Root Canal Infection
Conditions
Brief 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.
Detailed 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
Interventions
DRUGSodium Hypochlorite
Sodium hypochlorite is used as intracanal irrigant to minimize the post operative pain
Sponsors
Tamil Nadu Dr.M.G.R.Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
15 Years to 70 Years
Healthy volunteers
Yes
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| post operative pain evaluation using various combination of irrigants: VAS score | At 6 hours | pain scale is evaluated using VISUAL ANALOG SCALE (VAS) score (1-10) 1 is minimum amount of pain experienced and 10 is maximum amount of pain experienced \[1-3\] mild pain , \[4-7\] moderate pain , \[8-10\] severe pain . |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| assessment of other variables in pain scale | through study completion, an average of 1 week | comparing the pain scale experienced between male and female in VAS score |
Countries
India
Contacts
Primary ContactValliappan C.T, post graduate (MDS)
Backup ContactAnand Sherwood, MDS, Ph.D
Outcome results
None listed