Endodontic Post-operative Pain Evaluation of Patients After Using Endomethasone N or Endomethasone SP (EndoPOP) (EndoPOP)
Endodontic Post-operative Pain Evaluation of Patients After Using Endomethasone N or Endomethasone SP Root Canal Sealer: a Prospective, Comparative Randomized Clinical Trial
The study is a post-marketing performance and safety study, designed as a comparative, prospective, multicenter, simple-blind, randomized clinical trial. 300 subjects requiring a primary or a secondary root canal treatment will be enrolled in 2 groups (150 in each group). The aim of the study is to demonstrate the superiority of the hydrocortisone-containing root canal sealer Endomethasone N RCS, compared to the hydrocortisone-free root canal sealer Endomethasone SP RCS, with regard to reduction of the maximum post-operative spontaneous pain during the 7 days following the root canal treatment.
Root canal treatment procedures will be in accordance with the allocation by randomisation of Endomethasone N RCS or Endomethasone SP RCS. The spontaneous and the Masticatory pain will be record at predefined times, a phone call will be done at 48h and a visit will be realized at day 7 (max Day 14).
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Agon-Coutainville, France, 50230
- Cabinet dentaire
-
Betton, France, 35830
- Cabinet dentaire
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Chartres-de-Bretagne, France, 35131
- Cabinet dentaire
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Cherbourg, France, 50100
- Cabinet dentaire
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Cherbourg, France, 50110
- Cabinet dentaire
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Dinan, France, 35800
- Cabinet dentaire
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Lamballe, France, 22400
- Cabinet dentaire
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Paris, France, 75013
- Centre de santé dentaire Chevaleret
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Paris, France, 75019
- Centre dentaire Flandre
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Pluguffan, France, 29700
- Cabinet dentaire
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Quimper, France, 29000
- Cabinet dentaire
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Rennes, France, 35000
- Cabinet dentaire
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Saint-Aubin-de-Médoc, France, 33160
- Cabinet dentaire
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Tinténiac, France, 35190
- Cabinet dentaire
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Équeurdreville-Hainneville, France, 50120
- Cabinet dentaire
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adult male or female (age ≥ 18 years);
- Patient requiring root canal treatment or retreatment;
- Patient who will need a single visit for the root canal therapy, for a mature molar or second premolar, with or without pre-operative pain
- Patient who received information and gave written consent (signed informed consent form);
- Subject affiliated to a health insurance system, or is a beneficiary (art. L.1121-11, Code of Public Health, France).
Exclusion Criteria:
- Pulpotomy or pulpectomy performed at a prior visit;
- Tooth with apical calcification (sealer unable to reach the root apex);
- Tooth with suspected root perforation;
- Immature tooth (too wide root apex requiring an apexification);
- Other dental treatment ongoing or scheduled within the study period;
- At least one symptomatic tooth among those that are not included in this study
- Known hypersensitivity to steroids, local anesthetics, or any component of study medical devices;
- Subject using long term anti-inflammatory drugs;
- Use of illicit substances during the 48h before the first visit (cannabis, cocaine…);
- Presence of any significant medical finding or significant history such as uncontrolled systemic diseases that may impact the safety, the interpretation of the results and/or the participation of the subject in the study according to the opinion of the investigator;
- Subject who cannot be contacted in case of emergency (phone number);
- Simultaneous participation in another clinical trial or subject still within the exclusion period of a previous clinical trial;
- Vulnerable subjects (art. L.1121-5 and L.1122-1-2, Code of Public Health, France; art. 66 of the Regulation (EU) 2017/745 on medical devices)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Endomethasone N RCS
Endomethasone N RCS is used in combination with gutta percha points for the permanent obturation of root canals.
|
Root canal sealer
|
|
Active Comparator: Endomethasone SP RCS
Endomethasone SP RCS is used in combination with gutta percha points for the permanent obturation of root canals.
|
Root canal sealer
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Maximum post-operative pain using a visual analogue scale (VAS : 0-100)
Time Frame: from the end of the root canal treatment (Day 0) to Day 7
|
The pain is assessed by patients in a diary using a Visual Analogue Scale (VAS: 0-100 mm; 0 no pain - 100 maximum pain) at different times after endodontic treatment (at the end of the root canal obturation, 3h, 6h 12h, 24h, Day 2, Day 3, Day 4 Day 5, Day 5, Day 7).
