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Necrotic PulpPhase 4NCT06116214

Effect of Vachellia Nilotica Versus Sodium Hypochlorite as Root Canal Irrigant on Postoperative Pain and Bacterial Load Reduction in Mandibular Premolar Teeth With Necrotic Pulp

A Phase 4 study testing Vachellia Nelotica and sodium hypochlorite in people with Necrotic Pulp and Post Operative Pain, run by Cairo University.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The aim of this study is to assess the effect of V. nilotica extract solution versus 2.5% NaOCl on the intensity of postoperative pain and the amount of bacterial load reduction. Read more about this study

Who is it for?
Ages 20 to 40 yearsHealthy volunteers can take part
Conditions the study is for
Necrotic Pulp, Post Operative Pain
What is being tested?
Vachellia Nelotica and sodium hypochlorite
Could I receive a placebo?
No, everyone receives an active treatment
How many people
46 participants
Where
No sites listed yet
Study dates
Nov 2023to Dec 2024
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 40 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Systemically healthy patient (ASA I, II).
  • Age between 20 and 40 years.
  • Male or female.
  • Patient who is able to sign and comprehend the pain scale (committed patient).
  • Mandibular single rooted premolars having the following criteria:
  • With single root canal.
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  • Diagnosed clinically with pulp necrosis.
  • Absence of spontaneous pulpal pain.
  • Positive pain on percussion denoting apical periodontitis.
  • Slight widening of periodontal space or peri-apical radiolucency smaller than 3 mm (0-2mm).

Who cannot join

  • Medically compromised patients (ASA III or IV).
  • Teeth with:
  • Immature roots.
  • Vital pulp tissues.
  • Association with swelling.
  • Acute peri-apical abscess or acute exacerbation of a chronic abscess.
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  • Mobility Grade II or III.
  • Previously accessed or endodontically treated.
  • Deep periodontal pockets more than 4 mm.
  • Vertical root fractures, coronal perforation, calcification, and external or internal root resorptions.
  • Patients who could not interpret the NRS.
  • Patients with diabetes, immune-compromising, and immunosuppression disease and pregnant women will be also excluded.
  • History of intolerance to NSAIDs.

Trial locations and contacts

No sites are listed yet.

About this study

The aim of this study is to assess the effect of V. nilotica extract solution versus 2.5% NaOCl on the intensity of postoperative pain and the amount of bacterial load reduction.

Read the detailed description

Clinical compare the effect of V. nilotica extract solution versus 2.5% NaOCl on the intensity of postoperative pain and the amount of bacterial load reduction when used as root canal irrigant in necrotic pulp. The post operative pain will be recorded using Numerical rating scale, and the bacterial load reduction will be measured by Bacterial counting using agar culture technique.

Being tested
Vachellia Nelotica, sodium hypochlorite
Medical subject headings
Dental Pulp Necrosis, Pain, Postoperative

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Vachellia NeloticaOther

    Also called Babul

    As a root canal irrigant (herbal)

  • sodium hypochloriteOther

    As a root canal irrigant

Study groups in NCT06116214
Study groupRoleWhat they receive
Control groupActive comparatorin this group the teeth will be irrigated with 2.5% Sodium Hypochlorite (gold standard)
Receives: Other: sodium hypochlorite
Experimental groupExperimentalin this group the teeth will be irrigated with 10% V. Nelotica (Herbal irrigant)
Receives: Other: Vachellia Nelotica

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. post operative pain.

    non=0, mild=1-3, moderate4-6, sever=7-10. Measured and reported by Numerical Rating Scale (NRS). Minimum value=0, maximum value=10, the higher score or value mean a worse outcome.

    Measured: At 6, 12, 24, and 48 hours postoperatively (post instrumentation and post obturation)

Secondary outcomes (1)
  1. Bacterial load reduction

    Bacterial counting using agar culture technique.

    Measured: 1 hour. First sample (S1) will be taken pre-intervention (before chemo-mechanical preparation) and the second sample (S2) will be taken immediately after the intervention (after completion of chemo-mechanical preparation) on the same visit.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Nov 2023
  2. Study startNov 2023 (estimated)
  3. Primary completionFeb 2024 (estimated)
  4. Study completionDec 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
46 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06116214
Sponsor's protocol ID
GFSMohamed
Status last verified
Nov 2023
First submitted
24 Oct 2023
Last updated
3 Nov 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Not chosen yet

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Vachellia Nelotica and sodium hypochlorite in people with Necrotic Pulp and Post Operative Pain, run by Cairo University.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 3 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Gozlan FS Mohamed (+201033766933, gozlan.fouad@dentistry.cu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

post operative pain. (time frame: At 6, 12, 24, and 48 hours postoperatively (post instrumentation and post obturation)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2023.

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