Trial Outcomes & Findings for Pain Management in Teeth With Reversible Pulpitis (NCT NCT07114198)

NCT ID: NCT07114198

Last Updated: 2025-09-24

Results Overview

Pain intensity will be assessed using the Visual Analogue Scale (VAS), which ranges from 0 (no pain) to 10 (worst imaginable pain). The change will be calculated as the score immediately during the procedure (Day 0) minus the Baseline (Pre-Operative) score. Higher scores indicate worse pain.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

46 participants

Primary outcome timeframe

Pre-Operative (Baseline) and Immediately During the Procedure (Day 0)

Results posted on

2025-09-24

Participant Flow

A total of 46 children were enrolled in the study. Participants were randomized into two groups (23 in the control group, 23 in the ibuprofen group). Two participants did not complete the study due to protocol violations, leaving 44 participants who completed the trial.

Randomization was performed using a sealed envelope method; the envelope contents were prepared by a third researcher before the examination. Because double-blinding was not possible, a single-blind design was employed. The clinician performing the procedure was aware of the groups, but the statistician performing the data analysis was unaware of the groups.

Participant milestones

Participant milestones
Measure
Control Group
Children in this group received no preoperative medication before undergoing vital pulp therapy. Standard local anesthesia was administered prior to the procedure.
Ibuprofen Group
Children in this group received a single dose of ibuprofen (10 mg/kg) orally, 40 minutes prior to vital pulp therapy. The goal was to evaluate the effect of preoperative ibuprofen on intraoperative pain and physiological stress. Ibuprofen 10 mg/kg: Ibuprofen was administered orally at a dose of 10 mg/kg body weight, 40 minutes before the start of the dental procedure. This intervention was designed to reduce intraoperative pain and pulse elevation associated with reversible pulpitis.
Overall Study
STARTED
23
23
Overall Study
COMPLETED
22
22
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Control Group
Children in this group received no preoperative medication before undergoing vital pulp therapy. Standard local anesthesia was administered prior to the procedure.
Ibuprofen Group
Children in this group received a single dose of ibuprofen (10 mg/kg) orally, 40 minutes prior to vital pulp therapy. The goal was to evaluate the effect of preoperative ibuprofen on intraoperative pain and physiological stress. Ibuprofen 10 mg/kg: Ibuprofen was administered orally at a dose of 10 mg/kg body weight, 40 minutes before the start of the dental procedure. This intervention was designed to reduce intraoperative pain and pulse elevation associated with reversible pulpitis.
Overall Study
Protocol Violation
1
1

Baseline Characteristics

TURKEY

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control Group
n=22 Participants
Children in this group received no preoperative medication before undergoing vital pulp therapy. Standard local anesthesia was administered prior to the procedure.The mean age of participants was 9.32 years (SD ±1.96). The group consisted of 16 females (72.7%) and 6 males (27.3%).
Ibuprofen Group
n=22 Participants
Children in this group received a single dose of ibuprofen (10 mg/kg) orally, 40 minutes prior to vital pulp therapy. The goal was to evaluate the effect of preoperative ibuprofen on intraoperative pain and physiological stress. Ibuprofen 10 mg/kg: Ibuprofen was administered orally at a dose of 10 mg/kg body weight, 40 minutes before the start of the dental procedure. This intervention was designed to reduce intraoperative pain and pulse elevation associated with reversible pulpitis.The mean age of participants was 9.59 years (SD ±1.56). The group consisted of 14 females (63.6%) and 8 males (36.4%).
Total
n=44 Participants
Total of all reporting groups
Age, Categorical
<=18 years
22 Participants
n=5 Participants
22 Participants
n=7 Participants
44 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
9.32 years
STANDARD_DEVIATION 1.96 • n=5 Participants
9.59 years
STANDARD_DEVIATION 1.76 • n=7 Participants
9.45 years
STANDARD_DEVIATION 1.76 • n=5 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
14 Participants
n=7 Participants
30 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
8 Participants
n=7 Participants
14 Participants
n=5 Participants
Race/Ethnicity, Customized
Turkish
22 Participants
n=5 Participants
22 Participants
n=7 Participants
44 Participants
n=5 Participants
Region of Enrollment
Turkey
22 participants
n=5 Participants • TURKEY
22 participants
n=7 Participants • TURKEY
44 participants
n=5 Participants • TURKEY

PRIMARY outcome

Timeframe: Pre-Operative (Baseline) and Immediately During the Procedure (Day 0)

Population: 7-13 years children

Pain intensity will be assessed using the Visual Analogue Scale (VAS), which ranges from 0 (no pain) to 10 (worst imaginable pain). The change will be calculated as the score immediately during the procedure (Day 0) minus the Baseline (Pre-Operative) score. Higher scores indicate worse pain.

