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CTRI Number  CTRI/2022/02/040315 [Registered on: 15/02/2022] Trial Registered Prospectively
Last Modified On: 11/02/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Evaluation of pain following ozonated chlorhexidine and octinidine irrigation in endodontic retreatment. 
Scientific Title of Study   Evaluation of efficacy of ozonated and non-ozonated 2% Chlorhexidine gluconate and 0.1% Octinidine hydrochloride with and without hypochlorite application in single visit endodontic retreatment: A randomised 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  Nidhi Sinha 
Designation  Professor 
Affiliation  PACIFIC DENTAL COLLEGE AND HOSPITAL 
Address  Department of conservative dentistry and endodontics Pacific dental college and hospital Airport road Debari Udaipur RAJASTHAN 313024 India
Department of conservative dentistry and endodontics Pacific dental college and hospital Airport road Debari Udaipur RAJASTHAN 313024 India
Udaipur
RAJASTHAN
842001
India 
Phone  08619423478  
Fax    
Email  dr.nidhi.sinha@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Nidhi Sinha 
Designation  Professor 
Affiliation  PACIFIC DENTAL COLLEGE AND HOSPITAL 
Address  Department of conservative dentistry and endodontics Pacific dental college and hospital Airport road Debari Udaipur RAJASTHAN 313024 India
Department of conservative dentistry and endodontics Pacific dental college and hospital Airport road Debari Udaipur RAJASTHAN 313024 India
Udaipur
RAJASTHAN
842001
India 
Phone  08619423478  
Fax    
Email  dr.nidhi.sinha@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Nidhi Sinha 
Designation  Professor 
Affiliation  PACIFIC DENTAL COLLEGE AND HOSPITAL 
Address  Department of conservative dentistry and endodontics Pacific dental college and hospital Airport road Debari Udaipur RAJASTHAN 313024 India
Department of conservative dentistry and endodontics Pacific dental college and hospital Airport road Debari Udaipur RAJASTHAN 313024 India
Udaipur
RAJASTHAN
842001
India 
Phone  08619423478  
Fax    
Email  dr.nidhi.sinha@gmail.com  
 
Source of Monetary or Material Support  
Pacific dental college and hospital Airport road Debari Udaipur Rajasthan RAJASTHAN 313024 India 
 
Primary Sponsor  
Name  Pacific dental college and hospital 
Address  Pacific dental college and hospital Debari Udaipur 
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 
DR NIDHI SINHA   PACIFIC DENTAL COLEGE AND HOSPITAL  Department of conservative dentistry and endodontics Pacific dental college and hospital Airport road Debari Udaipur RAJASTHAN 313024 India
Udaipur
RAJASTHAN 
08619423478

dr.nidhi.sinha@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
PACIFIC DENTAL COLLEGE AND HOSPITAL  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K045||Chronic apical periodontitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Ozonated 2% Chlorhexidine with sodium hypochlorite  Ozonated 2% Chlorhexidine with sodium hypochlorite applied for 3-5 minutes  
Comparator Agent  0.1% Octinidine with sodium hypochlorite   0.1% Octinidine with sodium hypochlorite applied for 3-5 minutes  
Comparator Agent  0.1% Ozonated octinidine with sodium hypochlorite   0.1% Ozonated octinidine with sodium hypochlorite applied for 3-5 minutes  
Comparator Agent  0.1% Ozonated octinidine without sodium hypochlorite   0.1% Ozonated octinidine without sodium hypochlorite applied for 3-5 minutes  
Comparator Agent  2% Ozonated chlorhexidine with sodium hypochlorite   2% Ozonated chlorhexidine with sodium hypochlorite applied for 3-5 minutes  
Comparator Agent  2% Ozonated chlorhexidine without sodium hypochlorite  2% Ozonated chlorhexidine without sodium hypochlorite applied for 3-5 minutes  
 
Inclusion Criteria  
Age From  19.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients with single rooted, root-filled tooth with persistent apical periodontitis / symptomatic teeth with or without lesion requiring endodontic retreatment with radiographic/clinical evidence of previous endodontic treatment and periradicular disease were included in the study were recruited. Other inclusion criteria were endodontic treatment done > 3 years back, sufficient coronal tooth structure for adequate isolation with rubber dam, gutta-percha material within 4–7 mm of the radiographic apex and no direct exposure of root canal filling material to oral cavity. 
 
ExclusionCriteria 
Details  Medically compromised patients, patients allergic to the local anesthetic agent/ irrigants/ ozone and patients with recent myocardial infarction, acute alcohol intoxication, active bleeding, uncontrolled hyperthyroidism, thrombocytopenia, glucose 6 phosphatase deficiency (contraindications of ozone therapy) were excluded. Patients under 18 years of age, with swelling and/or acute apical abscess; analgesic/ antibiotic/ corticosteroid / anti-inflammatory taken within the past 7 days before treatment, and multiple teeth (to eliminate the possibility of pain referral), periodontal pocket deeper than 4 mm, intraradicular posts were excluded.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain after secondary endodontic treatment  At baseline, after 6, 12, 24, 48 hours, and 7 days 
 
Secondary Outcome  
Outcome  TimePoints 
Pain after secondary endodontic treatment  At baseline, after 6, 12, 24, 48 hours, and 7 days 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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)   21/02/2022 
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="0"
Months="9"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

Aim: To compare the effect of different irrigation regimes on post endodontic pain in patients undergoing single-visit endodontic retreatment, with 2% Chlorhexidine and 0.1% Octinidine with and without ozone and hypochlorite.

Materials and Methods: Adult patients requiring retreatment were selected. Following local anesthesia and isolation, access cavities were modified. Standard retreatment protocol was followed and patients were randomly assigned into groups -

Group 1 - 2% Chlorhexidine with sodium hypochlorite (CHX) (Control group)

Group 2 - 2% Ozonated chlorhexidine without sodium hypochlorite (OCHX). 

Group 3 - 2% Ozonated chlorhexidine with sodium hypochlorite (OCHXH).

Group 4 - 0.1% Octinidine with sodium hypochlorite (OCT).

Group 5 - 0.1% Ozonated octinidine without sodium hypochlorite (OOCT).

Group 6 - 0.1% Ozonated octinidine with sodium hypochlorite (OOCTH). 

Each group was irrigated with 15 ml of ozonated/non - ozonated irrigant (CHX/ OCT) for 3-5 minutes with ultrasonic agitation. Obturation and core built-up were completed at the same appointment. The level of discomfort at baseline, after 6, 12, 24, 48 hours, and 7 days were recorded on the Visual Analogue Scale. Pain levels were recorded, tabulated, and subjected to statistical analysis using a two-way analysis of variance followed by post hoc Bonferroni test.

 
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