Status:

RECRUITING

Valacyclovir in Pain Management of Acute Apical Abscesses

Lead Sponsor:

University of California, San Francisco

Conditions:

Acute Apical Abscess

Pain, Acute

Eligibility:

All Genders

18-80 years

Phase:

PHASE2

Brief Summary

The Virus in Endodontics (VE) phase I pilot study for preoperative pain will be analyzed and adjusted for the Phase II clinical trial. The Phase II clinical trial on preoperative pain, postoperative p...

Detailed Description

This proposal is to test the valacyclovir+antibiotic treatment regimen that was developed during our pre-operative pain pilot study. Valacacylovir is a widely used medicine that is used to treat activ...

Eligibility Criteria

Inclusion

  • Patient must be ≥ 18-year-old
  • Patient must be systemically healthy; American Society of Anesthesiologists (ASA) Class I or II
  • Patient must exhibit clinical evidence of pulp necrosis and acute apical abscess
  • Patient must present with radiographic
  • signs of apical disease either by
  • periapical radiography or cone-beam
  • computed tomography
  • Patient consented to receive conventional pulpal debridement, incision and drainage at the end of the study
  • Persistent pain of moderate or higher level (\>4) was the main inclusion criterion. Pain assessed as follows: 0 defined as no pain, 1-3 as mild pain, 4-6 as moderate pain, and 7-10 as severe pain

Exclusion

  • Smokers (more than 10 cigarettes per day)
  • External or internal tooth resorption
  • Marginal periodontitis
  • Pregnant or nursing mothers (hormonal factors may influence the periapical condition)
  • Documented allergic or adverse reactions to amoxicillin or valacyclovir
  • Teeth with unusual anatomy or inaccurate clinical diagnosis on the day of treatment (i.e., partially necrotic pulp)
  • Patients currently taking antibiotics or antiviral medications

Key Trial Info

Start Date :

October 25 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2025

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT05266040

Start Date

October 25 2023

End Date

December 31 2025

Last Update

May 30 2025

Active Locations (1)

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1

UCSF Dental

San Francisco, California, United States, 94143