The maximum pain felt will be compared between the 2 groups.
|
from the end of the root canal treatment (Day 0) to Day 7
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Spontaneous pain intensity
Time Frame: from the end of the root canal treatment (Day 0) to Day 7
|
The spontaneous pain intensity measured using a Visual Analogue Scale (VAS: 0-100mm; 0 no pain - 100 maximum pain)
|
from the end of the root canal treatment (Day 0) to Day 7
|
|
Occurrence of spontaneous pain flare-ups
Time Frame: From Day 3 to Day7
|
The occurrence of spontaneous pain flare-ups is an increase of 20 mm in the Visual Analogue Scale (VAS: 0-100mm; 0 no pain-100 maximum pain) between 2 consecutive measurements after the firsts 3 days.
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From Day 3 to Day7
|
|
Masticatory pain intensity
Time Frame: from the end of the root canal treatment (Day 0) to Day 7
|
The masticatory pain intensity measured using a Visual Analogue Scale (VAS: 0-100mm; 0 no pain -100 maximum pain) assessed twice a day from Day 0 to Day3 (lunch and dinner), and once a day from Day 4 to Day7 (dinner).
|
from the end of the root canal treatment (Day 0) to Day 7
|
|
Maximum Masticatory pain intensity using a visual analogue scale (VAS : 0-100mm)
Time Frame: from the end of the root canal treatment (Day 0) to Day 7
|
The maximum masticatory pain intensity measured Visual Analogue Scale (VAS: 0-100mm; 0 no pain- 100 maximum pain)
|
from the end of the root canal treatment (Day 0) to Day 7
|
|
Use of oral pain treatment
Time Frame: from the end of the root canal treatment (Day 0) to Day 7
|
Patients reported the consumption of analgesic treatment in a diary.
The proportion of patients who took oral pain medication and the treatment categories will be compared between the 2 groups.
|
from the end of the root canal treatment (Day 0) to Day 7
|
|
Quality of life with the OHIP-17 questionnaire (score 0-68)
Time Frame: baseline and from 48 to 72 hours
|
The answers and the total score from the OHIP 17-items questionnaire (measured at baseline and 48 h) will be compared between 2 groups.
Score between 0 and 68, 0 means no dental issuel, 68 all the issues very often.
|
baseline and from 48 to 72 hours
|
|
Adverse events
Time Frame: from the inclusion (Day 0) to Day 7
|
Adverse events reported by patients on a diary from Day 0 to Day 7 and adverse events clinically observed by the dental surgeon at each follow-up visit will be used to assess the safety of root canal sealers and endodontic procedures
|
from the inclusion (Day 0) to Day 7
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Yves BOUCHER, PU-PH, APHP
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pain
- Neurologic Manifestations
- Postoperative Complications
- Pathologic Processes
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Pain, Postoperative
- Anti-Infective Agents
- Antineoplastic Agents
- Antifungal Agents
- Physiological Effects of Drugs
- Anti-Inflammatory Agents
- Antiemetics
- Autonomic Agents
- Peripheral Nervous System Agents
- Gastrointestinal Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Anti-Infective Agents, Local
- Disinfectants
- Dexamethasone
- Hydrocortisone
- Thymol
- Formaldehyde
Other Study ID Numbers
Other Study ID Numbers
- EndoPOP
- 2021-A00065-36 (Other Identifier: [French National Agency of Medicines and Health products])
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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