Status:

UNKNOWN

Effect of Irrigation With Antibiotic-containing Solutions on Postoperative Pain and Intra-canal Bacteria

Lead Sponsor:

Cairo University

Conditions:

Necrotic Pulp

Eligibility:

All Genders

18-50 years

Phase:

PHASE4

Brief Summary

• The aim of this study is to compare the degree of postoperative pain and the antimicrobial effect in terms of bacterial count reduction after using co-amoxiclav-clindamycin solution versus MTAD and ...

Detailed Description

* After confirming the diagnosis and making sure that the patient conforms to all eligibility criteria, the principal investigator will enroll the patient in the study. * The operator will complete tr...

Eligibility Criteria

Inclusion

  • Maxillary/mandibular single-rooted permanent teeth:
  • Diagnosed clinically with pulp necrosis.
  • Absence of spontaneous pain.
  • Normal/slight widening in the periodontal membrane space (PMS).
  • Patients' acceptance to participate in the trial.
  • Patients who can understand numerical rating scale (NRS) and can sign the informed consent.

Exclusion

  • Medically compromised patients: Pain levels and healing following treatment would be compromised as these patients show higher incidence of pain and lower healing rate.
  • Patients with known allergy to penicillin or penicillin derivatives.
  • Pregnant females: Avoid radiation exposure, anesthesia, and medication.
  • If analgesics or antibiotics have been administrated by the patient during the past 24 hours preoperatively: Might alter their pain perception.
  • Patients reporting bruxism or clenching: Avoid further pressure on an already inflamed tooth inducing subsequent irritation and inflammation.
  • Teeth that show association with acute periapical abscess and swelling: Need special treatment steps which could involve additional visits with incision and drainage. Also, it could influence initiation and progression of postoperative pain.
  • Greater than grade I mobility or pocket depth greater than 5mm. Need special surgical and/or periodontal therapy.
  • Non-restorable teeth.
  • Immature teeth.
  • Radiographic evidence of periapical radiolucency, external or internal root resorption, vertical root fracture, perforation or calcification.

Key Trial Info

Start Date :

January 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 1 2021

Estimated Enrollment :

51 Patients enrolled

Trial Details

Trial ID

NCT04035070

Start Date

January 1 2021

End Date

June 1 2021

Last Update

October 14 2020

Active Locations (1)

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1

Endodontic Department - Faculty of Dentistry - Cairo University

Cairo, Egypt