Chilled solution or steroid: which eases Post-Root-Canal pain?

NCT ID NCT07738302

First seen Jul 31, 2026 ยท Last updated Jul 31, 2026

Summary

This trial tests whether using cold irrigation solutions or adding dexamethasone during root canal treatment can lower post-operative pain in people with symptomatic irreversible pulpitis and acute apical periodontitis. Sixty medically healthy adults aged 20-50 will be randomly assigned to receive one of four irrigation combinations. The study measures pain levels using a visual analogue scale to see if these approaches reduce discomfort after the procedure.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
Cold sodium hypochlorite (NaOCl) and dexamethasone, used as irrigation solutions during root canal treatment
What this could lead to
If effective, this could offer a simple, drug-sparing way to reduce pain after root canal procedures, potentially improving patient comfort and recovery.
What could go wrong
This is a small, early-stage trial, and results may not apply to all patients. Cold irrigation or dexamethasone may not significantly reduce pain compared to standard care, and individual responses can vary.

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Conditions

The condition(s) this trial relates to.

Pain, Postoperative

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

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