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Effect of Cold Local Anaesthesia for Root Canal Treatment

Effect of Precooled Local Anaesthesia with and without Cryotherapy Application on Inferior Alveolar Nerve Block in Symptomatic Irreversible Pulpitis- A Randomized Trial

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2022/07/044387
Enrollment
80
Registered
2022-07-27
Start date
Unknown
Completion date
Unknown
Last updated
2022-08-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K029- Dental caries, unspecified

Interventions

Intervention1: Pre cooled Local anaesthesia: 2ml of cold 2% lignocaine hydrochloride at the rate of 1ml /minute Control Intervention1: Local anaesthesia at room temperature: 2ml of 2% lignocaine hydr

Sponsors

SRM Dental College
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: i) Male and female patients between the age group of 18-48 years. ii) ASA class 1 or 2 patients. iii) Preoperative pain scores >= 85 mm in HP-VAS scale iv) Mandibular molars with an endodontic pulpal diagnosis of symptomatic irreversible pulpitis. v) Patients who had not taken any analgesics the day before and the day of the root canal procedure.

Exclusion criteria

Exclusion criteria: i) Patients who refuse to give informed consent. ii) Teeth other than mandibular molars (incisors, canines, premolars). iii) Teeth with any resorptions, anatomy anomalies or perforations. iv) Patients taking pain medication for other systemic conditions. v) Allergic to local anesthetics or any other drugs. vi) Conditions that influence the pain scores, and with presence of periapical radiolucency, swelling, and sinus tract. vii) Teeth with vertical fractures and periodontally compromised teeth. viii) Non-restorable teeth. x) Patients with blood dyscrasias of unknown origin, cold intolerance, Raynaudâ??s disease, cold urticaria, cryoglobulinemia.

Design outcomes

Primary

MeasureTime frame
To assess the anaesthetic efficacy following IANB administration using precooled LA (4-6%)along with intraoral cryotherapy application in mandibular molars in symptomatic irreversible pulpitis patients.Timepoint: Immediate

Secondary

MeasureTime frame
To assess the pain on injection and onset of anaesthesia following IANB administration using precooled LA (4-6%)along with intraoral cryotherapy application in mandibular molars in symptomatic irreversible pulpitis patients.Timepoint: Immediate

Countries

India

Contacts

Public ContactDr B Saravana karthikeyan

SRM Institute of Science and Technology

researchmaha@gmail.com9381018598

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026