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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  
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 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  
Status 
Not Applicable 
 
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.

 
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