Could a cold rinse during root canals ease Post-Procedure pain?
NCT ID NCT07676409
First seen Jun 30, 2026 · Last updated Jul 01, 2026 · Updated 1 time
Summary
This study tests whether using very cold water (around 2-3°C) to rinse the inside of a tooth during a root canal can lower pain afterward. The trial includes adults aged 20-40 with painful, infected lower molars. Participants are randomly assigned to receive either cold rinses throughout the procedure, a cold rinse only at the end, or standard room-temperature rinses. Pain levels are tracked for 72 hours after treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- cold saline and cold sodium hypochlorite solution
- What this could lead to
- If effective, this simple cold-water rinse during root canals could become a standard way to ease pain after the procedure.
- What could go wrong
- This is a small, early-stage trial with only 45 participants, so results may not apply to everyone. The cold rinse might not reduce pain more than standard methods.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 45 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Jul 2027
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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20 to 40 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: 1. Age between 20-40 years old. 2. Systemically healthy patients (ASA I or II). 3. Mature Mandibular molar teeth with : * Preoperative sharp pain and symptomatic apical periodontitis marked on NRS scale by reading not less than 6. * Absence or slight widening in the periodontal ligament (PDL). * Vital response of pulp tissue to cold pulp tester and (ethyl chloride spray). * Positive response to percussion test. 4. Restorable teeth. 5. Ability to complete the endodontic treatment in a single visit. 6. Positive patient acceptance for participation in the trial. ----------------------------------------------------------------- Exclusion Criteria: 1. Medically compromised patients (ASA III or IV) 2. Patients who used NSAIDs in the 24 hours before treatment. 3. Patients with two or more adjacent teeth requiring endodontic treatment. 4. Pregnant women. 5. Patients reporting bruxism or clenching. 6. Teeth associated with : * Acute periapical abscess and/or swelling. * Greater than grade I mobility or pocket depth greater than 5mm. * Non-restorable teeth. * Immature Apex. 7. Radiographic evidence of external or internal root resorption, vertical root fracture, perforation, calcification.
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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 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.
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Other studies related to the condition(s) this trial covers.
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- Chill out tooth pain: cooling inside of tooth during root canal may ease ache