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CTRI Number  CTRI/2024/01/061692 [Registered on: 22/01/2024] Trial Registered Prospectively
Last Modified On: 19/01/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of various Irrigation protocols and Irrigating needles on Postoperative Pain and Oral Health related Quality life – A Randomized Clinical Trial 
Scientific Title of Study   Effect and Comparison of two Different Irrigation Protocols and two Irrigating Needles on Post Operative Pain and Oral Health Related Qualityof Life (OHQOL) after Endodontic Treatment – A Randomised Clinical Trial. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr.Gone Amarnath 
Designation  post graduate 
Affiliation  Narayana Dental College and Hospital 
Address  Narayana Dental College And Hospital Nellore

Nellore
ANDHRA PRADESH
524003
India 
Phone  7702448893  
Fax    
Email  amar4229@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Gone Amarnath 
Designation  post graduate 
Affiliation  Narayana Dental College and Hospital 
Address  Narayana Dental College And Hospital Nellore

Nellore
ANDHRA PRADESH
524003
India 
Phone  7702448893  
Fax    
Email  amar4229@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Kiranmayi G 
Designation  associate professor 
Affiliation  narayana dental college and hospital 
Address  department of conservative dentistry and endodontics narayana dental college and hospital nellore

Nellore
ANDHRA PRADESH
524003
India 
Phone  7702448893  
Fax    
Email  govulakiranmayi24@gmail.com  
 
Source of Monetary or Material Support  
Gone amarnath Narayana dental college and hospital 
 
Primary Sponsor  
Name  Gone Amarnath 
Address  Narayana Dental College And Hospital Nellore 
Type of Sponsor  Other [Self funding] 
 
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 
DrGone Amarnath  Narayana Dental College and Hospital Nellore  Department of conservative dentistry and endodontics OPD Room no : 4
Nellore
ANDHRA PRADESH 
7702448893

govulakiranmayi24@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Narayana Dental College Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Symptomatic irreversible pulpitis with symptomatic apical periodontitis 
Patients  (1) ICD-10 Condition: K040||Pulpitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Root canal irrigation using Sodium hypochlorite and Ethylene diamine tetra acetic acid using conventional needles  Root canal irrigation using Sodium hypochlorite and Ethylene diamine tetra acetic acid using conventional needles for two minutes 
Intervention  Root canal irrigation using Sodium hypochlorite and Hydroxyethylidene Bisphosphonate alternatively using double-side vented irrigation needles  Root canal irrigation using Sodium hypochlorite and Hydroxyethylidene Bisphosphonate alternatively for two minutes using double-side vented irrigation needles  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1 Systemically healthy patient (ASA I or II),
2 Mandibular molar teeth with clinical manifestations of symptomatic irreversible pulpitis
3 Mandibular molars with symptomatic apical periodontitis with widening of lamina dura
 
 
ExclusionCriteria 
Details  •Systemic complications of grades ASA III, IV, and V
•Pregnancy and nursing
•Asymptomatic irreversible pulpitis.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
assessing post operative pain by using a visual analog scale and Quality of life by using ohip 14 questionnaire
 
assessing post-operative pain by using a visual analog scale at baseline, 6 hours 24 hours 48 hours 72 hours and 7th day
Quality of life by using OHIP 14 questionnaire on 7th day
 
 
Secondary Outcome  
Outcome  TimePoints 
Quality of life by using OHIP 14 QUESTIONAIRE
 
After 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 1/ Phase 2 
Date of First Enrollment (India)   05/02/2024 
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="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

During endodontic treatment, Conventional irrigation with NaOCl& EDTA, forms precipitate and decreases surface hardness of root dentin hindering NaOCl action. To overcome the above disadvantage , combination of NaOCl& HEBP(1-Hydroxyethylidene-1, 1-Bisphosphonate) used which does not alters the NaOCl action and surface hardness of root dentin.

In conventional needle irrigation, the chances of apical extrusion of debris and irrigants are more which is the most important factor in  causing post operative pain. Hence to overcome the Post operative pain, newer advances like double side vented needles were introduced. Hence, a combination of new irrigation protocol using NaOCl + HEBP(1-Hydroxyethylidene-1, 1-Bisphosphonate) and double side vented irrigation needle tips might be helpful in reducing the post operative pain and improves the oral health quality of life. 
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