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CTRI Number  CTRI/2026/04/108161 [Registered on: 10/04/2026] Trial Registered Prospectively
Last Modified On: 10/04/2026
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   Impact of Menopausal Status on Dental Anxiety and Pain Perception in patients undergoing root canal treatment. 
Scientific Title of Study   Impact of Menopausal Status on Dental Anxiety and Pain Perception During Endodontic Management of Symptomatic Irreversible Pulpitis: An Observational 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  Alpa Gupta 
Designation  Professor 
Affiliation  Manav Rachna Dental College Faridabad,Haryana. India 
Address  Department of Conservative Dentistry and Endodontics room No: 07, second floor Faridabad Haryana India

Faridabad
HARYANA
121004
India 
Phone  9050312010  
Fax    
Email  alpagupta2008@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Alpa Gupta 
Designation  Professor 
Affiliation  Manav Rachna Dental College Faridabad,Haryana. India 
Address  Department of Conservative Dentistry & Endodontics, Room No. 07, Second Floor Faridabad Haryana India
Department of Conservative Dentistry & Endodontics, Room No. 07, Second Floor Faridabad Haryana India
Faridabad
HARYANA
121004
India 
Phone  9050312010  
Fax    
Email  alpagupta2008@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Alpa Gupta 
Designation  Professor 
Affiliation  Manav Rachna Dental College Faridabad,Haryana. India 
Address  Department of Conservative Dentistry & Endodontics, Room No. 07, Second Floor Faridabad Haryana India
Department of Conservative Dentistry & Endodontics, Room No. 07, Second Floor Faridabad Haryana India
Faridabad
HARYANA
121004
India 
Phone  9050312010  
Fax    
Email  alpagupta2008@gmail.com  
 
Source of Monetary or Material Support  
Manav Rachna Dental College, Sector 43 Faridabad Haryana  
 
Primary Sponsor  
Name  Alpa Gupta 
Address  Manav Rachna Dental College, sector 43, Faridabad Haryana 
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 Monika Tandan  Manav Rachna Dental College  Department of Conservative Dentistry and Endodontics, Room No. 07, second floor, Sector 43, suraj kund badhkal road, faridabad
Faridabad
HARYANA 
9999063631

monikatandan@mrei.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
MANAV RACHNA DENTAL COLLEGE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy volunteer patients undergoing root canal treatment 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Female 
Details  a) Female patients aged 18–65 years
b) Diagnosed with symptomatic irreversible pulpitis in mandibular molars.
c) Indicated for single-visit root canal treatment
d) ASA I / II
e) Willing to provide informed consent
 
 
ExclusionCriteria 
Details  a) Pregnant or lactating women
b) Patients on hormone replacement therapy (HRT)
c) Patients with chronic pain disorders (fibromyalgia, migraine)
d) Psychiatric illness or use of anxiolytics/antidepressants
e) Previous endodontic treatment in the same tooth
f) Acute apical abscess or swelling
g) Uncontrolled systemic diseases (e.g., uncontrolled diabetes)
h) Previous traumatic dental experiences not related to menopause.
i) Patients who had taken analgesics or antibiotics 12 hours before the treatment
j) Teeth with calcified canals and aberrant root canal morphology, root resorption and prior endodontic intervention for same tooth
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Despite growing evidence that menopausal status affects pain thresholds and anxiety in medical settings, there is limited clinical data in dental and endodontic settings, particularly during acute pain conditions like SIP.

Understanding these differences can help clinicians tailor pain control strategies, communication, and anxiety management protocols in menopausal women.
 
6, 12, 24, 48 and 72 hours post treatment 
 
Secondary Outcome  
Outcome  TimePoints 
NA  NA 
 
Target Sample Size   Total Sample Size="81"
Sample Size from India="81" 
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   N/A 
Date of First Enrollment (India)   01/06/2026 
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="2"
Months="0"
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  

The Prospective observational comparative study will be done in the department of conservative dentistry and endodontics, where 81 females are divided in 3 groups of 27 Premenopausal, 27 perimenopausal, & 27 post-menopausal participants each the study will be conducted over the period of 18 months. Female Patients with symptomatic irreversible pulpitis in mandibular molar teeth, ranging from 18—65 year of age will be selected based on the inclusion & exclusion criteria. Single sitting root canal treatment will be performed by the endodontists. The data in the form of scales will be recorded 1. Pre & Post modified dental anxiety scale, 2. HP VAS pain scale will be recorded at defined intervals of pre operative, during access cavity preparation, during root canal instrumentation, and post operatively (6 hour, 12, 24, 48 & 72 hours).

 
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