Effect of Occlusal Reduction on Post-operative Pain

Cairo University (CU)

Status: Unknown

Conditions: Apical Periodontitis; Teeth With Symptomatic Irreversible Pulpitis; Evaluate Occlusal Reduction on Post-operative Pain

Treatments: Procedure: occlusal surface reduction

Study type: Interventional

Funder types: Other

Identifiers

NCT03189771

evidence comittee

Details and patient eligibility

About

effect of occlusal reduction on post-operative pain is evaluated after single visit root canal treatment in upper and lower molar teeth in patients with sypmtomatic irreversible pulpitis and apical periondontis

Enrollment: 52 estimated patients

Sex: All

Ages: 20 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Patient's age between 20-50 years with no sex predilection.

2. Medically free patients.

3. Patients suffering from symptomatic irreversible pulpitis with symptomatic apical periodontitis in maxillary and mandibular molars with:

   • Preoperative pain.
   • Vital pulp.
   • Sensitivity to percussion.
   • Occlusal contact with the opposing teeth.
   • Normal periapical radiographic appearance or slight widening in the periodontal membrane space.

Exclusion criteria

1. Pregnant females.

2. Patients having a significant systemic disorder.

3. Patients who had administered analgesics or antibiotics during the last 12 hours preoperatively.

4. Patients having bruxism or clenching.

5. Teeth having :

   • No occlusal contact.
   • No sensitivity to percussion.
   • Association with swelling or fistulous tract.
   • Acute or chronic peri-apical abscess.
   • Greater than grade I mobility.
   • Pocket depth greater than 5mm.
   • No possible restorability.
   • Previous endodontic treatment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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52 participants in 2 patient groups, including a placebo group

occlusal surface reduction

Experimental group

Description:

occlusal surface reduction after single visit root canal treatment

Treatment:

Procedure: occlusal surface reduction

no occlusal surface reduction

Placebo Comparator group

Description:

No occlusal surface reduction after single visit root canal treatment

Treatment:

Procedure: occlusal surface reduction