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Effect of Ascorbic Acid Final Flush on Post-operative Pain in Mandibular Molars.

Primary Purpose

Post Operative Pain

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Ascorbic acid
saline
Sponsored by
Cairo University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Post Operative Pain

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Patients above 18 years old and to 60.
  • Male or female.
  • Patients seeking root canal treatment.
  • mandibular molar teeth with symptomatic irreversible pulpits with preoperative acute or moderate pain with hot and cold stimulation with normal periapical radiographic appearance .
  • healthy patient (ASA I,II).
  • Patient who can understand NRS and sign informed consent.

Exclusion Criteria:

  • Medically compromised patients having significant systemic disorders. (ASA III or IV).
  • History of intolerance to NSAIDS.
  • External root resorption.
  • Internal root resorption.
  • Vertical root fracture.
  • Periapical lesion.
  • Pregnancy.
  • Use of ibuprofen in the last 12 hour.
  • Bleeding disorder.
  • Long term corticosteroid use.
  • Mobility Grade II or III.
  • Pocket depth more than 5mm.
  • Previous root canal therapy.
  • Non-restorability.
  • TMJ problems, bruxism, clenching or traumatic occlusion.
  • Inability to perceive the given instructions.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    Ascorbic acid

    Saline

    Arm Description

    Ascorbic acid IV ampoules 20% as a final flush irrigation 3ml after cleaning and shaping.

    A mixture of sodium chloride and water (0.9%) as a final flush irrigation 3 ml after cleaning and shaping.

    Outcomes

    Primary Outcome Measures

    Pain intensity measured by numerical rating scale where 0= no pain, 1-3= mild pain, 4-6= moderate pain and 7-10= severe pain.

    Secondary Outcome Measures

    If there are analgesics taken by the patient after root canal treatment and that will be measured by a questionnaire.

    Full Information

    First Posted
    July 24, 2022
    Last Updated
    July 27, 2022
    Sponsor
    Cairo University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05478044
    Brief Title
    Effect of Ascorbic Acid Final Flush on Post-operative Pain in Mandibular Molars.
    Official Title
    Effect of Ascorbic Acid as a Final Flush on Post-operative Pain After Single Visit Root Canal Treatment for Patients With Symptomatic Irreversible Pulpits Related to Mandibular Molars: Randomized Controlled Trial.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    August 2022 (Anticipated)
    Primary Completion Date
    August 2023 (Anticipated)
    Study Completion Date
    August 2023 (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.
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The study is conducted to evaluate the effect of Ascorbic acid as a final flush on post operative pain after single visit root canal treatment in cases with symptomatic irreversible pulpits.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Post Operative Pain

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Participant
    Allocation
    Randomized
    Enrollment
    30 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Ascorbic acid
    Arm Type
    Experimental
    Arm Description
    Ascorbic acid IV ampoules 20% as a final flush irrigation 3ml after cleaning and shaping.
    Arm Title
    Saline
    Arm Type
    Placebo Comparator
    Arm Description
    A mixture of sodium chloride and water (0.9%) as a final flush irrigation 3 ml after cleaning and shaping.
    Intervention Type
    Drug
    Intervention Name(s)
    Ascorbic acid
    Other Intervention Name(s)
    Vitamin C
    Intervention Description
    Ascorbic acid IV ampoules (20%).
    Intervention Type
    Other
    Intervention Name(s)
    saline
    Intervention Description
    saline (0.9%)
    Primary Outcome Measure Information:
    Title
    Pain intensity measured by numerical rating scale where 0= no pain, 1-3= mild pain, 4-6= moderate pain and 7-10= severe pain.
    Time Frame
    up to 48 hours after root canal treatment.
    Secondary Outcome Measure Information:
    Title
    If there are analgesics taken by the patient after root canal treatment and that will be measured by a questionnaire.
    Time Frame
    up to 48 hours.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    60 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Patients above 18 years old and to 60. Male or female. Patients seeking root canal treatment. mandibular molar teeth with symptomatic irreversible pulpits with preoperative acute or moderate pain with hot and cold stimulation with normal periapical radiographic appearance . healthy patient (ASA I,II). Patient who can understand NRS and sign informed consent. Exclusion Criteria: Medically compromised patients having significant systemic disorders. (ASA III or IV). History of intolerance to NSAIDS. External root resorption. Internal root resorption. Vertical root fracture. Periapical lesion. Pregnancy. Use of ibuprofen in the last 12 hour. Bleeding disorder. Long term corticosteroid use. Mobility Grade II or III. Pocket depth more than 5mm. Previous root canal therapy. Non-restorability. TMJ problems, bruxism, clenching or traumatic occlusion. Inability to perceive the given instructions.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Kariman Amin Ismaiel, B.D.S faculty of dentistry
    Phone
    +20 1013665586
    Email
    kariman.ameen@dentistry.cu.edu.eg

    12. IPD Sharing Statement

    Learn more about this trial

    Effect of Ascorbic Acid Final Flush on Post-operative Pain in Mandibular Molars.

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