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This study evaluates the efficacy of dexamethasone as a intracanal irrigant along with sodium hypochlorite 1% and 5.25% concentrations in post treatment pain for molar root canal retreatment.
Main objective of root canal retreatment is to alleviate pain and disinfect the rootcanal .However some patients may experience mild to severe pain following treatment , which leads to intake of painkillers orally for post operative pain management.
So , this study evaluates the efficiency of dexamethasone used as intracanal irrigant in post treatment pain for molar root canal retreatment sodium hypochlorite (1% &5.25%) is used for disinfecting the canals patients will be grouped into Symptomatic and Asymptomatic patients requiring root canal retreatment and irrigants will be used in various combinations as mentioned below
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1% sodium hypochlorite & dexamethasone 4mg as irrigants | Experimental | sodium hypochlorite is effective in any concentration as antimicrobial irrigant and dexamethasone is anti inflammatory drug |
|
| 1% sodium hypochlorite as irrigant &normal saline as placebo | Active Comparator | sodium hypochlorite is effective in any concentration as irrigant |
|
| 5.25% sodium hypochlorite and dexamethasone 4mg as irrigants | Experimental | sodium hypochlorite is effective in any concentration as antimicrobial irrigant and dexamethasone is anti inflammatory drug |
|
| 5.25% sodium hypochlorite &normal saline as placebo | Active Comparator | sodium hypochlorite is effective in any concentration as irrigant |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sodium Hypochlorite | Drug | Sodium hypochlorite is used as intracanal irrigant to minimize the post operative pain |
|
| Measure | Description | Time Frame |
|---|---|---|
| post operative pain evaluation using various combination of irrigants: VAS score | pain scale is evaluated using VISUAL ANALOG SCALE (VAS) score (1-10) 1 is minimum amount of pain experienced and 10 is maximum amount of pain experienced [1-3] mild pain , [4-7] moderate pain , [8-10] severe pain . | At 6 hours |
| post operative pain evaluation using various combination of irrigants: VAS score | pain scale is evaluated using VISUAL ANALOG SCALE (VAS) score (1-10) 1 is minimum amount of pain experienced and 10 is maximum amount of pain experienced [1-3] mild pain , [4-7] moderate pain , [8-10] severe pain . | At 12 hours |
| post operative pain evaluation using various combination of irrigants: VAS score | pain scale is evaluated using VISUAL ANALOG SCALE (VAS) score (1-10) 1 is minimum amount of pain experienced and 10 is maximum amount of pain experienced [1-3] mild pain , [4-7] moderate pain , [8-10] severe pain . | At 24 hours |
| post operative pain evaluation using various combination of irrigants: VAS score | pain scale is evaluated using VISUAL ANALOG SCALE (VAS) score (1-10) 1 is minimum amount of pain experienced and 10 is maximum amount of pain experienced [1-3] mild pain , [4-7] moderate pain , [8-10] severe pain . | At 48 hours |
| post operative pain evaluation using various combination of irrigants: VAS score | pain scale is evaluated using VISUAL ANALOG SCALE (VAS) score (1-10) 1 is minimum amount of pain experienced and 10 is maximum amount of pain experienced [1-3] mild pain , [4-7] moderate pain , [8-10] severe pain . | At 72 hours |
| post operative pain evaluation using various combination of irrigants: VAS score |
| Measure | Description | Time Frame |
|---|---|---|
| assessment of other variables in pain scale | comparing the pain scale experienced between male and female in VAS score | through study completion, an average of 1 week |
| assessment of other variables in pain scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Valliappan C.T, post graduate (MDS) | Contact | 8870558925 | 8248785715 | vrvalliappan2@gmail.com |
| Anand Sherwood, MDS, Ph.D | Contact | 9791443950 | anand.sherwood@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CSI college of dental sciences and research | Recruiting | Madurai | Tamil Nadu | 625001 | India |
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from may 2021 and available till may 2025
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| ID | Term |
|---|---|
| D012973 | Sodium Hypochlorite |
| ID | Term |
|---|---|
| D006997 | Hypochlorous Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D010087 | Oxides |
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pain scale is evaluated using VISUAL ANALOG SCALE (VAS) score (1-10) 1 is minimum amount of pain experienced and 10 is maximum amount of pain experienced [1-3] mild pain , [4-7] moderate pain , [8-10] severe pain . |
| After 7 days |
comparing the pain scale experienced between mandibular molar and maxillary molar from VAS score
| through study completion, an average of 1 week |
| assessment of other variables in pain scale | comparing the pain scale based on patients pre operative symptom ex; patient is symptomatic or Asymptomatic before treatment procedure | through study completion, an average of 1 week |
| D017601 |
| Oxygen Compounds |
| D017670 | Sodium Compounds |