Reduction of Post-operative Endodontic Pain
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Purpose
To determine the effect of intraligamentary injection of Lornoxicam on the intensity of post-operative endodontic pain in the tooth with symptomatic irreversible pulpitis.
| Condition | Intervention | Phase |
|---|---|---|
|
Post Operative Endodontic Pain |
Drug: Lornoxicam Drug: normal saline Drug: no injection |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | the Effect of Intraligamentary Injection of Lornoxicam on the Intensity of Post-operative Endodontic Pain in the Tooth With Symptomatic Irreversible Pulpitis |
- Post operative endodontic's pain [ Time Frame: 6,12,24,48 hours after drug's injection ] [ Designated as safety issue: No ]The measuring method of the pain is VAS(Visual Analogue Scale).
| Enrollment: | 60 |
| Study Start Date: | September 2011 |
| Study Completion Date: | December 2012 |
| Primary Completion Date: | September 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Lornoxicam |
Drug: Lornoxicam
PDL injection of 0/2 ml of lornoxicam (4mg/ml),before the root therapy and after the inferior alveolar injection
Other Names:
|
| Placebo Comparator: normal saline |
Drug: normal saline
PDl injection of 0/2 ml normal saline before the root therapy and after inferior alveolar injection
|
| Placebo Comparator: no injection |
Drug: no injection
inject nothing after inferior alveolar injection and before root canal therapy
|
Detailed Description:
sixty qualified samples (initial estimate which will be come more accurate after the pilot study on 6 patients) will be divided randomly in three groups which all of them will have an inferior Alveolar injection and before the beginning of the treatment the primary group will receive an injection of 0.4 mL ( 0.2 mL in mesio buccal and 0.2 mL in disto buccal) of Lornoxicam and the second group will be injected with 0.4 mL of normal saline( 0.2 mL in mesio buccal and 0.2 mL in disto buccal) ,in third group we will only pretend the injection but actually there is no substance injected ,making the patient believe that there was an injection . Then the patients' pain will be evaluated with visual Analogue Scale analysis (VAS) 0-170 mm in time intervals of 6, 12, 24 and 48 hours after the treatment.
Eligibility| Ages Eligible for Study: | 16 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- healthy (ASA I, II);
- Patients with first or second mandibular molars who need endodontic treatment;
- Vital tooth without a history of past endodontic treatment;
- Patients with clinical evidence of irreversible Pulpits with moderate to severe pain;
- Patients without pre apical lesion and periodontal ligament enlargement more than 0.75-1mm on the x-ray images;
- Patients in the age group of 18-65 years old
Exclusion Criteria:
- Pregnant or nursing;
- necrotic tooth;
- Patients with allergy or contraindication toward non-opioid or opioid painkillers such as aspirin or NSAIDs;
- People who have a history of acute peptic ulcer, during the past 12 months;
- People who have bleeding problems or have been taking anticoagulant drugs over the past month;
- Patients who have taken opioid or non opioid or steroid pain killers, antidepressants or sedative drugs.
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Mandana Abedi Tari, principal investigator, Islamic Azad University, Tehran |
| ClinicalTrials.gov Identifier: | NCT01480752 History of Changes |
| Other Study ID Numbers: | IRCT201108017191N1 |
| Study First Received: | November 24, 2011 |
| Last Updated: | January 11, 2013 |
| Health Authority: | Iran: Ministry of Health |
Keywords provided by Islamic Azad University, Tehran:
|
In the patients with symptomatic Irreversible Pulpitis |
Additional relevant MeSH terms:
|
Lornoxicam Anti-Inflammatory Agents, Non-Steroidal Analgesics, Non-Narcotic Analgesics Sensory System Agents Peripheral Nervous System Agents |
Physiological Effects of Drugs Pharmacologic Actions Anti-Inflammatory Agents Therapeutic Uses Antirheumatic Agents Central Nervous System Agents |
ClinicalTrials.gov processed this record on May 19, 2013