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CTRI Number  CTRI/2021/06/034295 [Registered on: 18/06/2021] Trial Registered Prospectively
Last Modified On: 08/01/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of postoperative pain intensity after using different systems in symptomatic patients 
Scientific Title of Study   Comparative Evaluation Of Postoperative Pain Intensity In Symptomatic Irreversible Pulpitis After Using Different Mechanical Glide Path Systems : A Randomized 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  Tarshit Malik 
Designation  Post Graduate Student 
Affiliation  SGT University, Gurugram, Haryana 
Address  Room No. 5, Department of Conservative Dentistry & Endodontics Faculty of Dental Sciences, SGT University, Gurugram, Haryana

Gurgaon
HARYANA
122505
India 
Phone  9728580999  
Fax    
Email  drmalik25tarshit@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mandeep S Grewal 
Designation  Professor & Head of Department 
Affiliation  SGT University, Gurugram, Haryana 
Address  Room No. 5, Department of Conservative Dentistry & Endodontics Faculty of Dental Sciences, SGT University, Gurugram, Haryana

Gurgaon
HARYANA
122505
India 
Phone  9810805880  
Fax    
Email  drmandeepsgrewal@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Mandeep S Grewal 
Designation  Professor & Head of Department 
Affiliation  SGT University, Gurugram, Haryana 
Address  Room No. 5, Department of Conservative Dentistry & Endodontics Faculty of Dental Sciences, SGT University, Gurugram, Haryana

Gurgaon
HARYANA
122505
India 
Phone  9810805880  
Fax    
Email  drmandeepsgrewal@yahoo.co.in  
 
Source of Monetary or Material Support  
SGT University, Gurugram, Haryana. 
 
Primary Sponsor  
Name  SGT University 
Address  Room No. 5, Department of Conservative Dentistry & Endodontics Faculty of Dental Sciences, SGT University, Gurugram, Haryana, 122505 
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 
Tarshit Malik  SGT University  Room no. 5, Department of Conservative Dentistry & Endodontics Faculty of Dental Sciences, SGT University, Gurugram, Haryana, India. 122505
Gurgaon
HARYANA 
9728580999

drmalik25tarshit@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SGT University Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R52||Pain, unspecified, (2) ICD-10 Condition: K040||Pulpitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Manual Glide Path Preparation  Glide Path will be prepared with manual instruments in first group (control)and compared with reciprocating instruments in second and third group and with rotary instruments in fourth and fifth group. 
Intervention  Reciprocating vs Rotary Glide Path Preparation  Glide path will be prepared with reciprocating instruments in second and third group and with rotary instruments in fourth and fifth group. Postoperative pain will be evaluated for these groups 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Teeth with symptomatic irreversible pulpitis in systemically healthy patients
Positive response to vitality tests and a history of pain and presenting symptoms characteristic of symptomatic irreversible pulpitis
Patients with Moderate to Severe pain according to HP VAS Scale
 
 
ExclusionCriteria 
Details  Patients with a diagnosis of asymptomatic irreversible pulpitis
Patients having pulp necrosis, sinus tract, periapical abscess, or facial cellulitis
Patients having a negative response to pulp vitality tests
Teeth with inadequate tooth structure or poor periodontal status  
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain   6hrs,12hrs,24hrs 
 
Secondary Outcome  
Outcome  TimePoints 
Pain  48hrs, 72hrs & 1 week 
 
Target Sample Size   Total Sample Size="175"
Sample Size from India="175" 
Final Enrollment numbers achieved (Total)= "175"
Final Enrollment numbers achieved (India)="175" 
Phase of Trial   N/A 
Date of First Enrollment (India)   21/06/2021 
Date of Study Completion (India) 30/12/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Will be Published once the study is completed 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

175 Patients presenting with symptomatic irreversible pulpitis will be selected on the basis of inclusion & exclusion criteria for the study.Randomisation will be done using coloured tokens and patients will be divided into 5 groups namely : manual glide path group, R – Motion Glider Group (reciprocating), Wave One Gold Glider Group (reciprocating)TruNatomy
Glider Group (rotary) & Hyflex EDM Glider Group (rotary).
Treatment plan will be explained to the subjects and an informed consent will be taken.
Local anaesthesia will be given, proper rubber dam isolation will be done prior to commencement of procedure.
In the manual glide path group, glide path  will be created using stainless steel k files and working length will be recorded.
In all the mechanical glide path groups, stainless steel k files will be used to measure Working Length. The files will be used according to manufacturer’s instructions till defined working length.
After glide path creation, subsequent endodontic procedures including chemomechanical preparation and obturation will be standardized for all five groups
Complete Root Canal Procedure would be completed in the same sitting. TruNatomy File System (Dentsply) will be used to prepare the root canals
During instrumentation, irrigation will be done thoroughly in all the groups. A standard irrigation protocol will be followed for all the groups. Irrigation will be  performed with a TruNatomy 30-gauge double side vent needle. Master cone will be checked by taking radiograph , after that obturation will be done in the same sitting followed by restoration, Complete treatment will be done by a single operator in a single sitting. Patients will be given post operative instructions, a prescription for optional analgesics & a HP VAS scale form which needs to be filled by patient at : 6hrs,12hrs,24hrs,48hrs,72hrs & 1 week post treatment. Patients will also be instructed to keep a record of analgesic intake.

 
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