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CTRI Number  CTRI/2025/08/092563 [Registered on: 06/08/2025] Trial Registered Prospectively
Last Modified On: 25/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Dentistry 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A randomized control trial comparing postoperative pain in patients with symptomatic irreversible pulpitis receiving a singlevisit root canal after premedication with three different antiinflammatory drugs 
Scientific Title of Study   Comparison of Postoperative pain after Premedication with three different Anti-inflammatory Drugs in Single-visit root canal treatment for patients diagnosed with Symptomatic Irreversible Pulpitis - 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  Dr Abhay Wasu 
Designation  Post Graduate Student  
Affiliation  Ranjeet Deshmukh Dental College And Research Center Nagpur 
Address  Department of Conservative Dentistry and Endodontics Ranjeet Deshmukh Dental College And Research Center Nagpur

Nagpur
MAHARASHTRA
440019
India 
Phone  7350215236  
Fax    
Email  abhaywasu111@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Gautam Badole 
Designation  Associate Professor  
Affiliation  Ranjeet Deshmukh Dental College And Research Center Nagpur 
Address  Department of Conservative Dentistry and Endodontics Ranjeet Deshmukh Dental College And Research Center Nagpur

Nagpur
MAHARASHTRA
440019
India 
Phone  9665410655  
Fax    
Email  badole_g15@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Abhay Wasu 
Designation  Post Graduate Student  
Affiliation  Ranjeet Deshmukh Dental College And Research Center Nagpur 
Address  Department of Conservative Dentistry and Endodontics Ranjeet Deshmukh Dental College And Research Center Nagpur

Nagpur
MAHARASHTRA
440019
India 
Phone  7350215236  
Fax    
Email  abhaywasu111@gmail.com  
 
Source of Monetary or Material Support  
Study will be conducted at department of conservative dentistry and endodontics at Ranjeet Deshmukh Dental College and Research Center Nagpur 440019 
 
Primary Sponsor  
Name  Department of conservative dentistry and endodontics 
Address  Ranjeet Deshmukh Dental college And hospital nagpur 440019 
Type of Sponsor  Research institution and hospital 
 
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 Abhay Wasu  Ranjeet Deshmukh Dental College And Research Center Nagpur 440019   Department of Conservative Dentistry and Endodontics 311 floor 3rd
Nagpur
MAHARASHTRA 
7350215236

abhaywasu111@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K044||Acute apical periodontitis of pulpal origin,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group 1 120 mg oral Etoricoxib Group 2 20 mg oral Piroxicam Group 3 10 mg oral Ketorolac   Each of the study group drug will be give by oral route 30 minute before the root canal treatment and pain will be evaluated upto 72 hours by call and messages  
Comparator Agent  Group 2 20 mg oral Piroxicam Group 3 10 mg oral Ketorolac   All the groups will be compared with each other and Each of the study group drug will be give by oral route 30 minute before the root canal treatment and pain will be evaluated upto 72 hours by call and messages 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Aged 18 to 60 will be included in the study.
2. Both male and female.
3. Systemically healthy patients (Category: American Society of Anesthesiologists class 1).
4. Single rooted tooth diagnosed with symptomatic irreversible pulpitis and symptomatic apical periodontitis.
5. Teeth will be included if they have moderate sharp spontaneous pain preoperative visual analogue scale .
6. Ability to read and comprehend the visual analogue scale sheets and informed consent
7. Teeth that demonstrated tenderness upon percussion, along with a positive reaction to electric pulp testing and a prolonged response exceeding 10 seconds to cold testing.
8. The teeth with periapical changes in radiographs .
9. Having no history of painkillers administrated with 12 hours before procedure.
 
 
ExclusionCriteria 
Details  1. Teeth with crown/root fractures
2. Acute or chronic apical abscess
3. Pulp necrosis
4. Compromised periodontium and open apices
5. Allergic to NSAIDs
6. Pregnant or lactating women
7. Previously treated/initiated root canal treatment
8. Retreatment cases.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To assess the effect of postoperative pain after premedication with three different anti-inflammatory drugs in single-visit root canal treatment for patients diagnosed with symptomatic irreversible pulpitis.   6hr 12hr 24hr 48hr 72hr 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the effect of postoperative pain after premedication with three different anti-inflammatory drugs in single-visit root canal treatment for patients diagnosed with symptomatic irreversible pulpitis
To analyse the effect of postoperative pain after premedication with three different anti-inflammatory drugs in single-visit root canal treatment for patients diagnosed with symptomatic irreversible pulpitis.
 
6hr 12hr 24hr 48hr 72hr 
 
Target Sample Size   Total Sample Size="57"
Sample Size from India="57" 
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)   09/08/2025 
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="1"
Months="6"
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 present clinical study will be a single blinded Patient will be blinded prospective randomized controlled trial

A total of 57 participants, who are actively seeking treatment and care at the study hospital, will be chosen through a convenience sampling approach These individuals must provide their consent to participate and meet the specified eligibility criteria  The selected sample will then be randomly allocated into three equal groups with each subgroup containing n 19 participants.

 
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