Cold therapy may ease root canal pain, new study suggests
NCT ID NCT07403578
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether applying cold (cryotherapy) to the gums right after a numbing shot can make root canal treatment less painful. About 100 adults with an infected lower premolar tooth will be randomly assigned to receive standard numbing methods with or without the cold treatment. The goal is to see if the cold helps the numbing work better and reduces pain during the procedure.
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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 100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 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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Accepted
You do not need to have the condition being studied to take part.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Systemically healthy patients classified as ASA I or II, aged between 18 and 60 years, * Presence of a restorable mandibular premolar tooth diagnosed with symptomatic irreversible pulpitis, * History of spontaneous pain or lingering pain elicited by thermal stimuli, * Positive response with lingering pain to cold testing (Endo Ice; Coltene, Altstätten, Switzerland), * Positive response at low current levels to electric pulp testing (Parkell Inc., USA), * Teeth with closed apex and no radiographic evidence of periapical pathology (intact periodontal ligament space and absence of periapical radiolucency), * Patients presenting with moderate or severe preoperative pain, as assessed using the visual analogue scale (VAS). Exclusion Criteria: * Patients who had taken analgesic, anti-inflammatory, or opioid medication within the last 12 hours before treatment, * Patients with systemic conditions that may affect pain perception, inflammatory response, or healing, * History of antibiotic use within the previous month or requirement for antibiotic prophylaxis, * Teeth presenting with clinical or radiographic signs of pulp necrosis or apical periodontitis (Pain on percussion or palpation, presence of sinus tract or swelling, presence of periapical radiolucency), * Teeth with root resorption, immature apices, severe coronal destruction preventing proper isolation, or calcified canals, * Teeth that had undergone previous endodontic treatment, including pulpotomy or root canal filling, * Patients with neurological or psychiatric conditions that could interfere with pain perception or accurate pain reporting, * Inability to achieve adequate isolation with a rubberdam.
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Conditions
The condition(s) this trial relates to.
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The official record
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Other studies related to the condition(s) this trial covers.
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