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Incidence of Post-operative Pain After Single-visit Versus Two-visit Treatment

Primary Purpose

Post-operative Pain

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
One visit RCT
Post operative pain in two-visits RCT
Sponsored by
Jorge Paredes Vieyra
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Post-operative Pain focused on measuring Pain,, one-visit, two visits

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. The aims and requirements of the study were freely accepted;
  2. Treatment was limited to patients in good health;
  3. All teeth had nonvital pulps and apical periodontitis, with or without a sinus tract;
  4. A negative response to hot and cold pulp sensitivity tests;
  5. Presence of sufficient coronal tooth structure for rubber dam isolation;
  6. No prior endodontic treatment on the involved tooth
  7. No analgesics or antibiotics were used five days before the clinical procedures began.

Exclusion Criteria:

  1. Patients who did not meet inclusion requirements;
  2. Patients who did not provide authorization for participation;
  3. Patients who were younger than 16 years old;
  4. Patients who were pregnant;
  5. Patients who were diabetic;
  6. Patients with a positive history of antibiotic use within the past month;
  7. Patients whose tooth had been previously accessed or endodontically treated;
  8. Teeth with root resorption,
  9. Immature/open apex, or a root canal in which patency of the apical foramen could not be established were all excluded from the study. Teeth with periodontal pockets deeper than 4 mm also were excluded of the study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    Post operative Pain in one visit RCT

    Post operative pain in two-visits RCT

    Arm Description

    One visit RCT Ibuprofen for Post operative pain. Take 400 mg every 6 hours, a week after.

    Two visits RCT Ibuprofen for Post operative pain. Take 400 mg every 6-8 hours, a week after.

    Outcomes

    Primary Outcome Measures

    Post-operative pain in one visit
    Pain intensity measure with general pain scale Each patient will recall a week to evaluate post operative pain

    Secondary Outcome Measures

    Full Information

    First Posted
    April 14, 2017
    Last Updated
    April 18, 2017
    Sponsor
    Jorge Paredes Vieyra
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03120845
    Brief Title
    Incidence of Post-operative Pain After Single-visit Versus Two-visit Treatment
    Official Title
    Incidence of Post-operative Pain After Single-visit Versus Two-visit Root Canal Treatment of Teeth With Necrotic Pulp and Apical Periodontitis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2, 2015 (undefined)
    Primary Completion Date
    February 2, 2017 (Actual)
    Study Completion Date
    February 26, 2017 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor-Investigator
    Name of the Sponsor
    Jorge Paredes Vieyra

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Aim :to compare incidence of post-operative pain and apical healing after single-visit versus two-visit root canal treatment of teeth with necrotic pulp and apical periodontitis.
    Detailed Description
    Aim to compare incidence of post-operative pain and apical healing after single-visit versus two-visit root canal treatment of teeth with necrotic pulp and apical periodontitis. Methodology: All teeth of the one and two-visit group were asymptomatic (92) and symptomatic (18) with a diagnosis of pulp necrosis (RCT cases) determined by hot and cold sensitivity tests and radiographically all teeth showed a small and irregular radiolucency at the tooth apex. Working length was established with EAL and confirmed radiographically. Reciprocating files (VDW, Munich Germany) were used to complete root canal preparation. EDTA served as a lubricant.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Post-operative Pain
    Keywords
    Pain,, one-visit, two visits

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    Ibuprofen for post operative pain. after RCT in one visit
    Masking
    Participant
    Masking Description
    To compare incidence of post-operative pain and apical healing after single-visit versus two-visit root canal treatment of teeth with necrotic pulp and apical periodontitis. Each participant received a root canal treatment (RTC)
    Allocation
    Randomized
    Enrollment
    110 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Post operative Pain in one visit RCT
    Arm Type
    Experimental
    Arm Description
    One visit RCT Ibuprofen for Post operative pain. Take 400 mg every 6 hours, a week after.
    Arm Title
    Post operative pain in two-visits RCT
    Arm Type
    Experimental
    Arm Description
    Two visits RCT Ibuprofen for Post operative pain. Take 400 mg every 6-8 hours, a week after.
    Intervention Type
    Procedure
    Intervention Name(s)
    One visit RCT
    Other Intervention Name(s)
    Endodontic therapy
    Intervention Description
    Root canal treatment in one vist
    Intervention Type
    Procedure
    Intervention Name(s)
    Post operative pain in two-visits RCT
    Other Intervention Name(s)
    Endodontic Therapy
    Intervention Description
    Root canal treatment in Two visits
    Primary Outcome Measure Information:
    Title
    Post-operative pain in one visit
    Description
    Pain intensity measure with general pain scale Each patient will recall a week to evaluate post operative pain
    Time Frame
    one week

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: The aims and requirements of the study were freely accepted; Treatment was limited to patients in good health; All teeth had nonvital pulps and apical periodontitis, with or without a sinus tract; A negative response to hot and cold pulp sensitivity tests; Presence of sufficient coronal tooth structure for rubber dam isolation; No prior endodontic treatment on the involved tooth No analgesics or antibiotics were used five days before the clinical procedures began. Exclusion Criteria: Patients who did not meet inclusion requirements; Patients who did not provide authorization for participation; Patients who were younger than 16 years old; Patients who were pregnant; Patients who were diabetic; Patients with a positive history of antibiotic use within the past month; Patients whose tooth had been previously accessed or endodontically treated; Teeth with root resorption, Immature/open apex, or a root canal in which patency of the apical foramen could not be established were all excluded from the study. Teeth with periodontal pockets deeper than 4 mm also were excluded of the study.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Miguel O Osuna, DDS
    Organizational Affiliation
    SECRETARIA DE SALUD
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    Each participant will be evaluated a week after the treatment.
    Citations:
    PubMed Identifier
    22892729
    Citation
    Paredes-Vieyra J, Enriquez FJ. Success rate of single- versus two-visit root canal treatment of teeth with apical periodontitis: a randomized controlled trial. J Endod. 2012 Sep;38(9):1164-9. doi: 10.1016/j.joen.2012.05.021. Epub 2012 Jul 26.
    Results Reference
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    Incidence of Post-operative Pain After Single-visit Versus Two-visit Treatment

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