Could a steroid injection make root canals less painful?

NCT ID NCT07672873

First seen Jun 29, 2026 · Last updated Jun 30, 2026 · Updated 1 time

Summary

This study tests whether injecting the steroid dexamethasone near the tooth ligament or under the gum helps numb the tooth better and reduces pain during root canal treatment. It includes 84 adults with severe, irreversible pulpitis in a lower molar. Participants receive one of three injections after a standard numbing shot: saline (placebo), dexamethasone under the gum, or dexamethasone near the tooth ligament. The goal is to see which method improves anesthesia success and lowers pain after the procedure.

What this could mean

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

Active substance
Dexamethasone
What this could lead to
If it works, this could offer a simple way to make root canal treatments less painful for people with severe tooth inflammation.
What could go wrong
This is a small, early-stage trial with 84 participants, so results may not apply to everyone. The drug may not improve pain control over standard care.

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Conditions

The condition(s) this trial relates to.

Pain, Postoperative pulpitis Toothache

As listed by the trial registrant

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

Contacts and locations

Locations

  • Marmara University Faculty of Dentistry

    RECRUITING

    Istanbul, Turkey (Türkiye)

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