Effect of Photobiomodulation Using Diode Laser
Conditions
Brief summary
this study aims to assess the effect of photobiomodulation using low-level diode laser therapy on postoperative pain after single-visit root canal treatment of mandibular molars with symptomatic irreversible pulpitis and apical periodontitis.
Interventions
DEVICEPhotobiomodulation by low level diode laser
Diode laser exposure (Lite Medics 1.00-Watt serial number 148 Ver. SwvM. 150VS108VT.100) will be carried out using a continuous mode with 10 Hz frequency, 980 nm wavelength, and max power 15 WCW. The tip will be applied both at the buccal and the lingual side for 30 s each.
OTHERMock Laser Application
Placebo for control group
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* . Mature multirooted mandibular molar teeth with: i. Pre-operative sharp pain marked on the VAS scale by reading not less than 6. ii. Clinical diagnosis of symptomatic irreversible pulpitis with periapical periodontitis. iii. Normal periapical radiographic appearance or slight widening in lamina dura. iv. Positive response and pain provoked by percussion. \- Patients who agree to provide written consent and attend for recall appointments.
Exclusion criteria
* Patients who used NSAIDs in the 24 hours before treatment. * Medically compromised patients having significant systemic disorders. (ASA III or IV). * Patients with two or more adjacent teeth requiring endodontic treatment. * Pregnant or nursing females. 5. Teeth that have: i. Periodontal affection (with pocket depth greater than 5mm, associated with swelling orfistulous tract, or greater than grade I mobility). ii. No possible restorability. iii. Signs of pulpal necrosis; associated sinus tract or swelling.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intensity of postoperative pain | 24, 48 and 72 hours | Using modified VAS |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total number of analgesic tablets taken in case of intolerable pain | Post instrumentation at 24, 48 and 72 hours | Counted and recorded by the patient on a special table. |
Contacts
Primary ContactNour ElGendi, Bds
Outcome results
None listed