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Influence of Intra Canal Medications on Postoperative Flare-up in Endodontic Re-treatment Cases

Primary Purpose

Postoperative Pain, Pain, Dental

Status
Unknown status
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
calcium hydroxide chlorhexidine combination
calcium hydroxide intra-canal medicament
Sponsored by
rayan rabie dahab
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Postoperative Pain focused on measuring intra-canal medications

Eligibility Criteria

20 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • 1. Patients' needs retreatment.
  • 2. Patients in good health with no systemic disease (American Society of Anesthesiologists Class II)
  • 3. Age range is between 20 and 50 years.
  • 4. Patients who can understand the categorical tool (points)for measurement
  • 5. Patients able to sign informed consent.

Exclusion Criteria:

  • 1) Complicating systemic disease
  • 2) Having severe pain and/or acute apical abscesses
  • 3) Being under 18 years of age
  • 4) Using antibiotics or corticosteroids,
  • 5) having multiple teeth that required retreatment to eliminate the possibility of pain referral
  • 6) Having root canals that could not be treated well with initial root canal treatment.

Sites / Locations

  • Univeristy of Cairo

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

calcium hydroxide chlorhexidine

calcium hydroxide

Arm Description

intervention: calcium hydroxide chlorhexidine combination an intra-canal medication composed of calcium hydroxide powder and chlorhexidine solution as a combination to be administered as intra-canal paste for decreasing postoperative symptoms

intervention: calcium hydroxide an intra-canal medicament composed of calcium hydroxide paste for decreasing postoperative symptoms and signs .

Outcomes

Primary Outcome Measures

measuring patients postoperative pain and swelling following endodontic re-treatment sessions using Categorical (4 points) unit using questionnaire.
postoperative pain and swelling will be measured by:Categorical (4 points). The incidence of postoperative discomfort was recorded and expressed as numbers and percentages Subjectively into 4 points: no pain Mild pain: recognizable but not discomforting pain that required no analgesics. Moderate pain: discomforting but bearable pain(analgesics if used were effective in relieving pain) Severe pain: difficult to bear (analgesics were effective in relieving pain). Patients with severe postoperative pain and/or occurrence of swelling were classified as flare-ups.3 Objectively : percussion test

Secondary Outcome Measures

Full Information

First Posted
February 16, 2017
Last Updated
September 9, 2017
Sponsor
rayan rabie dahab
Collaborators
Cairo University
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1. Study Identification

Unique Protocol Identification Number
NCT03064191
Brief Title
Influence of Intra Canal Medications on Postoperative Flare-up in Endodontic Re-treatment Cases
Official Title
Influence of Calcium Hydroxide Chlorhexidine Combination vs. Calcium Hydroxide as an Intra Canal Medicaments on Postoperative Flare -up Following Two-Visits Endodontic Retreatment Cases: Single Blinded Randomized Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
September 2017
Overall Recruitment Status
Unknown status
Study Start Date
September 2017 (Anticipated)
Primary Completion Date
March 13, 2018 (Anticipated)
Study Completion Date
April 13, 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
rayan rabie dahab
Collaborators
Cairo University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Is to evaluate the influence of the calcium hydroxide / chlorhexidine combination and calcium hydroxide alone as an intra-canal medication in postoperative flare-up in two visits endodontic retreatment cases
Detailed Description
Problem: patient needs retreatment Intervention: calcium hydroxide chlorhexidine combination as an intra-canal medicament Control: calcium hydroxide alone as an intra-canal medicament Outcome: postoperative flare-up (pain and swelling) Time: after 7 days from 1st visit. population will be examined: Patients' needs retreatment. Patients in good health with no systemic disease (American Society of Anesthesiologists Class II) Age range is between 20 and 50 years. Patients who can understand the categorical tool (points)for measurement Patients able to sign informed consent.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Postoperative Pain, Pain, Dental
Keywords
intra-canal medications

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
calcium hydroxide chlorhexidine
Arm Type
Active Comparator
Arm Description
intervention: calcium hydroxide chlorhexidine combination an intra-canal medication composed of calcium hydroxide powder and chlorhexidine solution as a combination to be administered as intra-canal paste for decreasing postoperative symptoms
Arm Title
calcium hydroxide
Arm Type
Active Comparator
Arm Description
intervention: calcium hydroxide an intra-canal medicament composed of calcium hydroxide paste for decreasing postoperative symptoms and signs .
Intervention Type
Combination Product
Intervention Name(s)
calcium hydroxide chlorhexidine combination
Other Intervention Name(s)
intra-canal medicament combination
Intervention Description
Endodontic intra-canal medicament used for decreasing postoperative signs ans symptoms
Intervention Type
Other
Intervention Name(s)
calcium hydroxide intra-canal medicament
Other Intervention Name(s)
calcium hydroxide, gold standard intra-canal medicament
Intervention Description
Endodontic intra-canal medicament used for decreasing postoperative signs and symptoms.
Primary Outcome Measure Information:
Title
measuring patients postoperative pain and swelling following endodontic re-treatment sessions using Categorical (4 points) unit using questionnaire.
Description
postoperative pain and swelling will be measured by:Categorical (4 points). The incidence of postoperative discomfort was recorded and expressed as numbers and percentages Subjectively into 4 points: no pain Mild pain: recognizable but not discomforting pain that required no analgesics. Moderate pain: discomforting but bearable pain(analgesics if used were effective in relieving pain) Severe pain: difficult to bear (analgesics were effective in relieving pain). Patients with severe postoperative pain and/or occurrence of swelling were classified as flare-ups.3 Objectively : percussion test
Time Frame
7 days between the 2 visits ( one week)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: 1. Patients' needs retreatment. 2. Patients in good health with no systemic disease (American Society of Anesthesiologists Class II) 3. Age range is between 20 and 50 years. 4. Patients who can understand the categorical tool (points)for measurement 5. Patients able to sign informed consent. Exclusion Criteria: 1) Complicating systemic disease 2) Having severe pain and/or acute apical abscesses 3) Being under 18 years of age 4) Using antibiotics or corticosteroids, 5) having multiple teeth that required retreatment to eliminate the possibility of pain referral 6) Having root canals that could not be treated well with initial root canal treatment.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
associate professor
Phone
00201226322227
Email
Geraldine.ahmed@hotmail.com
First Name & Middle Initial & Last Name or Official Title & Degree
clinical instructor
Phone
00201202277368
Email
dr.nehalnabil@yahoo.com
Facility Information:
Facility Name
Univeristy of Cairo
City
Cairo
Country
Egypt
Facility Contact:
First Name & Middle Initial & Last Name & Degree
rayan ra dahab, master
Phone
00201068775688
Email
rayanrabiedahab@gmail.com
First Name & Middle Initial & Last Name & Degree
hisham na hassan, master
Phone
00201068778033
Email
dr_hishamnabeel@hotmail.com

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Influence of Intra Canal Medications on Postoperative Flare-up in Endodontic Re-treatment Cases

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