Evaluation of Post Operative Pain in Retreatment of Molars Using Different Irrigant

  • STATUS
    Recruiting
  • participants needed
    150
  • sponsor
    Tamil Nadu Dr.M.G.R.Medical University
Updated on 19 February 2024
root canal

Summary

This study evaluates the efficacy of dexamethasone as a intracanal irrigant along with sodium hypochlorite 1% and 5.25% concentrations in post treatment pain for molar root canal retreatment.

Description

Main objective of root canal retreatment is to alleviate pain and disinfect the rootcanal .However some patients may experience mild to severe pain following treatment , which leads to intake of painkillers orally for post operative pain management.

So , this study evaluates the efficiency of dexamethasone used as intracanal irrigant in post treatment pain for molar root canal retreatment sodium hypochlorite (1% &5.25%) is used for disinfecting the canals patients will be grouped into Symptomatic and Asymptomatic patients requiring root canal retreatment and irrigants will be used in various combinations as mentioned below

  1. 1% sodium hypochlorite alone 2.5ml in each canal along with ultrasonic activation
  2. 1% sodium hypochlorite and dexamethasone 4mg,2.5ml in each canal along with ultrasonic activation
  3. 5.25% sodium hypochlorite alone 2.5ml in each canal along with ultrasonic activation
  4. 5.25% sodium hypochlorite and dexamethasone 4mg, 2.5ml in each canal along with ultrasonic activation calcium hydroxide is commonly used as intracanal medicament in all the patients post operative symptoms is evaluated at 12 hrs , 24 hrs,48 hrs, 72 hrs and 1 week followed by obturation is completed

Details
Condition Root Canal Infection
Age 15years - 70years
Treatment Sodium Hypochlorite
Clinical Study IdentifierNCT04250519
SponsorTamil Nadu Dr.M.G.R.Medical University
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

teeth previously treated or attempted root canal treatment
teeth with or without symptoms
periapical radiograph showing evidence of inadequate previous root canal treatment or periapical changes
only teeth or at least one canal where complete removal of root canal filling material was possible and reach the working length in first appointment

Exclusion Criteria

patient not willing for follow up
teeth with extensive cervical or apical resorption that restricted the use of sodium hypochlorite irrigation
teeth with poor periodontal status, teeth not suitable for post endodontic restoration
patients with acute periapical abscess
patients with systemic conditions preventing radiograph exposure or multi visit treatment
pregnant patients
patients with allergy to any known dental materials
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