Evaluating pain after dental treatment in children

Postoperative Pain After Pulpectomy of Primary Molars Using Two Different Root Canal Obturation Techniques: A Randomized Clinical Trial

This study tests how much pain kids aged 5-7 feel after a specific dental treatment to see if the method used helps make their experience better.

Quick facts

• Phase: Not applicable
• Study type: Interventional
• Enrollment: 100 (estimated)
• Ages: 5 Years to 7 Years
• Sex: All
• Sponsor: Minia University (Academic / other)
• Locations: 1 site (Minya)
• Trial ID: NCT06424353 on ClinicalTrials.gov

What this trial studies

This study evaluates postoperative pain in children aged 5-7 years following pulpectomy of primary molars using Endoflas. The methodology involves assessing pain levels with a modified Wong-Baker scale after the procedure, which utilizes lentilospiral files and a pressure syringe. The study aims to determine the effectiveness of this approach in managing pain during dental treatments for young patients.

Who should consider this trial

Good fit: Ideal candidates are children aged 5-7 years with specific dental conditions, including deep carious lesions in primary molars.

Not a fit: Patients with a history of spontaneous toothache or extensive crown destruction may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved pain management strategies for children undergoing dental procedures.

How similar studies have performed: While similar studies have explored postoperative pain management in dental procedures, the specific approach in this study may offer novel insights.

Eligibility criteria

Inclusion Criteria:

* The current study will include children who meet the following clinical and radiographic criteria:

3.1a.Clinical:

1. 5-7-year old children categorized as class I or II according to American Society of Anaesthesiologists (ASA) scale.
2. Children rated as no.3 or 4 in Frankel behavior rating scale (FBRS).
3. Presence of at least one primary molar with deep carious lesion.
4. Asymptomatic necrotic molars confirmed by the absence of bleeding on opening of the pulp chamber.

3.1b. Radiographic:

1. Extensive caries approaching to the pulp.
2. Presence of at least two-thirds of root length.

Exclusion Criteria:

* A child's tooth with any of the following criteria:

3.2a. Clinical findings:

1. History of spontaneous unprovoked toothache.
2. Extensive crown destruction that preclude coronal restoration.
3. Presence of adjacent or opposing tooth with deep carious lesion "in the same side".
4. History of administering analgesics 12 hours before tooth obturation.

3.2b. Radiographic findings:

1. Presence of a large furcation or periapical radiolucency approximating the succedaneous tooth.
2. Presence of pathological internal/external root resorption.
3. Absence of underlying permanent successor.

Where this trial is running

Minya

• Shimaa Mohamed Abd Elhafeez — Minya, Egypt (Recruiting)

Study contacts

• Study coordinator: shimaa m abd elhafeez, postgraduate

Conditions Postoperative Pain