Gutta-percha Solvent on Postoperative Pain After Root Canal Retreatment

NCT ID: NCT04326998

Last Updated: 2021-09-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-18

Study Completion Date

2021-06-18

Brief Summary

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The process of non-surgical retreatment includes removing the previous root canal filling materials, disinfecting and sealing the root canal system to prevent re-infection. Gutta-percha is the most common root canal filling material used with various types of sealers. To remove gutta-percha, solvent has been suggested because of its ability to dissolve gutta-percha. The new formula, under the brand name, GuttaClear, has been investigated for its comparable dissolving ability and lower cytotoxicity when compared with others that are currently used. However, no information is currently available of GuttaClear solvent concerning postoperative pain. Therefore, the present study will evaluate postoperative pain after non-surgical retreatment cases using GuttaClear as a solvent compared with no solvent used. Sixty participants are chosen and distributed into 2 groups, randomly. After the procedures, participants will receive the questionnaires about postoperative pain and the amount of medication intake. Both will be recorded at six time periods: (1) immediately after procedure; (2) 6 hours after procedure; (3) 12 hours after procedure; (4) 24 hours after procedure; (5) 48 hours after procedure and (6) 72 hours after procedure.

Detailed Description

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Conditions

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Postoperative Pain Root Canal Retreatment

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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non-solvent

mechanical or heat treatment

Group Type ACTIVE_COMPARATOR

non-solvent

Intervention Type PROCEDURE

non-solvent

solvent

GuttaClear

Group Type EXPERIMENTAL

solvent

Intervention Type PROCEDURE

using solvent (GuttaClear) in procedure

Interventions

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solvent

using solvent (GuttaClear) in procedure

Intervention Type PROCEDURE

non-solvent

non-solvent

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* not be contra-indicated with medication used in this study (ibuprofen)
* have a previously treated endodontic single-root tooth with the need of retreatment
* all those teeth must be restorable
* old root canal filling materials must be located at 1 to 3 mm from the radiographic apex in the periapical radiograph

Exclusion Criteria

* open apex, root resorption or root perforation
* participants presenting pre-operative pain and/or swelling at the appointment visit
* taking analgesics or antibiotics less than one week before appointment visit
* experiencing problems in completing the pain questionnaires
* tooth which does not contain gutta-percha
* cannot be patent through the apex at the appointment visit
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Mahidol University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Duangrat Sirijindamai, DDS

Role: PRINCIPAL_INVESTIGATOR

Mahidol University

Locations

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Mahidoluniversity

Bangkok, , Thailand

Site Status

Countries

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Thailand

References

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Jantarat J, Malhotra W, Sutimuntanakul S. Efficacy of grapefruit, tangerine, lime, and lemon oils as solvents for softening gutta-percha in root canal retreatment procedures. J Investig Clin Dent. 2013 Feb;4(1):60-3. doi: 10.1111/j.2041-1626.2012.00143.x.

Reference Type RESULT
PMID: 23382062 (View on PubMed)

Genc Sen O, Erdemir A, Canakci BC. Effect of solvent use on postoperative pain in root canal retreatment: a randomized, controlled clinical trial. Clin Oral Investig. 2020 Jan;24(1):257-263. doi: 10.1007/s00784-019-02948-3. Epub 2019 May 15.

Reference Type RESULT
PMID: 31093742 (View on PubMed)

Topcuoglu HS, Topcuoglu G. Postoperative pain after the removal of root canal filling material using different techniques in teeth with failed root canal therapy: a randomized clinical trial. Acta Odontol Scand. 2017 May;75(4):249-254. doi: 10.1080/00016357.2017.1283707. Epub 2017 Feb 5.

Reference Type RESULT
PMID: 28162017 (View on PubMed)

Garcia-Font M, Duran-Sindreu F, Morello S, Irazusta S, Abella F, Roig M, Olivieri JG. Postoperative pain after removal of gutta-percha from root canals in endodontic retreatment using rotary or reciprocating instruments: a prospective clinical study. Clin Oral Investig. 2018 Sep;22(7):2623-2631. doi: 10.1007/s00784-018-2361-x. Epub 2018 Feb 2.

Reference Type RESULT
PMID: 29396645 (View on PubMed)

Sirijindamai D, Wichai W, Mitrirattanakul S, Jantarat J. Effect of GuttaClear on Postoperative Pain After Root Canal Retreatment: A Randomized Clinical Trial. Eur Endod J. 2023 Jan;8(1):55-64. doi: 10.14744/eej.2022.85047.

Reference Type DERIVED
PMID: 36748447 (View on PubMed)

Other Identifiers

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MU-DT/PY-IRB 2019/054.2608

Identifier Type: -

Identifier Source: org_study_id

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