Teeth With Acute Irreverseble Pulpitis
Conditions
Brief summary
This study aims to assess the effect the intraligamentary injection of Diclofenac Potassium versus Articaine 4% on the anaesthetic efficacy & intensity of intraoperative & postoperative pain during single visit root canal treatment in patients with symptomatic irreversible pulpitis in mandibular molar teeth
Interventions
NSAID
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
* Systemically healthy patient (ASA I or II). * Mandibular Posterior teeth with: Preoperative sharp pain, Absence or slight widening in the periodontal ligament (PDL), Vital response of pulp tissue to cold pulp test. * patients who agree to provide written consent and the patients able to understand the pain scale and attend for recall appointments
Exclusion criteria
1. Patients allergic to anesthetic solutions & other NSAIDs. 2. Pregnant or nursing females. 3. Patients having significant systemic disorder (ASA III or IV). 4. Gastrointestinal disorders. 5. If the initial diagnosis revealed pain in more than one tooth. 6. Hemostatic disorders or anti-coagulant therapy during the last month. 7. Consumption of opioid or non-opioid analgesics or NSAIDs during the last 12 hours before treatment. 8. Teeth that have: i. Periodontal involvement (with pocket depth greater than 5mm, associated with swelling or fistulous 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 |
|---|---|---|
| Efficacy of local anesthesia | intraoperative ( access cavity preparation & instrumentation ) during root canal treatment | using Heft parker Visual Analogue scale Binary where success is defined as no pain or faint/weak /mild pain\<55 mm). if \>55 defined as failure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intensity of intraoperative pain | intraoperative ( access cavity preparation & instrumentation ) during root canal treatment | using Heft parker Visual analogue scale score ranges from on a 170-mm VAS line with the ends labeled no pain and unbearable pain. .no pain (\< 5 mm), mild pain (≥ 5 mm and ≤ 54 mm), Moderate pain (\> 54 mm and \< 114 mm), Severe pain (≥ 114 mm). |
| Post-operative pain | 6, 12, 24 and 48 hours post-operatively | using Heft parker Visual analogue scale on a 170-mm VAS line with the ends labeled no pain and unbearable pain. .no pain (\< 5 mm), mild pain (≥ 5 mm and ≤ 54 mm), Moderate pain (\> 54 mm and \< 114 mm), Severe pain (≥ 114 mm). |
| Number of needed analgesic tablets in case of intolerable pain | Up to 2 days post operatively | by counting |
Contacts
Primary ContactMai Eldeeb, master
Outcome results
None listed