The study is a post-marketing performance and safety study, designed as a comparative, prospective, multicenter, simple-blind, randomized clinical trial. 300 subjects requiring a primary or a secondary root canal treatment will be enrolled in 2 groups (150 in each group). The aim of the study is to demonstrate the superiority of the hydrocortisone-containing root canal sealer Endomethasone N RCS, compared to the hydrocortisone-free root canal sealer Endomethasone SP RCS, with regard to reduction of the maximum post-operative spontaneous pain during the 7 days following the root canal treatment. Root canal treatment procedures will be in accordance with the allocation by randomisation of Endomethasone N RCS or Endomethasone SP RCS. The spontaneous and the Masticatory pain will be record at predefined times, a phone call will be done at 48h and a visit will be realized at day 7 (max Day 14).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
300
Root canal sealer
Root canal sealer
Cabinet dentaire
Agon-Coutainville, France
Cabinet dentaire
Betton, France
Cabinet dentaire
Chartres-de-Bretagne, France
Cabinet Dentaire
Cherbourg, France
Cabinet dentaire
Cherbourg, France
Cabinet dentaire
Dinan, France
Cabinet dentaire
Équeurdreville-Hainneville, France
Cabinet dentaire
Lamballe, France
Centre de santé dentaire Chevaleret
Paris, France
Centre dentaire Flandre
Paris, France
...and 5 more locations
Maximum post-operative pain using a visual analogue scale (VAS : 0-100)
The pain is assessed by patients in a diary using a Visual Analogue Scale (VAS: 0-100 mm; 0 no pain - 100 maximum pain) at different times after endodontic treatment (at the end of the root canal obturation, 3h, 6h 12h, 24h, Day 2, Day 3, Day 4 Day 5, Day 5, Day 7). The maximum pain felt will be compared between the 2 groups.
Time frame: from the end of the root canal treatment (Day 0) to Day 7
Spontaneous pain intensity
The spontaneous pain intensity measured using a Visual Analogue Scale (VAS: 0-100mm; 0 no pain - 100 maximum pain)
Time frame: from the end of the root canal treatment (Day 0) to Day 7
Occurrence of spontaneous pain flare-ups
The occurrence of spontaneous pain flare-ups is an increase of 20 mm in the Visual Analogue Scale (VAS: 0-100mm; 0 no pain-100 maximum pain) between 2 consecutive measurements after the firsts 3 days.
Time frame: From Day 3 to Day7
Masticatory pain intensity
The masticatory pain intensity measured using a Visual Analogue Scale (VAS: 0-100mm; 0 no pain -100 maximum pain) assessed twice a day from Day 0 to Day3 (lunch and dinner), and once a day from Day 4 to Day7 (dinner).
Time frame: from the end of the root canal treatment (Day 0) to Day 7
Maximum Masticatory pain intensity using a visual analogue scale (VAS : 0-100mm)
The maximum masticatory pain intensity measured Visual Analogue Scale (VAS: 0-100mm; 0 no pain- 100 maximum pain)
Time frame: from the end of the root canal treatment (Day 0) to Day 7
Use of oral pain treatment
Patients reported the consumption of analgesic treatment in a diary. The proportion of patients who took oral pain medication and the treatment categories will be compared between the 2 groups.
Time frame: from the end of the root canal treatment (Day 0) to Day 7
Quality of life with the OHIP-17 questionnaire (score 0-68)
The answers and the total score from the OHIP 17-items questionnaire (measured at baseline and 48 h) will be compared between 2 groups. Score between 0 and 68, 0 means no dental issuel, 68 all the issues very often.
Time frame: baseline and from 48 to 72 hours
Adverse events
Adverse events reported by patients on a diary from Day 0 to Day 7 and adverse events clinically observed by the dental surgeon at each follow-up visit will be used to assess the safety of root canal sealers and endodontic procedures
Time frame: from the inclusion (Day 0) to Day 7
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