Influence of Intra Canal Medications on Postoperative Flare-up in Endodontic Re-treatment Cases

rayan rabie dahab24 enrolled

Overview

Is to evaluate the influence of the calcium hydroxide / chlorhexidine combination and calcium hydroxide alone as an intra-canal medication in postoperative flare-up in two visits endodontic retreatment cases

Problem: patient needs retreatment Intervention: calcium hydroxide chlorhexidine combination as an intra-canal medicament Control: calcium hydroxide alone as an intra-canal medicament Outcome: postoperative flare-up (pain and swelling) Time: after 7 days from 1st visit. population will be examined: 1. Patients' needs retreatment. 2. Patients in good health with no systemic disease (American Society of Anesthesiologists Class II) 3. Age range is between 20 and 50 years. 4. Patients who can understand the categorical tool (points)for measurement 5. Patients able to sign informed consent.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Postoperative Pain Pain, Dental

Interventions

calcium hydroxide chlorhexidine combinationCOMBINATION_PRODUCT

Endodontic intra-canal medicament used for decreasing postoperative signs ans symptoms

calcium hydroxide intra-canal medicamentOTHER

Endodontic intra-canal medicament used for decreasing postoperative signs and symptoms.

Eligibility

Sex: ALLMin age: 20 YearsMax age: 50 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * 1\. Patients' needs retreatment. * 2\. Patients in good health with no systemic disease (American Society of Anesthesiologists Class II) * 3\. Age range is between 20 and 50 years. * 4\. Patients who can understand the categorical tool (points)for measurement * 5\. Patients able to sign informed consent. Exclusion Criteria: * 1\) Complicating systemic disease * 2\) Having severe pain and/or acute apical abscesses * 3\) Being under 18 years of age * 4\) Using antibiotics or corticosteroids, * 5\) having multiple teeth that required retreatment to eliminate the possibility of pain referral * 6\) Having root canals that could not be treated well with initial root canal treatment.

Locations (1)

Univeristy of Cairo

Cairo, Egypt

Outcomes

Primary Outcomes

measuring patients postoperative pain and swelling following endodontic re-treatment sessions using Categorical (4 points) unit using questionnaire.

postoperative pain and swelling will be measured by:Categorical (4 points). The incidence of postoperative discomfort was recorded and expressed as numbers and percentages Subjectively into 4 points: 1. no pain 2. Mild pain: recognizable but not discomforting pain that required no analgesics. 3. Moderate pain: discomforting but bearable pain(analgesics if used were effective in relieving pain) 4. Severe pain: difficult to bear (analgesics were effective in relieving pain). Patients with severe postoperative pain and/or occurrence of swelling were classified as flare-ups.3 Objectively : percussion test

Time frame: 7 days between the 2 visits ( one week)

Central Contacts

associate professor

CONTACT

00201226322227 Geraldine.ahmed@hotmail.com

clinical instructor

CONTACT

00201202277368 dr.nehalnabil@yahoo.com

Data from ClinicalTrials.gov

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