Outcome measures

Outcome measures
Measure
Control Group
n=22 Participants
Children in this group received no preoperative medication before undergoing vital pulp therapy. Standard local anesthesia was administered prior to the procedure.
Ibuprofen Group
n=22 Participants
Children in this group received a single dose of ibuprofen (10 mg/kg) orally, 40 minutes prior to vital pulp therapy. The goal was to evaluate the effect of preoperative ibuprofen on intraoperative pain and physiological stress. Ibuprofen 10 mg/kg: Ibuprofen was administered orally at a dose of 10 mg/kg body weight, 40 minutes before the start of the dental procedure. This intervention was designed to reduce intraoperative pain and pulse elevation associated with reversible pulpitis.
Change in Pain Intensity From Baseline (Pre-Operative) to Immediately During the Procedure (Day 0), Measured by the Visual Analogue Scale (VAS)
5.05 score on a scale
Standard Deviation 3.51
0.64 score on a scale
Standard Deviation 1.14

SECONDARY outcome

Timeframe: Pre-Operative (Baseline) and 1 days post-treatment (Day 1)

Pain intensity will be assessed using the Visual Analogue Scale (VAS), which ranges from 0 (no pain) to 10 (worst imaginable pain). The Baseline (Pre-Operative) VAS score will be compared with the VAS score reported by the participant on Day 1. On Day 1, participants will be contacted by phone and asked to rate their pain using the same VAS tool.

Outcome measures

Outcome measures
Measure
Control Group
n=22 Participants
Children in this group received no preoperative medication before undergoing vital pulp therapy. Standard local anesthesia was administered prior to the procedure.
Ibuprofen Group
n=22 Participants
Children in this group received a single dose of ibuprofen (10 mg/kg) orally, 40 minutes prior to vital pulp therapy. The goal was to evaluate the effect of preoperative ibuprofen on intraoperative pain and physiological stress. Ibuprofen 10 mg/kg: Ibuprofen was administered orally at a dose of 10 mg/kg body weight, 40 minutes before the start of the dental procedure. This intervention was designed to reduce intraoperative pain and pulse elevation associated with reversible pulpitis.
Change in Postoperative Pain Intensity From Baseline (Pre-Operative) to Day 1, Measured by the Visual Analogue Scale (VAS)
0.59 score on a scale
Standard Deviation 1.37
0.68 score on a scale
Standard Deviation 1.39

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre-Operative (Baseline) and 3 days post-treatment (Day 3)

Pain intensity will be assessed using the Visual Analogue Scale (VAS), which ranges from 0 (no pain) to 10 (worst imaginable pain). The Baseline (Pre-Operative) VAS score will be compared with the VAS score reported by the participant on Day 3. On Day 3, participants will be contacted by phone and asked to rate their pain using the same VAS tool.

Outcome measures

Outcome measures
Measure
Control Group
n=22 Participants
Children in this group received no preoperative medication before undergoing vital pulp therapy. Standard local anesthesia was administered prior to the procedure.
Ibuprofen Group
n=22 Participants
Children in this group received a single dose of ibuprofen (10 mg/kg) orally, 40 minutes prior to vital pulp therapy. The goal was to evaluate the effect of preoperative ibuprofen on intraoperative pain and physiological stress. Ibuprofen 10 mg/kg: Ibuprofen was administered orally at a dose of 10 mg/kg body weight, 40 minutes before the start of the dental procedure. This intervention was designed to reduce intraoperative pain and pulse elevation associated with reversible pulpitis.
Change in Postoperative Pain Intensity From Baseline (Pre-Operative) to Day 7, Measured by the Visual Analogue Scale (VAS)
0.14 score on a scale
Standard Deviation 0.47
0.23 score on a scale
Standard Deviation 0.75

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre-Operative (Baseline) and 7 days post-treatment (Day 7)

Pain intensity will be assessed using the Visual Analogue Scale (VAS), which ranges from 0 (no pain) to 10 (worst imaginable pain). The Baseline (Pre-Operative) VAS score will be compared with the VAS score reported by the participant on Day 7. On Day 7, participants will be contacted by phone and asked to rate their pain using the same VAS tool.

Outcome measures

Outcome measures
Measure
Control Group
n=22 Participants
Children in this group received no preoperative medication before undergoing vital pulp therapy. Standard local anesthesia was administered prior to the procedure.
Ibuprofen Group
n=22 Participants
Children in this group received a single dose of ibuprofen (10 mg/kg) orally, 40 minutes prior to vital pulp therapy. The goal was to evaluate the effect of preoperative ibuprofen on intraoperative pain and physiological stress. Ibuprofen 10 mg/kg: Ibuprofen was administered orally at a dose of 10 mg/kg body weight, 40 minutes before the start of the dental procedure. This intervention was designed to reduce intraoperative pain and pulse elevation associated with reversible pulpitis.
Change in Postoperative Pain Intensity From Baseline (Pre-Operative) to Day 7, Measured by the Visual Analogue Scale (VAS)Analogue Scale (VAS)
0.05 score on a scale
Standard Deviation 0.21
0.09 score on a scale
Standard Deviation 0.29

Adverse Events

Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Ibuprofen Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Assistant Professor Merve Bilmez Selen

Inonu

Phone: 5457673089

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place