Postoperative Pain Endodontic Retreatment

NCT ID: NCT04580862

Last Updated: 2020-10-09

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 62 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-10-01
• Study Completion Date: 2021-06-30

Brief Summary

To compare the incidence of post-operative pain after single-visit versus two-visit non-surgical endodontic retreatment.

Detailed Description

Post treatment failure could be treated by two options including orthograde retreatment and apical surgery . In a previous study, orthograde retreatments presented a success rate of 81 % classified as healed and 93 % as no symptoms and fully functional. In a systematic review, it has also been concluded that endodontic surgery offers more favorable initial success but orthograde retreatment yields to a better long-term outcome . Although early results of single-visit treatments are contradictory ; Completing the treatment in a single appointment reduces the treatment time and cost, decreases micro leakage risk and avoids recontamination of root canals between appointments in multiple-visit treatments . Again, reviewing the literature concerning primary treatment showed that, no significant differences were observed in healing of periapical radiolucency between teeth treated in single-visit and those treated in two-visits. Even, after using calcium hydroxide for four weeks . The presence of a positive bacterial culture at the time of filling did not influence the outcome of treatment .

Thorough online search revealed that, few studies are found concerning post- operative pain after single visit retreatment . The present study is designed to compare the effects of single-visit and two-visit root canal treatments on postoperative pain in retreatment cases. The primary outcome measure of this study is proposed to be whether single-visit root canal retreatment influenced the occurrence of postoperative pain as compared to two-visit treatment.

Conditions

Endodontically Treated Teeth

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

group 1 Non-surgical endodontic retreatment in single visit

Single visit treatments have gained more popularity. Completing the treatment in a single appointment has many advantages including reduction in treatment time and cost, lower risk of micro leakage and recontamination of root canals between appointments

Group Type: EXPERIMENTAL

Non-surgical endodontic retreatment in single visit

Intervention Type: OTHER

Full medical and dental history using a schematic dental chart, will be obtained from all patients treated during this study.

group 2 Non-surgical endodontic retreatment in Two-visit

Two-visit endodontic treatment with intra-canal medication was traditionally found to be effective in decreasing the number of flare-up in all retreatment cases and in reducing postoperative pain of previously symptomatic teeth

Group Type: ACTIVE_COMPARATOR

Non-surgical endodontic retreatment in single visit

Intervention Type: OTHER

Full medical and dental history using a schematic dental chart, will be obtained from all patients treated during this study.

Interventions

Non-surgical endodontic retreatment in single visit

Full medical and dental history using a schematic dental chart, will be obtained from all patients treated during this study.

Intervention Type: OTHER

Other Intervention Names

Non-surgical endodontic retreatment in Two-visit

Eligibility Criteria

Inclusion Criteria

• Clinically asymptomatic.
• Previously treated teeth in need of retreatment due to leakage and/or improper filling.
• No periapical radiolucency.
• No percussion pains.
• Age 20 - 45.
• Premolar teeth.
• Male & female.

Exclusion Criteria

• Complicating compromised patient.
• Tenderness to percussion and acute apical abscess.
• Presence of an associated sinus tract.
• Presence of swelling in adjacent soft tissue.
• Teeth with periodontal pathologies or mobility.
• Teeth representing root fracture.
• Pregnant women.
• If analgesics or antibiotics have been administrated by the patient during the past 24 hours.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Muftah Mohammed Ali Akrym

Principle investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

References

Erdem Hepsenoglu Y, Eyuboglu TF, Ozcan M. Postoperative Pain Intensity after Single- versus Two-visit Nonsurgical Endodontic Retreatment: A Randomized Clinical Trial. J Endod. 2018 Sep;44(9):1339-1346. doi: 10.1016/j.joen.2018.05.017. Epub 2018 Jul 24.

Reference Type: BACKGROUND

PMID: 30054099 (View on PubMed)

Other Identifiers

pop rct

Identifier Type: -

Identifier Source: org_study_id