyadham Ambaji Gandhingar Link Road Near Kamana Char Rasta Visnagar Gujarat Room No 5 department of conservative dentistry and endodontics Narsinhbhai Patel Dental College and Hospital Sankalchand Patel University Mahesana GUJARAT 384315 INDIA

Mahesana
GUJARAT
384315
India 
Phone  9408951168  
Fax    
Email  sheth.shlesha09@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kailash Attur 
Designation  Professor and head 
Affiliation  Narsinhbhai Patel Dental college and hospital 
Address  room no 5 Department of Conservative Dentistry And Endodontics Narsinhbhai Patel Dental College and Hospital Sankalchand Patel University Visnagar Gujarat 384315 INDIA

Mahesana
GUJARAT
384315
India 
Phone  9727752499  
Fax    
Email  atturkailash@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Kailash Attur 
Designation  Professor and head 
Affiliation  Narsinhbhai Patel Dental college and hospital 
Address  room no 5 Department of Conservative Dentistry And Endodontics Narsinhbhai Patel Dental College and Hospital Sankalchand Patel University Visnagar Gujarat 384315 INDIA

Mahesana
GUJARAT
384315
India 
Phone  9727752499  
Fax    
Email  atturkailash@gmail.com  
 
Source of Monetary or Material Support  
Department of Conservative Dentistry and Endodontics Narsinhbhai Patel Dental College and Hospital visnagar 384315 mahesana Gujarat India 
 
Primary Sponsor  
Name  Dr Shlesha Sheth 
Address  9, killol bungalows gayatri nagar society , nanakwada valsad 396001 Gujarat India 
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 Shlesha Sheth  Narsinhbhai Patel Dental college and hospital  Room no 5 Department of Conservative dentistry and Endodontics Narsinhbhai Patel Dental College and Hospital Nootan Dental college Visnagar , Mehsana Gujarat
Mahesana
GUJARAT 
9408951168

sheth.shlesha09@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee Narsinhbhai Patel Dental College Visnagar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K029||Dental caries, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  evaluate depth of anesthesia during the root canal treatment procedure only.(2 hours)  with tramadol and lignocaine during the root canal treatment procedure only (2 hours) 
Comparator Agent  with and without laser photobiomodulation during the root canal treatment procedure only.(2 hours)  to evaluate increase in anesthetic efficacy with laser photobiomodulationduring the root canal treatment procedure only.(2 hours) 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Vital Maxillary Molar requiring Root Canal Treatment.
Vitality Test : Positive or prolonged response (Using Cold test & Electric pulp test)
 
 
ExclusionCriteria 
Details  Non-Vital teeth.
All other maxillary teeth.
Mandibular teeth.
Teeth with periapical lesion.
Patients allergic to lignocaine (local anesthetics).
Pregnant & lactating women.
Patients having habit of alcohol.
Those who have systemic diseases, immunocompromised conditions, psychiatric condition
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Photobiomodulation increases depth of anesthesia during access cavity preparation.  Visual analogue scale(VAS) for pain perception recorded during dentin cutting (VAS 1) and at entry into the pulp (VAS 2). The patient’s response will be noted based on VAS score during dentin cutting, and during pulp dropping(assessment while ongoing root canal treatment within 2hours of anesthesia delivery) 
 
Secondary Outcome  
Outcome  TimePoints 
Chances of achievement of Pulpal anesthesia increases when tramadol hydrochloride & lignocaine hydrochloride both are administered.  Visual analogue scale(VAS) for pain perception recorded during dentin cutting (VAS 1) & at entry into the pulp (VAS 2). The patient’s response will be noted based on VAS score during dentin cutting, & during pulp dropping while ongoing root canal treatment only.( within 2 hours of anaesthesia delivery) 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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 2 
Date of First Enrollment (India)   15/08/2025 
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="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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   Total of 80 vital maxillary molar teeth requiring root canal treatment
All the teeth are allocated in 4 groups as per anesthesia and laser photobiomodulation 
Infiltration anesthesia will be given . Lignocaine(0.6ml) Tramadol(0.4ml)

Group 1

Lignocaine plus Tramadol

Group 2

Lignocaine plus Photobiomodulation

Group 3

Tramadol plus Photobiomodulation

Group 4

Lignocaine plus Tramadol plus Photobiomodulation
















Endo access bur will be used for access cavity preparation and while performing the treatment for each group, the evaluation was repeated and the Visual Analog scale VAS recorded during dentin cutting VAS 1 and at entry into the pulp VAS 2. The patient’s response will be noted based on VAS score during dentin cutting, and during pulp dropping
 
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