Nano-sized intracanal medications to reduce periapical inflammation after root canal retreatment
Official title: Modulation of Periapical Inflammation Following Nano-Calcium Hydroxide and Nano-Chitosan Intracanal Medications in Endodontic Retreatment Cases: A Randomized Controlled Clinical Trial
Run by Al-Azhar University · NCT07571837 · Data updated 2026-11-12
This trial tests whether nano-calcium hydroxide or nano-chitosan pastes can reduce periapical inflammation and post-operative pain in adults undergoing endodontic retreatment of single-rooted teeth.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 20 Years to 40 Years |
| Sex | Men only |
| Enrollment | 63 (estimated) |
| Sponsor | Al-Azhar University Academic / other |
| Locations | 1 site (Cairo, Nasr City) |
| Status | Recruiting |
| Started | October 8, 2026 |
| Main results expected | April 15, 2027 |
| Study ends | May 30, 2027 |
| Registry record updated | October 15, 2026 |
| Trial ID | NCT07571837 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with a single-rooted tooth that has failed prior endodontic therapy, a periapical radiolucency (PAI score 3 or 4), and no current pain or swelling are ideal candidates.
✕Probably not a fit
Patients with systemic disease, recent antibiotic use, pregnancy or lactation, non-restorable or fractured teeth, immature roots, resorption, sinus tract, or multi-rooted cases are unlikely to benefit from enrolling.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Sixty-three patients with previously treated single-rooted teeth and periapical radiolucency will be randomized into three equal groups to receive either nano-chitosan paste, nano-calcium hydroxide paste, or standard calcium hydroxide as intracanal medicament. Retreatment procedures include gutta-percha removal, standardized rotary instrumentation, irrigation, and microbiologic sampling before medicament placement. Group assignment is concealed using sequentially numbered opaque envelopes and simple randomization. Outcomes focus on periapical inflammation and post-operative pain following the intervention.
Why it matters
Potential benefit: If successful, these nano-formulations could reduce inflammation and pain after retreatment and promote better periapical healing compared with standard calcium hydroxide.
How similar studies have gone: Laboratory and some animal studies suggest nano-calcium hydroxide and chitosan have improved antimicrobial and anti-inflammatory properties, but clinical evidence in humans remains limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Patients have single rooted teeth with root canal form type I. Have previous endodontic therapy with failure. Have periapical radiolucency (PAI score of 3 or 4). Asymptomatic patients who had no pain or swelling, had a negative response to palpation and percussion. Exclusion Criteria: Patients who had received antibiotic therapy within the past 3 months. Pregnancy and lactation. Systemic disease. Physical or mental disability. Non-restorable teeth. Any signs of resorption, immature roots, fracture, sinus tract and dental anomaly
Where it's running
-
Al Azhar University
Cairo, Nasr City, Egypt Recruiting
Study contacts
- Study coordinator: Sabah Morad Sobhy, PHD
- Email: sabamorad@yahoo.com
- Phone: +201096529143
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Magnesium given during colorectal cancer surgery to see if it lowers inflammation afterward
We’re testing whether giving magnesium sulfate during open colorectal cancer surgery can reduce postoperative inflammation in patients.
-
Novel nanoparticle-enhanced disinfection for post-operative tooth pain
A new nanoparticle-based disinfection method is being tested to see if it reduces pain after root canal treatment in adults with certain tooth infections.
-
Oral tizanidine before surgery to calm pain after leg surgery
This trial tests whether giving a preoperative dose of oral tizanidine helps reduce postoperative pain and improve sleep quality for adults undergoing lower limb orthopedic surgery.
-
Influence of Irrigant Delivery Methods on Postoperative Pain after Root Canal Treatment in Oval Canals
This trial tests whether different irrigant delivery and activation methods affect postoperative pain after primary root canal treatment in adults.
-
Effect of NeoSEALER FLO and AH Plus Sealer on Pain and Healing after Root Canal Treatment
This test compares NeoSEALER FLO and AH Plus sealer to see how they affect postoperative pain and healing of periapical lesions in mature permanent teeth.
-
ANTALGEEK Thess Monitoring for outpatient postoperative pain and recovery
This study tests whether using the ANTALGEEK Thess monitoring device at home, plus a fixed analgesia plan, helps manage acute postoperative pain in adults after outpatient surgery.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.