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CTRI Number  CTRI/2022/06/043007 [Registered on: 03/06/2022] Trial Registered Prospectively
Last Modified On: 03/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A Randomized clinical study to check the inter-appointment pain in patients with infected teeth using two different combination of drugs 
Scientific Title of Study   Comparative evaluation of two different intracanal medicament regimes for inter-appointment pain management in infected single rooted teeth with Symptomatic Apical Periodontitis- A Randomized double-blinded Clinical 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 Dikshit Solanki 
Designation  Post Graduate student 
Affiliation  Km shah dental college and hospital 
Address  No.8, Department of conservative dentistry and endodontics, km shah dental college and hospital, sumandeep vidhyaoeeth, pipariya, vadodara- 391760.

Vadodara
GUJARAT
391760
India 
Phone  7977557010  
Fax    
Email  dmsolanki170997@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ajay singh rao 
Designation  Reader 
Affiliation  km shah dental college 
Address  No.8, Department of conservative dentistry and endodontics, km shah dental college and hospital, sumandeep vidhyaoeeth, pipariya, vadodara- 391760.

Vadodara
GUJARAT
391760
India 
Phone  8385017307  
Fax    
Email  drajayinendo@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ajay singh rao 
Designation  Reader 
Affiliation  km shah dental college 
Address  No.8, Department of conservative dentistry and endodontics, km shah dental college and hospital, sumandeep vidhyaoeeth, pipariya, vadodara- 391760.

Vadodara
GUJARAT
391760
India 
Phone  8385017307  
Fax    
Email  drajayinendo@gmail.com  
 
Source of Monetary or Material Support  
Km shah dental college 
 
Primary Sponsor  
Name  Dr DIKSHIT SOLANKI 
Address  No. 8, Department of conservative dentistry and endodontics, km Shah dental college and hospital, sumandeep vidhyapeeth, pipariya, vadodara-391760 
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 Dikshit Solanki  Km shah dental college  NO.8, Department of conservative dentistry and endodontics, km shah dental college and hospital,sumandeep vidhyapeeth,pipariya, vadodara 391760
Vadodara
GUJARAT 
7977557010

dmsolanki170997@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sumandeep Vidyapeeth institutional ethics committee (SVIEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K044||Acute apical periodontitis of pulpal origin,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  DOUBLE ANTIBIOTIC PASTE  IT IS MADE OF METRONIDAZOLE-500 mg AND CIPROFLOXACIN-500mg.Application for once after 1st visit as a intra canal medicament for 6 days 
Intervention  MODIFIED DOUBLE ANTIBIOTIC PASTE  IT CONSISTS OF METRONIDAZOLE-5oomg,CIPROFLOXACIN-500mg AND VALACYCLOVIR-500mg. Application for once after 1st visit as a intra canal medicament for 6 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Systemically healthy patients between age group of 18-60 years with maxillary or mandibular single rooted infected/necrotic teeth with symptomatic apical periodontitis will be included in the study.
Symptomatic chronic irreversible pulpitis with symptomatic apical periodontitis with loss of lamina dura will be included.
Symptomatic teeth showing presence of peri-apical radiolucency suggestive of periapical abscess will be included.
patients with pre-operative moderate to severe pain will be included.
A written informed consent will be taken and only those patients ready to sign the consent will be included in the study. 
 
ExclusionCriteria 
Details  Asymptomatic teeth with periapical radiolucencies be it abscess or granuloma, etc will be excluded.
Medically compromised patients will be excluded.
Teeth with completely obliterated canals will be excluded.
Teeth with open apex, root resorption or complex root canal anatomy will be excluded.
Teeth with vertical root canal fractures, cracks, etc will be excluded.
Patients with deep periodontal disease or endo-perio lesion with periodontal phase dominant will be excluded.
Pregnant and lactating women will be excluded.
Patients using other medications such as analgesics or anti-inflammatory drugs during inter appointment will be excluded.
Patients allergic to antibiotics and anti-viral drugs will be excluded.
 
 
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 Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Interappointment pain assessment  6hr,12 hr,24hr,3 days,6days 
 
Secondary Outcome  
Outcome  TimePoints 
efficacy of modified double antibiotic paste in pain management   6hr,12 hr,24hr,3 days,6days 
 
Target Sample Size   Total Sample Size="72"
Sample Size from India="72" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="72" 
Phase of Trial   Phase 1/ Phase 2 
Date of First Enrollment (India)   06/06/2022 
Date of Study Completion (India) 22/03/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 22/03/2024 
Estimated Duration of Trial   Years="2"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
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   This study is a randomized, double blinded, parallel group clinical study comparing reduction of the inter-appointment pain between double antibiotic paste and modified double antibiotic paste containing valacyclovir for 12 months on 72 patients at department of conservative dentistry and endodontics, km shah dental college and hospital. The primary outcome measure will be inter-appointment pain reduction at 6hrs,12hrs, 24hrs,48hrs,3days and 6days. 
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