Odontalgia
Conditions
Keywords
Endodontic treatment, analgesics, anesthesia, post-operative pain
Brief summary
For patients with a toothache, is pain relief after root canal procedure improved using long acting local anesthetic and analgesics? The purpose of this clinical trial is the investigate the effect of long acting local anesthetic with 1 of 4 oral medication groups, on post-operative endodontic pain.
Detailed description
Patients (n=220) presenting to the University of Minnesota Endodontic clinic, with moderate to severe pain from toothache requiring root canal treatment ,will be invited to participate in the study. The endodontic treatment is NOT part of the research. Patients will complete pain evaluation forms and take 2 doses of prescribed medication. Normally after a root canal procedure, patients will be suggested to take over-the-counter ibuprofen if needed, or prescribed an analgesic if they are having severe pain. We will be randomizing patients in double blind manner to receive regular or long acting local anesthesia and post-op medications (placebo or 1 of 3 analgesics), with the patient evaluating their pain before starting root canal (pre-treatment pain), after root canal, after analgesics and during the following day.
Interventions
placebo
Ibuprofen
naproxen
vicodin/ibuprofen
Sponsors
Study design
Eligibility
Inclusion criteria
18-65 y.o. American Society of Anesthesiologists physical classification I or II Can understand and complete pain evaluation forms tooth pain (\>3 out of 10) needing root canal Ability to read and provide informed consent Must be able to swallow tablets
Exclusion criteria
Allergy/intolerance to analgesics (ibuprofen, naproxen, vicodin) Patients who are pregnant Patients currently on pain medications for an unrelated condition Patients unwilling to fill out pain scales Liver or kidney disease Unable to understand and complete consent form and pain evaluation forms \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effect of long acting anesthesia and analgesics on endodontic pain | 36 hours | Pain evaluation time points - pretreatment, after endodontic treatment, 2 hrs after analgesic dosing, following day |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effect of gender and age on post-operative endodontic pain treatment | 36 hours | Effect of gender and age will be evaluated based on data from pain evaluation forms |
Countries
United States