About this trial
This study aims to determine whether Trinase, an enzyme-based anti-inflammatory medication, can reduce pain after root canal treatment in patients with symptomatic irreversible pulpitis. A total of 182 male patients aged 18 to 50 years who present with moderate to severe tooth pain will be randomly assigned to receive either a Trinase tablet or a placebo 30 minutes before treatment. All root canal procedures will be performed in a single visit using standard endodontic techniques.
Pain levels will be measured on a Visual Analogue Scale (VAS) before treatment and at 6, 12, 24, and 48 hours after treatment. Patients will also record the number of pain-relief tablets they take during the first 48 hours. The goal of the study is to see whether Trinase can lower post-operative pain and reduce the need for analgesic medication compared with placebo. This information may help improve pain management for patients undergoing root canal therapy.
Eligibility criteria
Qualifiers
Systemically healthy male patients (ASA I or II)
Aged 18 to 50 years
Presenting with symptomatic irreversible pulpitis in a restorable mandibular molar
Preoperative moderate to severe pain (VAS ≥45 mm)
Disqualifiers
History of allergy or intolerance to Trinase or any of its components (trypsin, bromelain, rutin)
Vertical root fracture
External or internal root resorption
Periodontal pocket depth >5 mm
Trial design
Treatments tested in this trial
- Trinase
- placebo capsule