CTRI Number |
CTRI/2022/10/046599 [Registered on: 18/10/2022] Trial Registered Prospectively |
Last Modified On: |
21/02/2023 |
Post Graduate Thesis |
Yes |
Type of Trial |
Interventional |
Type of Study
|
Dentistry |
Study Design |
Randomized, Parallel Group, Active Controlled Trial |
Public Title of Study
|
STUDY ON EFFECT OF COLD SALINE IRRIGATION ON POSTOPERATIVE PAIN AFTER ROOT CANAL TREATMENT |
Scientific Title of Study
|
Comparative evaluation of the effect of intracanal cryotreated saline and room temperature saline as a final irrigant on postoperative pain after root canal treatment A randomized controlled 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 Snehal Shelke |
Designation |
Postgraduate Student |
Affiliation |
government dental college and hospital ,nagpur |
Address |
Department of conservative dentistry and endodontics ,Governmemt dental college Napur government dental college and hospital ,medical sqaure,hanumannagar,nagpur Nagpur MAHARASHTRA 440003 India |
Phone |
94043452227 |
Fax |
|
Email |
snehalshelke3@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Manjusha M Warhadpande |
Designation |
Professor and Head of the department |
Affiliation |
government dental college and hospital ,nagpur |
Address |
117,Postgraduate section, department of conservative dentistry and endodontics, government dental college and hospital, Nagpur. government dental college and hospital ,medical sqaure,hanumannagar,nagpur Nagpur MAHARASHTRA 440003 India |
Phone |
9822087369 |
Fax |
|
Email |
manjushawarhadpande@gmail.com |
|
Details of Contact Person Public Query
|
Name |
Dr Snehal Shelke |
Designation |
Postgraduate Student |
Affiliation |
government dental college and hospital ,nagpur |
Address |
117,Postgraduate section, department of conservative dentistry and endodontics, government dental college and hospital, Nagpur. government dental college and hospital ,medical sqaure,hanumannagar,nagpur Nagpur MAHARASHTRA 440003 India |
Phone |
94043452227 |
Fax |
|
Email |
snehalshelke3@gmail.com |
|
Source of Monetary or Material Support
|
Government Dental College and Hospital, Nagpur. |
|
Primary Sponsor
|
Name |
Dr snehal shelke |
Address |
krishnamai hospital at post ambavade tal katav satara |
Type of Sponsor |
Other [self sponsered] |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
dr snehal shelke |
Government Dental College and Hospital,Nagpur |
117,Postgraduate Section ,Department of Conservative Dentistry And Endodontics Nagpur MAHARASHTRA |
9404352227
snehalshelke3@gmail.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
institutional ethics comitee |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
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 |
Intervention |
cold temprature normal saline |
20 ml of cold temprature saline 2 - 4 degree centigrade temprature for irrigation of root canals for 4 minutes. |
Comparator Agent |
room temprature saline |
20 ml of 25-30 degree centigrade temperature saline for root canal irrigation for 4 minutes. |
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
50.00 Year(s) |
Gender |
Both |
Details |
1. The age group of 18–50 years who signed the informed consent.
2. The patient requiring endodontic therapy.
3. Mandibular premolars diagnosed with symptomatic irreversible pulpitis with apical periodontitis.
4. Healthy patients without any systemic disease.
5. Patients with pain score ranging from moderate to severe (4–10) on a visual analog scale (VAS).
|
|
ExclusionCriteria |
Details |
1. Patients who are medically compromised.
2. Pregnant patients.
3. Teeth with incomplete apex formation.
4. Teeth with calcified canals.
5. Teeth with Sinus opening.
6. Teeth with periapical abscess.
7. Patients on antibiotic therapy.
8. Patients on analgesics on the day of treatment.
|
|
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 |
reduction in postoperative pain |
reduction in postoperative pain after 6 hours,12 hours,24 hours,48 hours and 1 week |
|
Secondary Outcome
|
Outcome |
TimePoints |
pain reduction in intervention group when compared to control group using visual analouge scale. |
6 hours,12hours,24 hours,48 hours,1 week |
|
Target Sample Size
|
Total Sample Size="60" Sample Size from India="60"
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 3 |
Date of First Enrollment (India)
|
30/11/2022 |
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="1" Months="6" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Yet Recruiting |
Recruitment Status of Trial (India) |
Open to Recruitment |
Publication Details
|
N/A |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [snehalshelke3@gmail.com].
- For how long will this data be available start date provided 30-12-2023 and end date provided 30-12-2025?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
Brief Summary
|
Pain is an unwanted yet unfortunately common sensation after root canal
treatment. which commences a few hours or days after treatment and is always an
unpleasant experience for both patients and clinicians.In 2016, cryotherapy was first clinically used in endodontics by Keskin et
al for minimizing postoperative pain after single-visit root canal
treatment. Their study included teeth with vital inflamed pulps; however, they
did not differentiate between asymptomatic and symptomatic pulpitis nor did
they differentiate between cases with and without apical periodontitis.Other studies following the same protocol presented by Vera et al affirmed
that cryotherapy reduced postoperative pain after single-visit root canal treatment
in teeth with vital pulps.Nevertheless, extirpation of the
inflamed pulp in irreversible pulpitis where the inflammation is confined
within the pulp and did not extend into the periapical tissue is usually proceeded
by patient relief so the direct effect of
cryotherapy on reducing postoperative pain could not be established in this
case.Therefore the purpose of
this study is to evaluate and compare the effect of cryotreated saline and room
temperature saline as a final irrigant on pain after single visit root canal
treatment in patients with vital inflamed pulp with apical periodontitis. |