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Effect of Epigallocatechin-3-Gallate Solution as a Root Canal Irrigant on Post-Operative Pain Intensity and Bacterial Load Reduction in Necrotic Tooth

Primary Purpose

Necrotic Pulp

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Epigallocatechin-3-gallate
sodium hypochlorite
Sponsored by
Cairo University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Necrotic Pulp focused on measuring Asymptomatic, Necrotic Mandibular premolar

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

The inclusion criteria: Systematically healthy patient (ASA I, II). Age between 18 and 45 years Male or female. Asymptomatic mandibular premolar teeth diagnosed with pulp necrosis. The exclusion criteria: Medically compromised patients having significant systemic disorders. (ASA III or IV). Teeth with: Immature roots Association with swelling or sinus tract. Acute peri-apical abscess or acute exacerbation of a chronic abscess. Mobility Grade II or III Previously accessed or endodontically treated Deep periodontal pockets more than 4 mm Vertical root fractures, coronal perforation, calcification, and external or internal root resorptions. Patients who could not interpret the NRS.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Epigallocatechin-3-Gallate

    sodium hypochlorite

    Arm Description

    20% Epigallocatechin-3-Gallate solution

    2.5% sodium hypochlorite

    Outcomes

    Primary Outcome Measures

    Postoperative pain
    Categorical None 0 Mild 1-3 Moderate 4-6 Severe 7-10

    Secondary Outcome Measures

    Amount of intracanal bacterial load reduction
    The intracanal bacterial load reduction will be determined using agar culture technique by counting the colony forming units per milliliter (CFUs/mL) before and after root canal preparation

    Full Information

    First Posted
    July 27, 2023
    Last Updated
    August 9, 2023
    Sponsor
    Cairo University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05988788
    Brief Title
    Effect of Epigallocatechin-3-Gallate Solution as a Root Canal Irrigant on Post-Operative Pain Intensity and Bacterial Load Reduction in Necrotic Tooth
    Official Title
    Effect of Epigallocatechin-3-Gallate Solution Versus Sodium Hypochlorite as a Root Canal Irrigant on Post-Operative Pain Intensity and Bacterial Load Reduction in Asymptomatic Necrotic Mandibular Premolars: A Randomized Clinical Trial
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    October 2023 (Anticipated)
    Primary Completion Date
    May 2024 (Anticipated)
    Study Completion Date
    October 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Cairo University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    Yes

    5. Study Description

    Brief Summary
    clinically compare the intensity of post-operative pain and the amount of bacterial load reduction after using 20% Epigallocatechin-3-gallate solution during chemomechanical preparation, versus 2.5% NaOCl, in asymptomatic necrotic mandibular premolars treated in a single visit.
    Detailed Description
    The patients will be randomly divided into 2 groups. Intervention group (20% epigallocatechin-3-gallate solution root canal irrigant) and control group (2.5% sodium hypochlorite root canal irrigant). Post-operative pain will be measured at 6, 12, 24 and 48 hours post-operatively. The pain will be recorded using the Numerical Rating Scale (NRS). Amount of bacterial load reduction The intracanal bacterial load reduction will be determined using agar culture technique by counting the colony forming units per milliliter (CFUs/mL) before and after root canal preparation.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Necrotic Pulp
    Keywords
    Asymptomatic, Necrotic Mandibular premolar

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    42 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Epigallocatechin-3-Gallate
    Arm Type
    Experimental
    Arm Description
    20% Epigallocatechin-3-Gallate solution
    Arm Title
    sodium hypochlorite
    Arm Type
    Active Comparator
    Arm Description
    2.5% sodium hypochlorite
    Intervention Type
    Other
    Intervention Name(s)
    Epigallocatechin-3-gallate
    Other Intervention Name(s)
    green tea catechin
    Intervention Description
    to be used as a root canal irrigant
    Intervention Type
    Other
    Intervention Name(s)
    sodium hypochlorite
    Intervention Description
    to be used as a root canal irrigant
    Primary Outcome Measure Information:
    Title
    Postoperative pain
    Description
    Categorical None 0 Mild 1-3 Moderate 4-6 Severe 7-10
    Time Frame
    Postoperative pain measured at 6, 12, 24, 48 hours after single visit treatment.
    Secondary Outcome Measure Information:
    Title
    Amount of intracanal bacterial load reduction
    Description
    The intracanal bacterial load reduction will be determined using agar culture technique by counting the colony forming units per milliliter (CFUs/mL) before and after root canal preparation
    Time Frame
    T0: preintervention, preinstrumentation after access cavity. T1: postinstrumentation up to 10 min

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    45 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    The inclusion criteria: Systematically healthy patient (ASA I, II). Age between 18 and 45 years Male or female. Asymptomatic mandibular premolar teeth diagnosed with pulp necrosis. The exclusion criteria: Medically compromised patients having significant systemic disorders. (ASA III or IV). Teeth with: Immature roots Association with swelling or sinus tract. Acute peri-apical abscess or acute exacerbation of a chronic abscess. Mobility Grade II or III Previously accessed or endodontically treated Deep periodontal pockets more than 4 mm Vertical root fractures, coronal perforation, calcification, and external or internal root resorptions. Patients who could not interpret the NRS.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    rayan adlan, BDS
    Phone
    +201117801699
    Email
    rayan.elsadig@dentistry.cu.edu.eg
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    rayan adlan
    Organizational Affiliation
    Cairo University
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes

    Learn more about this trial

    Effect of Epigallocatechin-3-Gallate Solution as a Root Canal Irrigant on Post-Operative Pain Intensity and Bacterial Load Reduction in Necrotic Tooth

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