Effect of Occlusal Reduction on Relief of Pain and Sensitivity to Percussion in Patients With Irreversible Pulpitis
Condition: Post Operative Pain; Post-Op Complication
MeSH terms: Pulpitis; Pain, Postoperative; Postoperative Complications
Study type: Interventional

Summary: 
      One of the most important aspects of endodontic practice is to abate pain during and post
      root canal treatment. An endodontist by all means should provide a painless endodontic
      treatment to their patients. This study is carried out to determine the effect of occlusal
      reduction on relief of pain and percussion in patients with irreversible pulpitis and
      symptomatic apical periodontitis treated in a single visit root canal treatment. Pain will be
      assessed preoperatively and then post operatively after completion of the root canal at 6
      hours, 12 hours, 24 hours, 48 hours and 72 hours following obturation of root canal.
    

Detailed description: 
      The objective of this randomized clinical trial is to evaluate the impact of occlusal
      reduction on the incidence of post obturation pain. 56 patients will be allocated randomly
      into 2 groups keeping 28 patients in each group which will meet the inclusion criteria of the
      study, patients diagnosed with symptomatic irreversible pulpitis and symptomatic apical
      periodontitis and requiring porcelain fused to metal crown with age ranging from 18 to 50
      years. In the interventional group 2mm reduction will be done and assessment will be done to
      confirm the absence of occlusal contact while in control group no modification will be
      carried out on the occlusal surface. Single visit endodontic treatment will be carried out
      with 2.5% sodium hypochlorite for disinfection of the canal followed by crown down technique
      using rotary nickel titanium files for shaping the canals followed by obturating the canals
      with lateral condensation technique.

      Pain will be assessed preoperatively and then post operatively at 6 hours, 12 hours, 24
      hours, 48 hours and 72 hours following obturation of root canal. Visual Analogue Scale (VAS)
      will be used as a primary outcome measure.The VAS consists of a 10-cm line having two
      extremes NO PAIN and Extreme pain. Patients will be asked to choose the mark that represents
      their level of pain at the intervals mentioned above . Pain level are assigned to one of four
      categorical scores

      1, None(0); 2, Mild (1-3) ; 3 Moderate (4-6); 4, Severe (7-10) 10. Tenderness to percussion
      will be evaluated postoperatively at 48 hour with readings either positive to tenderness or
      negative to tenderness Positive to tenderness will evaluate treatment not effective Negative
      to tenderness at 48 hour post obturation will evaluate treatment effectiveness Patients will
      be given placebo for administration in case severe pain and ibuprofen 400mg if the pain
      persisted. Documentation of intake of either placebo or analgesic will be done by the
      patient.
    

Intervention name(s): Occlusal reduction
Intervention type(s): Procedure
Intervention description(s): Occlusal reduction of the experimental single rooted tooth after root canal completion will be done to evaluation reduction in postoperative pain and sensitivity to percussion
Intervention MeSH terms: Salicylic Acid
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Prevention
Keywords: Occlusal reduction