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Ice before the needle: simple trick to beat root canal pain?
NCT ID NCT07517367
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether placing an ice pack on the gum for 5 minutes before a numbing injection can improve pain control during root canal treatment. It involves 98 adults with severe, irreversible tooth nerve pain. The goal is to see if this simple cold therapy reduces the need for extra numbing shots and makes the procedure more comfortable.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- intraoral cryotherapy (ice packs applied to the gum)
- What this could lead to
- If it works, this could offer a simple, drug-free way to make dental numbing more effective for people with severe tooth pain.
- What could go wrong
- This is a small, early-phase trial. The benefit may be small or not apply to all patients. Ice packs can cause temporary discomfort or cold sensitivity.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 98 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Aug 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 18 to 60 years * Classified as ASA Physical Status I or II * Presence of symptomatic irreversible pulpitis in a single-rooted mandibular incisor tooth * Preoperative pain score ≥8 on the Numerical Rating Scale (NRS) and Wong-Baker FACES scale * Positive response to cold test and electric pulp testing * Absence of periapical pathology on preoperative periapical radiograph * No analgesic intake within 6 hours prior to treatment * Ability to understand and complete pain assessment scales * Willingness to provide written informed consent Exclusion Criteria: * Age below 18 years or above 60 years * Pregnancy * Known allergy to local anesthetic agents * Diagnosis of diabetes mellitus * Presence of hypothyroidism * Diagnosis of adrenal insufficiency * Presence of Raynaud disease * Uncontrolled diabetes (HbA1c \>7%) * Presence of periapical pathology detected radiographically * Presence of sinus tract * Presence of intraoral or extraoral swelling * Teeth diagnosed with necrotic pulp * Presence of referred pain from another tooth or anatomical structure
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Ondokuz Mayıs University
RECRUITINGSamsun, Atakum, Turkey (Türkiye)
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- Your DNA may determine if the Dentist's needle works