Effect of Bio-C Temp Versus Calcium Ydroxide as Intracanal Dressings on Postoperative Pain Intensity and Periapical MMP-9 Level in Patients With Necrotic Pulp
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Bio-C Temp Intracanal Medication, Calcium Hydroxide Intracanal medication.
- Who it may be relevant to
- Registry conditions: Intracanal Dressing, Apical Periodontitis, Calcium Hydroxide, Biomarkers. Basic parameters: 18 years — 50 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effect of Bio-C Temp Versus Calcium Hydroxide as an Intracanal Dressing on Postoperative Pain Intensity and Periapical MMP-9 Level in Patients With Necrotic Pulp: A Randomized Clinical Trial
Overview
To compare the effect of Bio-C Temp Bioceramic intracanal dressing versus calcium hydroxide as intracanal medicaments on: * Intensity of postoperative pain * levels of MMP -9 in Periapical Fluids.
Interventions
- Drug Bio-C Temp Intracanal Medication
Bio-C Temp Bioceramic intracanal dressing in the form of injectable premixed paste - Drug Calcium Hydroxide Intracanal medication
Calcium Hydroxide intracanal dressing in the form of injectable premixed paste
Primary outcome measures
- Intensity of post-operative pain [Time frame: 6 hours post-instrumentation]
- Intensity of post-operative pain [Time frame: 12 hours post-instrumentation]
- Intensity of post-operative pain [Time frame: 24 hours post-instrumentation]
- Intensity of post-operative pain [Time frame: 48 hours post-instrumentation]
- Intensity of post-operative pain [Time frame: 6 hours post-obturation]
- Intensity of post-operative pain [Time frame: 12 hours post-obturation]
- Intensity of post-operative pain [Time frame: 24 hours post-obturation]
- Intensity of post-operative pain [Time frame: 48 hours post-obturation]
Secondary outcome measures (2)
- Periapical MMP-9 level [Time frame: at the first visit post- instrumentation]
- Periapical MMP-9 Level [Time frame: After 1 week at the second visit (pre-obturation)]
Eligibility criteria
Inclusion criteria
- Age between 18-50 years old.
- Males and females.
- Healthy patients categorized as I or II according to The American Society of Anesthesiologists.
(ASA I or II), with no underlying allergies.
- Single-rooted mandibular premolar teeth, having single root canal:
- Diagnosed clinically with pulp necrosis.
- Absence of spontaneous pulpal pain.
- Slight widening in the periodontal membrane space or with periapical radiolucency not exceeding 2\*2 mm radiographically.
- Patients accepting to participate in the trial.
- Patients who can understand pain scale and can sign the informed consent
Exclusion criteria
- Medically compromised patients having significant systemic disorders (ASA III or IV).
- Pregnant females.
- If analgesics or antibiotics have been administrated by the patient during the past 24 hours preoperatively as it might alter their pain perception.
- Teeth with multiple canals. 9
- Teeth that show association with acute periapical abscess, swelling or fistulous tract.
- Teeth with vital pulp.
- Non-restorable teeth or teeth that could not be adequately isolated with a rubber dam.
- Immature teeth.
- Teeth with greater than grade I mobility or pocket depth greater than 4 mm.
- Teeth showing radiographic evidence of external or internal root resorption, vertical root fracture, perforation or calcification.
- Patients with two or more adjacent teeth requiring endodontic treatment.
- Patients reporting bruxism, clenching or TMJ problems.
- Inability to perceive the given instructions.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07101029 · MennaalaaCU25