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Effect of Paracetamol and Ketorolac on RANK-L Levels in Patients Starting Orthodontic Treatment

16. maj 2022 opdateret af: Juan Ramon Gomez Sandoval, University of Guadalajara
Due to the high prevalence of malocclusions in Mexico and the existing concern to improve aesthetics, function (chewing), or both, patients resort to orthodontic treatment. The patient may experience pain during treatment due to the release of different chemical mediators such as RANK-L. Analgesic and anti-inflammatory medications such as acetaminophen and ketorolac are used to control pain during orthodontic tooth movement. These drugs can inhibit the expression of RANK-L which can affect tooth movement, inhibiting bone remodeling. The orthodontist should indicate the drug that is safest for the patient without affecting treatment or tooth movement.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Objective: To evaluate the association of RANK-L levels with the administration of paracetamol and ketorolac in patients starting orthodontic treatment.

Material and methods: A double-blind clinical trial will be carried out with a placebo control group and random drug allocation. Patients who begin orthodontic treatment in the Orthodontic Specialty of the Comprehensive Dental Clinics of the University Center for Health Sciences and who decide to participate in the study with the signing of informed consent will be included. Three groups will be formed with 8 patients in each one.

The first group will be administered with Placebo (calcined magnesia), the second group with Ketorolac and the third group with Paracetamol, for all groups the medication will be one capsule every 6 hours for 5 days all study subjects will be sampled Gingival Crevicular Fluid (LGC), Visual Analogue Pain Scale (APS) and Intermolar Space (IS).

Measurements will be made four times; baseline, 24 h, 48 h, and on day 5 of initiation of treatment.

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

24

Fase

  • Fase 4

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

  • Mexico
    • Jaisco
      • Guadalajara, Jaisco, Mexico, 44340

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 27 år (Voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Patients of both sexes between 18 and 27 years of age
  • Periodontally and systematically healthy
  • Attended the Orthodontic Clinic of the University of Guadalajara
  • Who required the use of dental spacers in at least one quadrant were included

Exclusion Criteria:

  • Patients who have previously had orthodontic treatment or are under orthodontic treatment
  • Who have an allergy to ketorolac or paracetamol
  • Who are under pharmacological treatment and/or using contraceptives
  • Pregnant or lactating women, as well as those who consume alcohol were not included or tobacco.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Grundvidenskab
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Tredobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Placebo komparator: Placebo
Placebo (calcined magnesia) in capsules, one capsule every 8 hours for 5 days.
Medicin: Ketorolac
The first group will be administered with Placebo (calcined magnesia), the second group with Ketorolac and the third group with Paracetamol, for all groups the medication will be one capsule every 6 hours for 5 days all study subjects will be sampled Gingival Crevicular Fluid (LGC), Visual Analogue Pain Scale (APS) and Intermolar Space (IS).
Andre navne:
  • Parcetamol
Eksperimentel: Ketorolac
Ketorolac 10 mg capsules, one capsule every 8 hours (30 mg daily) for 5 days.
Medicin: Ketorolac
The first group will be administered with Placebo (calcined magnesia), the second group with Ketorolac and the third group with Paracetamol, for all groups the medication will be one capsule every 6 hours for 5 days all study subjects will be sampled Gingival Crevicular Fluid (LGC), Visual Analogue Pain Scale (APS) and Intermolar Space (IS).
Andre navne:
  • Parcetamol
Aktiv komparator: Paracetamol
Paracetamol capsules of 500 mg, one capsule every 8 hours (1.5 g per day) for 5 days.
Medicin: Ketorolac
The first group will be administered with Placebo (calcined magnesia), the second group with Ketorolac and the third group with Paracetamol, for all groups the medication will be one capsule every 6 hours for 5 days all study subjects will be sampled Gingival Crevicular Fluid (LGC), Visual Analogue Pain Scale (APS) and Intermolar Space (IS).
Andre navne:
  • Parcetamol

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Leves RANK-L
Tidsramme: Baseline, 24 hours, 48 hours, and on day 5 of initiation of treatment.
Leves Gingival Crevicular Fluid of RANK-L
Baseline, 24 hours, 48 hours, and on day 5 of initiation of treatment.

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Pain scale
Tidsramme: Baseline, 24 hours, 48 hours, and on day 5 of initiation of treatment.
Visual Analogue Pain Scale (APS)
Baseline, 24 hours, 48 hours, and on day 5 of initiation of treatment.
Intermolar Space (IS)
Tidsramme: 5 days of initiation of treatment.
It is the space between the molars
5 days of initiation of treatment.

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University of Guadalajara

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

27. september 2021

Primær færdiggørelse (Faktiske)

10. marts 2022

Studieafslutning (Forventet)

18. december 2022

Datoer for studieregistrering

Først indsendt

4. september 2021

Først indsendt, der opfyldte QC-kriterier

16. maj 2022

Først opslået (Faktiske)

20. maj 2022

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

20. maj 2022

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

16. maj 2022

Sidst verificeret

1. maj 2022

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • CI04820

Plan for individuelle deltagerdata (IPD)

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