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CTRI Number  CTRI/2023/01/048830 [Registered on: 09/01/2023] Trial Registered Prospectively
Last Modified On: 27/12/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Medical Device
Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical trial to study the efficacy of low level laser therapy in older individuals after single visit endodontic treatment. 
Scientific Title of Study   Efficacy of Low Level Laser Therapy in the Management of Postoperative Pain after Single Visit Endodontic Treatment in patients with Symptomatic Apical Periodontitis: A Single Blinded 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  Nandhita Murugavel 
Designation  Post graduation student 
Affiliation  KLE Societys Institute of Dental Sciences, Bangalore 
Address  Room no.6, Department of Conservative dentistry and Endodontics, KLE Societys Institute of Dental Sciences, No.20, Tumkur road, Yeshwanthpur suburb, Bangalore- 560022
Room no.6, Department of Conservative dentistry and Endodontics, KLE Societys Institute of Dental Sciences, No.20, Tumkur road, Yeshwanthpur suburb, Bangalore- 560022
Bangalore
KARNATAKA
560034
India 
Phone  8073054240  
Fax    
Email  nandhita.murugavel@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rupali Karale 
Designation  Head of Department, Department of Conservative dentistry and Endodontics 
Affiliation  KLE Societys Institute of Dental Sciences, Bangalore 
Address  KLE Societys Institute of Dental Sciences, No.20, Tumkur road, Yeshwanthpur suburb, Bangalore
No.20, Tumkur road, Yeshwanthpur suburb, Bangalore- 560022
Bangalore
KARNATAKA
560022
India 
Phone  9481488247  
Fax    
Email  drkarale79@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rupali Karale 
Designation  Head of Department, Department of Conservative dentistry and Endodontics 
Affiliation  KLE Societys Institute of Dental Sciences, Bangalore 
Address  KLE Societys Institute of Dental Sciences, No.20, Tumkur road, Yeshwanthpur suburb, Bangalore
No.20, Tumkur road, Yeshwanthpur suburb, Bangalore- 560022
Bangalore
KARNATAKA
560022
India 
Phone  9481488247  
Fax    
Email  drkarale79@rediffmail.com  
 
Source of Monetary or Material Support  
Department of Conservative Dentistry and Endodontics, KLE Societys Institute of Dental Sciences, Bangalore 
 
Primary Sponsor  
Name  Nandhita Murugavel 
Address  A-802, Floriana Estate, 53, Sarjapur main road, Koramangala- 3rd block, Bangalore- 560034 
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 
Nandhita Murugavel  KLE Societys Institute of Dental Sciences, Bangalore  Room no.6, Department of Conservative dentistry and Endodontics, KLE Societys Institute of Dental Sciences, No.20, Tumkur road, Yeshwanthpur suburb, Bangalore- 560022
Bangalore
KARNATAKA 
8073054240

nandhita.murugavel@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, KLE Societys Institute of Dental Sciences, Bangalore  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  Low Level Laser Therapy  Diode laser of wavelength 980 nm and output power 200 milliwatts will be activated around the apical region of each root for 35 seconds, 10 mm from the tissue buccally and lingually.  
Comparator Agent  Placebo application of laser  The placebo group will receive a sham laser application wherein the laser tip will be placed adjacent to the tissue, but will not be activated for a duration of 35 seconds from the buccal and lingual aspect of the tooth. 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Patients between the age group of 40-65 years.
2. Permanent mandibular premolars and molars having symptomatic irreversible
pulpitis with symptomatic apical periodontitis
3. Pre-operative pain VAS score: greater than 4.
4. Tenderness on percussion with percussion VAS score: greater than 4
5. Early or lingering response to cold and EPT pulp sensibility testing
6. Patients who will be able to give oral and written informed consent 
 
ExclusionCriteria 
Details  1. Systemic disorders: Cardiovascular system (CVS) disorders, respiratory
disorders, asthma patients, coagulation disorders, thyroid disorders, psychiatric
disorders, immunocompromised patients.
2. Medical drug intake: patients who have taken analgesics, corticosteroids,
sedatives, muscular relaxants, anti-clotting agents or antibiotics 12 hours prior to
the intervention.
3. Pregnant individuals.
4. Radiographically detected large periapical lesions or abscesses, space infections
5. History of previous root canal treatment in the same tooth
6. Periodontally compromised tooth (>grade I mobility, pocket depth >4 mm) 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate the pain Visual Analogue Scale (VAS) scores preoperatively and
postoperatively on the 1st, 2nd, 3rd, 5th, 7th and 30th day in Symptomatic
Irreversible Pulpitis with Symptomatic Apical Periodontitis cases in older
individuals treated with single visit endodontics followed by interventional application of low level laser therapy
or sham laser application. 
To evaluate the pain Visual Analogue Scale (VAS) scores preoperatively and
postoperatively on the 1st, 2nd, 3rd, 5th, 7th and 30th day in Symptomatic
Irreversible Pulpitis with Symptomatic Apical Periodontitis cases in older
individuals treated with single visit endodontic treatment followed by interventional application of low level laser therapy
or sham laser application. 
 
Secondary Outcome  
Outcome  TimePoints 
Pre-operative or baseline percussion VAS scores will also be compared with 7th
day percussion VAS score. 
Day 1 and Day 7 post-endodontic treatement 
 
Target Sample Size   Total Sample Size="58"
Sample Size from India="58" 
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)   15/01/2023 
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   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, single-blinded, single-center trial evaluating the efficacy of Low Level Laser Therapy in the management of postoperative pain after Single Visit Endodontic Treatment in symptomatic apical periodontitis cases in an older age group. The primary outcome measures of this study are to record and evaluate the pain Visual Analogue Scale scores  preoperatively and postoperatively on the 1st, 2nd, 3rd, 5th, 7th and 30th day in Symptomatic Irreversible Pulpitis with Symptomatic Apical Periodontitis cases in older individuals treated with single visit endodontic treatment followed by interventional application of low level laser therapy or sham laser, which will be the mock application of the laser.  
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