The Effect of Photobiomodulation Using Low-Level Diode Laser Therapy on Postoperative Pain in Symptomatic Lower Molar Teeth With Irreversible Pulpitis and Apical Periodontitis; a Randomized Controlled Clinical Trial

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-20

Study Completion Date

2025-05-29

Brief Summary

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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.

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Detailed Description

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Conditions

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Effect of Photobiomodulation Using Diode Laser

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Photobiomodulation using diode laser

Irradiation of periapical tissues with low level diode laser therapy buccally and lingually

Group Type EXPERIMENTAL

Photobiomodulation by low level diode laser

Intervention Type DEVICE

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.

Placebo/ Mock Laser

Application of laser probe without device activation

Group Type PLACEBO_COMPARATOR

Mock Laser Application

Intervention Type OTHER

Placebo for control group

Interventions

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Photobiomodulation 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.

Intervention Type DEVICE

Mock Laser Application

Placebo for control group

Intervention Type OTHER

Eligibility Criteria

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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.

Minimum Eligible Age

20 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes