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CTRI Number  CTRI/2022/05/042412 [Registered on: 09/05/2022] Trial Registered Prospectively
Last Modified On: 06/05/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Effect of pain killer by different methods after dental treatment 
Scientific Title of Study   The efficacy of post endodontic pain control using different administration routes for diclofenac sodium in randomized, double-blind, placebo-controlled study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Bhumika Rathod 
Designation  Doctor 
Affiliation  College of dental science and research centre 
Address  College of dental science and research centre,near silver Alaknanda dental collage road, nr navneet printing , Manipur,Bopal, Gujarat

Ahmadabad
GUJARAT
380058
India 
Phone  9727753823  
Fax    
Email  drbhumikapatel2903@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Bhumika Rathod 
Designation  Doctor 
Affiliation  College of dental science and research centre 
Address  College of dental science and research centre,near silver Alaknanda dental collage road, nr navneet printing , Manipur,Bopal, Gujarat


GUJARAT
380058
India 
Phone  9727753823  
Fax    
Email  drbhumikapatel2903@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Bhumika Rathod 
Designation  Doctor 
Affiliation  College of dental science and research centre 
Address  College of dental science and research centre,near silver Alaknanda dental collage road, nr navneet printing , Manipur,Bopal, Gujarat


GUJARAT
380058
India 
Phone  9727753823  
Fax    
Email  drbhumikapatel2903@gmail.com  
 
Source of Monetary or Material Support  
Department of COnservative Dentistry and Endodontics College of dental science and research centre, Near Silver Alaknanda, Dental College Road, Near Navneet printing, Manipur, Bopal, Ahmedabad; 380058. Gujarat 
 
Primary Sponsor  
Name  Dr Bhumika Rathod 
Address  College of dental science and research centre, Near Silver Alaknanda, Dental College Road, Near Navneet printing, Manipur, Bopal, Ahmedabad; 380058. Gujarat 
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 Bhumika Rathod  College of Dental Science and Research Centre  Room No 7. Department of Conservative Dentistry and Endodontics,
Ahmadabad
GUJARAT 
9727753823

drbhumikapatel2903@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K040||Pulpitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Diclofenac Sodium  Comparing efficacy of different routes of administering diclofenac sodium to control post endodontic pain Diclofenac Sodium 75mg once given before treatment transdermal patch applied once before treatment 
Intervention  Root Canal Treatment   Multi-visit endodontic treatment in patients with chronic irreversible pulpitis Medication given Diclofenac sodium 75 mg orally once before treatment Transdermal patch applied once before treatment 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Vital pulp in need of endodontic therapy
2. Irreversible pulpitis in molar teeth
3. Age – 18–65 years.

 
 
ExclusionCriteria 
Details  1. History of systemic diseases
2. History of allergy to nonsteroidal anti-inflammatory drugs (NSAIDs)
3. Radiographic evidence of periapical pathosis
4. Pregnant or lactating mothers.
5. Patient must not have taken any pain killer before 24 hours
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Post-endodontic pain control will be observed by both routes of administration for diclofenac sodium  6hrs, 12 hrs, 24 hrs 
 
Secondary Outcome  
Outcome  TimePoints 
efficacy of oral route of administration of diclofenac sodium compared to transdermal patch for controlling post endodontic pain at different time interval.  6hr, 12hr, 24hr, 48hr and 7 days 
 
Target Sample Size   Total Sample Size="45"
Sample Size from India="45" 
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 
Date of First Enrollment (India)   09/05/2022 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Not Published 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

Topic: The efficacy of post endodontic pain control using different administration routes for diclofenac sodium in a randomized, double-blind, placebo-controlled study

Introduction:  Experience of root canal-associated pain is a major source of fear for patients and a very important concern for dentists. Anxiety, apprehension, fear of dental treatment, and other factors influence patients’ pain perception and reaction thresholds. Management of endodontic pain is one of the challenging aspects of endodontics.

Aim and Objective: The purpose of this clinical trial is to evaluate the analgesic efficacy of diclofenac sodium administered through oral and transdermal routes in reducing post-endodontic pain.

Materials and Methods: Forty-five patients were randomly allocated into three groups. Group A – diclofenac sodium tablets, Group B – diclofenac sodium (transdermal patch), and Group C –placebo (Vitamin B12). The tablets were given 30 min before the procedure. The visual analog scale (VAS) was used to evaluate the pain score at preoperative and 6, 12, 24, 48 h  and 7 days after biomechanical preparation.

Keywords: Diclofenac sodium; Endodontic treatment; Interappointment pain; Transdermal patch; Oral tablet

 
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