Analyzing the Impact of Occlusal Reduction on the Pain Following Root Canal Therapy in Molar Teeth With and Without Pain in Turkish Patients.

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

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-03

Study Completion Date

2021-02-05

Brief Summary

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Introduction: This study aimed to compare the intensity of postoperative pain after single-visit root canal treatment of symptomatic or asymptomatic teeth following occlusal reduction.

Methods: A total of 140 symptomatic or asymptomatic patients in need of root canal therapy were registered in this prospective, single-center, single-blind, randomized clinical trial.

For all patients, root canal treatment was carried out in a single visit, and the teeth were restored using composite resin. The teeth were randomly allocated into two equal groups according to whether occlusal reduction was done or not. The patients' pain were assessed using a 0-3 verbal rate scale 1, 3, and 7 days following root canal treatment. The pain incidence and intensity were compared using the chi-square and Fisher's exact tests.

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Detailed Description

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Root canal treatments is usually associated with post-operative pain and this is a bothersome situation for both patient and practitioner. Due to this reason number of researches focus on the factors that may relief patients pain. Occlusal reduction is one of the factors that means the chewing surface of the teeth are cut off and no longer in contact.Despite the large number of studies on this subject, no consensus has been reached. Decoupling group standardization and arriving at a more consistent conclusion were the goals of this research. The aim of this research is to evaluate the impact of occlusal reduction on postoperative pain in both symptomatic and asymptomatic molar teeth.

Conditions

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Irriversible Pulpitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Occlusal reduction,

one of the group received occlusal reduction after root canal treatment while other did not.

Group Type OTHER

occlusal reduction

Intervention Type OTHER

Occlusal reduction is a procedure that applied patients for different aims. One of these aims is pain relief after endodontic treatment and there are some studies about this topic however, there is no consensus about it. This discrepency could be related to differences of the inclusion criteria for this reason this study aimed to get a reliable result.

no occlusal reduction

this group did not receive any occlusal reduction after root canal treatment.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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occlusal reduction

Occlusal reduction is a procedure that applied patients for different aims. One of these aims is pain relief after endodontic treatment and there are some studies about this topic however, there is no consensus about it. This discrepency could be related to differences of the inclusion criteria for this reason this study aimed to get a reliable result.

Intervention Type OTHER

Other Intervention Names

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occlusal reduction procedure

Eligibility Criteria

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Inclusion Criteria

* Healty patients
* Maxillary and mandibulary first and second molars
* Irriversible pulpitis cases with or without prior discomfort

Exclusion Criteria

* Patients under 18 years old,
* Patients older 65 years old,
* Teeth with previously undergone root canal treatment,
* Complicating systemic diseases,
* Allergies o local anesthetic agents,
* Presence of acute apical apsesses,
* History of trauma,
* Analgesic, antibiotic or antiinflamatory intake 7 days before treatment,
* Periodontal pockets deeper than 4 mm,
* Multiple teeth that require endodontic treatment,
* Pregnancy,
* Teeth that can not be restored,
* Patients who needed emergency treatment,
* Grade 2 or 3 mobility,
* Patients with bruxism

Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes