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Comparison of the occurrence of pain after root canal treatment performed on teeth with mortified nerve with or without injury to the root of the tooth using two mechanized canal cleaning systems and two canal cleaning limits.

Comparison of postoperative pain incidence in endodontic treatments performed on Pulp Necrosis teeth with or without apical lesion using two mechanized instrumentation systems and two apical instrumentation limits

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
REBEC
Registry ID
RBR-6bv5hy
Enrollment
Unknown
Registered
2019-11-06
Start date
2017-07-01
Completion date
Unknown
Last updated
2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Necrosis

Interventions

One hundred health eligible patients aged 17-69 years, of both sexes, who sought the Clinic Dr. Aline de Oliveira Escócio-ME (Fortaleza, Ceará, Brazil) for the accomplishment of endodontic treatments
DFL, Taquara, RJ, Brazil). Chlorhexidine gel 2% (2% CHX gel) (VisNature, Itajaí, Santa Catarina, Brazil) was used, which was introduced into the root canals using a 3 ml hypodermic syringe and
Procedure/surgery
C07.793.237.315

Sponsors

Faculdade São Leopoldo Mandic
Lead Sponsor
Faculdade São Leopoldo Mandic
Collaborator

Eligibility

Age
17 Years to 69 Years

Inclusion criteria

Inclusion criteria: Inclusion criteria were teeth diagnosed with asymptomatic necrosis pulp; confirmed by a negative response to pulp vitality tests with heat and cold; with or prior radiographic periapical lesion and without clinical symptoms such as pain; fistula; edema and palpation sensitivity.

Exclusion criteria

Exclusion criteria: We excluded from the study vital teeth, previous endodontic retreatment; teeth with open apex; teeth with periodontal problems that have periodontal probing greater than 3 mm; internal and external root resorption, dental traumatism; treatments not a single session; root canals where it was not possible to realize the patency of the apical foramen and patients allergic to some compound of the medicine ibuprofen. Also excluded were those with spontaneous pain that were included in the study; who used analgesic or anti inflammatory medication in the last ten days, who had systemic diseases and those who refused to participate in the study.

Design outcomes

Primary

MeasureTime frame
Expected outcome: It is expected that the incidence of pain after the endodontic treatment performed with limit in the apical foramen is equal to the incidence of pain after the endodontic treatment performed 1 mm beyond the apical foramen.;Outcome: It was concluded that the limits of instrumentation established for the experiment did not influence endodontic postoperative pain. ;One hundred volunteers enrolled in the clinical trial whose mean age was 36.93 (SD = 12.29). Between groups I and II, there was no difference regarding gender, medication, injury, dental group and dental position according to the chi-square test, but there was significance in relation to cement extravasation (p = 0.005), being higher the prevalence in group II (+1). The age factor of the patients was disregarded from the analysis because age is a continuous variable, ie, discrete quantitative and not dichotomous or qualitative. The average age for those with pain after 12 hours was 35.18 (SD = 12.32) and for those without pain was 37.83 (SD = 12.22). Thus, the number of individuals who presented pain was very low and statistically insignificant for the study results in the evaluated periods. The mean, median and standard deviation of pain measured by the visual scale were performed. Thus, we compared treatment groups I and II and the difference between pain for each time measured. It was observed that the groups did not present statistically significant difference between each other at times 12 (p = 0.906), 24 (p = 0.118) and 48 (p = 0.089) hours, thus, each group presented significant pain reduction in the 3 periods. of evaluated times. Presence of pain between patency groups at 12, 24 and 48 hours, in relation to the presence of pain with anti-inflammatory intake, Ibuprofen there was no statistical difference between the measured times (p = 1,000).

Secondary

MeasureTime frame
Secondary outcomes are not expected

Countries

Brazil

Contacts

Public ContactAline de Escócio

Faculdade São Leopoldo Mandic

alineescocio@hotmail.com+55 (19) 3211-3600

Outcome results

None listed

Source: REBEC (via WHO ICTRP)