Irreversible pulpitis. Irreversible pulpitis
Conditions
Interventions
Intervention 1: Control group: Laser sham (placebo) + intrapulpal injection: In this group, the laser will be used in the off mode. Intervention 2: Intervention group: Low-power laser irradiation with
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Patients requiring root canal therapy have signs and symptoms of irreversible pulpitis in the mandibular first and second molars in whom a mandibular nerve block anesthetic injection has not been successful and who have pain during access cavity preparation. Requires intra pulpal injection Has systemic health Signing a written and informed consent form Cold testing using EndoFrost will be performed on the mandibular first and second molars and the contralateral tooth. Teeth that respond positively will be included in the study. Teeth with moderate, sharp, and spontaneous pain, a preoperative VAS score greater than 5, or pain stimulated by heat or cold that persisted after removal of the stimulus, without pain on biting or tapping, and without periapical changes or lesions (periapical index =2) will be included in the study.
Exclusion criteria
Exclusion criteria: Teeth with crown/root fractures, acute or chronic apical abscess, necrosis, damaged periodontium, or open apex Presence of physical disability, mental problems, or facial paresthesia (tingling or numbness) History of sensitivity to local anesthetic solutions Patients who have had a history of taking long-term medications that affect pain threshold, such as painkillers, steroids, or antibiotics, in the past 24 hours Teeth that are observed as non-vital during access cavity preparation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: Before and during intra pulpal injection. Method of measurement: Based on the visual analog scale (VAS): Patients will indicate their pain level on a 10-centimeter line (VAS). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Mohammad Hosein Nekoofar
Tehran University of Medical Sciences
Outcome results
None listed