Can a digestive enzyme combo beat standard painkillers for root canal pain?
NCT ID NCT07759349
First seen Aug 12, 2026 · Last updated Aug 20, 2026 · Updated 3 times
Summary
This trial tests three pain-relief approaches after a single-visit root canal in people with symptomatic irreversible pulpitis, a painful tooth condition. Participants receive either acetaminophen, an NSAID, or a combination of trypsin-chymotrypsin with acetaminophen for three days. Pain levels are measured before treatment and at several points over 72 hours using a standard pain scale. The goal is to see which option provides the best relief 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
- Acetaminophen, NSAIDs (ibuprofen), and a combination of trypsin-chymotrypsin with acetaminophen
- What this could lead to
- If successful, this could identify the most effective painkiller for post-root-canal discomfort, helping dentists choose better pain management strategies.
- What could go wrong
- This is a small early-phase trial, so results may not apply to all patients. Pain relief can vary widely, and the study doesn't guarantee long-term benefits or account for all individual differences.
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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Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
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About 90 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 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 * Both sex * Healthy ( American Society of Anesthesiologists class 1) * Age 18-60 years * Pulpal diagnosis: Symptomatic irreversible pulpitis in mandibular premolar (single canal) periapical diagnosis: symptomatic apical periodontitis * The ability of participants to understand a pain scale (VAS) Exclusion Criteria: * Pregnant females * Systemic disease and immune deficiency * Taken analgesics 24 hours, prior to treatment * Non-vital, previously initiated, previously treated teeth * Radiographic evidence of peri-radicular pathosis * Teeth with cracks, fractures and history of trauma * Developmental anomalies and immature apices * Allergic to local anesthetic solution or any experimental drugs * Patient being unable to provide informed consent.
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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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Dow University of Health Sciences
RECRUITINGKarachi, Sindh, 75600, Pakistan
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Other studies related to the condition(s) this trial covers.
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