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CTRI Number  CTRI/2026/02/104621 [Registered on: 24/02/2026] Trial Registered Prospectively
Last Modified On: 23/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Which root canal medicine (Bioceramic and calcium hydroxide) works better to reduce pain between visits  
Scientific Title of Study   Comparative Efficacy of Bioceramic and Calcium Hydroxide Intracanal Medicaments on Interappointment Pain Reduction in Primary Non-surgical Endodontic therapy of non-vital posterior teeth- A Randomized Controlled 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 NAYANA RAJ 
Designation  POSTGRADUATE STUDENT in MDS program (Conservative Dentistry and Endodontics 
Affiliation  Government Dental College Thiruvananthapuram 
Address  Government Dental College Thiruvananthapuram, Medical College Road, Chalakkuzhi, Thiruvananthapuram, Kerala, India

Thiruvananthapuram
KERALA
695011
India 
Phone  9562299016  
Fax    
Email  nayana11798@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr SREEJA J 
Designation  Professor (CAP)  
Affiliation  Government Dental College Thiruvananthapuram 
Address  Dept of Conservative Dentistry and Endodontics,Room no-252,Floor no.2,Government Dental College Thiruvananthapuram, Medical College Road, Chalakkuzhi, Thiruvananthapuram, Kerala, India

Thiruvananthapuram
KERALA
695011
India 
Phone  9446551581  
Fax    
Email  drsreejamdas@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr BINU P 
Designation  Assistant Professor 
Affiliation  Government Dental College Thiruvananthapuram 
Address  Dept of Conservative Dentistry and Endodontics, Room no. -252, Floor no.-2,Government Dental College Thiruvananthapuram, Medical College Road, Chalakkuzhi, Thiruvananthapuram, Kerala, India

Thiruvananthapuram
KERALA
695011
India 
Phone  9496548682  
Fax    
Email  drbinup@gmail.com  
 
Source of Monetary or Material Support  
Government Dental College Thiruvananthapuram, Kerala, India Pin code - 695011 
 
Primary Sponsor  
Name  Dr NAYANA RAJ 
Address  Government Dental College Thiruvananthapuram, Medical college road, Chalakkuzhi, Thiruvananthapuram, Kerala, 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 Nayana Raj  Hospital  Dept of Conservative Dentistry and Endodontics, Room no.-252, Floor no.-2,Government Dental College Thiruvananthapuram, Medical College Road, Chalakkuzhi,Thiruvananthapuram PIN-695011
Thiruvananthapuram
KERALA 
9562299016

nayana11798@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Government Dental College Thiruvananthapuram  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Permanent posterior teeth with clinical signs of pulp necrosis 
Patients  (1) ICD-10 Condition: K041||Necrosis of pulp,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Bio C Temp, Angelus, Brazil  Bioceramic intracanal medicament 
Comparator Agent  CalciCure, SafeEndo, India  Calcium Hydroxide intracanal medicament  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Permanent posterior teeth with clinical signs of pulp necrosis
Permanent posterior teeth with PAI score greater than or equal to 3
Patients willing to provide informed consent  
 
ExclusionCriteria 
Details  Patients showing positive response to pulp sensibility test
Patients with uncontrolled systemic disease, tooth mobility, root fractures,non restorable teeth,perforations,retreatment cases
patients who had taken analgesics and antibiotics within the last 4-8 hours of treatment 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain will be assessed using VAS score  4 hours, 12 hours, 24 hours, 3rd day, 7th day  
 
Secondary Outcome  
Outcome  TimePoints 
Proportion of patients experiencing flare-ups will be assessed  4 hours, 12 hours, 24 hours, 3rd day and 7th day 
 
Target Sample Size   Total Sample Size="140"
Sample Size from India="140" 
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/ Phase 3 
Date of First Enrollment (India)   09/04/2026 
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="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   This clinical trial is to study the comparative efficacy of Bioceramic and Calcium Hydroxide intracanal medicaments on interappointment pain reduction in primary non-surgical endodontic therapy of posterior non-vital teeth. Sample size includes 140 participants and the study will be conducted in Government Dental College Thiruvananthapuram with a time period of 18 months. All the expenses will be self-financed by the Principal investigator. Informed consent from the participants will be obtained and confidentiality will be ensured and maintained throughout the study. 
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