CTRI Number |
CTRI/2021/03/031957 [Registered on: 12/03/2021] Trial Registered Prospectively |
Last Modified On: |
23/12/2021 |
Post Graduate Thesis |
Yes |
Type of Trial |
Interventional |
Type of Study
|
Dentistry |
Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
Public Title of Study
|
COMPARATIVE EVALUATION OF PAIN AFTER ROOT CANAL TREATMENT WITH AND WITHOUT USING LASERS FOR DISINFECTION OF ROOT CANALS |
Scientific Title of Study
|
COMPARATIVE EVALUATION OF POST-OPERATIVE PAIN FOLLOWING CHEMO-MECHANICAL PREPARATION OF SINGLE ROOTED NON-VITAL TEETH WITH SYMPTOMATIC APICAL PERIODONTITIS WITH AND WITHOUT LASER IRRADIATION: A SINGLE BLIND RANDOMIZED PLACEBO CONTROLLED CLINICAL TRIAL |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Shreya Shivangi |
Designation |
PG STUDENT |
Affiliation |
Bharati Vidyapeeth Dental College and Hospital, Navi Mumbai |
Address |
Room no 302, 3rd floor, Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth Dental College and Hospital, Sector 7, CBD Belapur, Navi Mumbai 400614
Mumbai MAHARASHTRA 400705 India |
Phone |
8310270967 |
Fax |
|
Email |
shivangi.shreya@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Ashish Jain |
Designation |
Head of Department |
Affiliation |
Bharati Vidyapeeth Dental College and Hospital, Navi Mumbai |
Address |
Room no 302, 3rd floor, Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth Dental College and Hospital, Sector 7, CBD Belapur, Navi Mumbai 400614
Mumbai MAHARASHTRA 400614 India |
Phone |
9869152905 |
Fax |
|
Email |
drakjain5@gmail.com |
|
Details of Contact Person Public Query
|
Name |
Dr Shreya Shivangi |
Designation |
PG STUDENT |
Affiliation |
Bharati Vidyapeeth Dental College and Hospital, Navi Mumbai |
Address |
Room no 302, 3rd floor, Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth Dental College and Hospital, Sector 7, CBD Belapur, Navi Mumbai 400614
Mumbai MAHARASHTRA 400705 India |
Phone |
8310270967 |
Fax |
|
Email |
shivangi.shreya@gmail.com |
|
Source of Monetary or Material Support
|
Dr Shreya Shivangi |
Room no 302, 3rd floor, Bharati Vidyapeeth Dental College and Hospital, Sector 7, CBD Belapur, Navi Mumbai 400614 |
|
Primary Sponsor
|
Name |
Dr Shreya Shivangi |
Address |
Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth Dental College and Hospital, Sector 7, CBD Belapur, Navi Mumbai 400614 |
Type of Sponsor |
Other [Self] |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Shreya Shivangi |
Bharati Vidyapeeth Dental College and Hospital, Sector 7, CBD Belapur, Navi Mumbai |
Room no 302, 3rd floor Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth Dental College and Hospital, Sector 7, CBD Belapur, Navi Mumbai 400614 Mumbai MAHARASHTRA |
8310270967
shivangi.shreya@gmail.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Institutional Ethics Committee, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Healthy Human Volunteers |
Symptomatic Apical Periodontitis |
Patients |
(1) ICD-10 Condition: K044||Acute apical periodontitis of pulpal origin, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Intervention |
Laser Irradiation |
Biolase EpicX laser (940nm wavelength, 50/60 Hz frequency in pulsed mode) with attached laser tip of 200µm diameter will be placed in the root canal 2mm short of apex for the placebo and test groups.
The laser tip will be activated only for the test group. An irradiation of 5 sec followed by a 10 sec pause will be performed 4 times. |
Comparator Agent |
Mock Laser Treatment |
Laser will be applied but not activated. |
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
60.00 Year(s) |
Gender |
Both |
Details |
Subjects older than 18 years of either gender.
Subjects having a single rooted non-vital tooth with symptomatic apical periodontitis needing primary endodontic treatment.
Cooperative health subjects who are willing to participate in the study and sign the consent form.
|
|
ExclusionCriteria |
Details |
-Subjects with uncontrolled systemic diseases or allergies.
-History of previous root canal treatment.
-Presence of swelling or sinus tracts.
-Presence of severe periodontal disease.
-Periapical radiolucency.
-Subjects who’ve taken analgesics within the last 3 days.
-Subjects allergic to local anesthesia.
-Subjects unwilling to sign the consent form.
|
|
Method of Generating Random Sequence
|
Coin toss, Lottery, toss of dice, shuffling cards etc |
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
Blinding/Masking
|
Participant and Outcome Assessor Blinded |
Primary Outcome
|
Outcome |
TimePoints |
Post operative pain scores |
Post operative pain scores at 24 hours, 48 hours, and 72 hours |
|
Secondary Outcome
|
Outcome |
TimePoints |
Percussion pain scores |
Pre-operative percussion pain score and post - operative percussion pain score (at 72 hours) |
|
Target Sample Size
|
Total Sample Size="60" Sample Size from India="60"
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="60" |
Phase of Trial
|
N/A |
Date of First Enrollment (India)
|
20/03/2021 |
Date of Study Completion (India) |
23/09/2021 |
Date of First Enrollment (Global) |
Date Missing |
Date of Study Completion (Global) |
23/09/2021 |
Estimated Duration of Trial
|
Years="0" Months="4" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
Recruitment Status of Trial (India) |
Completed |
Publication Details
|
NIL |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
Brief Summary
|
Pain management is one of the most important aspects of endodontic treatment. Infected root canals are the most common cause of endodontic pain. Pain may also be induced following conventional endodontic therapy and even with recently available techniques total eradication of the bacteria is almost unachievable. In the recent years, use of diode lasers has gained acceptance in the endodontic field. It was found by Pawar et al. and Bjordal et al. that the diode laser acted on pain and had an anti-inflammatory effect by decreasing PGE2, bradykinin, acetylcholine, histamine, serotonin, and substance P. In earlier studies related to lasers, the use of lasers was limited to treating dentinal hypersensitivity, for its effects on vital pulpotomy, and for evaluating postoperative pain and swelling in patient undergoing extractions of impacted 3rd molar. Lately, studies performed for evaluating post-operative endodontic pain using lasers showed varying results of significant differences between control groups and test group as well as comparable differences between the two. Therefore, it remains debatable whether laser therapy is effective in reducing post-operative pain after endodontic treatment or not. According to our literature search, we found only a few studies evaluating the use of lasers for post-operative endodontic pain reduction which were mostly for the International populations. Also, to the best of our knowledge, Biolase EpicX and Pro HS Niti Rotary systems have not been used in the investigations for the same. Therefore, this clinical study proposes to investigate the incidence of post-operative pain following chemo-mechanical preparation of single rooted teeth (using Pro HS Niti Rotary systems) having symptomatic apical periodontitis with and without laser irradiation (by Biolase EpicX) for the Indian population. |