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CompletedNCT07859267Updated Oct 5, 2026

Preoperative Video-Guided Breathing Exercise for Pain After Root Canal Treatment

An interventional study of Video-Guided Breathing Exercise in Symptomatic Irreversible Pulpitis and Postoperative Pain, sponsored by Cukurova University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-10-05.

Sponsored by Cukurova University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled May 2026, registered Sep 2026).
Updated Oct 5, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The goal of this randomized controlled clinical trial is to evaluate whether a brief preoperative video-guided breathing exercise reduces postoperative pain in adults undergoing single-visit root canal treatment for symptomatic irreversible pulpitis.

The main questions it aims to answer are:

  • Does a 2-minute video-guided breathing exercise reduce postoperative pain 24 hours after root canal treatment compared with a 2-minute period of passive rest?
  • Does the breathing exercise affect pain experienced during root canal treatment or postoperative pain at 6, 12, 48, and 72 hours?
  • Does the breathing exercise reduce the need for supplemental local anesthesia during treatment?
  • Does the breathing exercise reduce analgesic use during the first 72 hours after treatment?
  • Does the breathing exercise produce a greater immediate change in heart rate compared with passive rest?

Participants will be randomly assigned to one of two groups before root canal treatment.

In the video-guided breathing exercise group, participants will watch a standardized 2-minute video and follow a controlled breathing pattern consisting of inhaling through the nose for 4 seconds followed by exhaling for 6 seconds. This breathing cycle will be repeated throughout the video.

In the passive rest group, participants will remain seated in the dental chair for 2 minutes without receiving any breathing or relaxation instructions and will be asked to breathe normally.

All participants will then receive single-visit root canal treatment using the same standardized endodontic treatment protocol.

Postoperative pain will be assessed at 6, 12, 24, 48, and 72 hours after treatment. Pain at 24 hours will be the primary outcome. Maximum pain experienced during treatment, supplemental anesthesia requirement, analgesic use during the first 72 hours, and change in heart rate immediately before and after the assigned preoperative intervention will also be evaluated.

02

Conditions studied

  • Symptomatic Irreversible Pulpitis
  • Postoperative Pain

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03

In context

Pain, Postoperative

5,093 studies on the registry are indexed under Pain, Postoperative; 1,140 are open to participants now.

This study's enrollment of 90 is above the median of 75 across 4,344 interventional studies indexed under Pain, Postoperative.

Browse Pain, Postoperative studies →

Lead sponsor

Cukurova University is the lead sponsor of 247 studies on the registry; 50 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age between 18 and 65 years
  • American Society of Anesthesiologists (ASA) physical status I or II
  • Presence of preoperative pain in the tooth to be treated
  • Diagnosis of symptomatic irreversible pulpitis
  • Positive response to thermal and electric pulp sensitivity tests
  • No periapical radiolucent lesion on periapical radiography
  • Indication for primary root canal treatment
  • Root canal treatment planned to be completed in a single visit
  • Only one tooth included per participant

Exclusion criteria

Exclusion Criteria:

  • Previous root canal treatment in the tooth to be treated
  • Presence of acute apical abscess
  • Presence of a periapical radiolucent lesion
  • Pulp necrosis
  • Use of analgesic medication within 24 hours before treatment
  • ASA physical status III or higher
  • Pregnancy or lactation
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Care provider, Outcomes assessor)
Enrollment
90 participants (actual)

Study arms

  • Experimental
    Video-Guided Breathing Exercise

    Participants will perform a standardized 2-minute video-guided breathing exercise before root canal treatment. They will be instructed to inhale through the nose for 4 seconds and then exhale for 6 seconds, repeating this breathing cycle throughout the video.

    Behavioral: Video-Guided Breathing Exercise

  • No intervention
    Passive Rest

    Participants will remain seated in the dental chair for 2 minutes before root canal treatment without receiving any breathing or relaxation instructions. They will be asked to continue breathing naturally during this period.

Interventions

  • BehavioralVideo-Guided Breathing Exercise

    Participants assigned to the intervention group will perform a standardized 2-minute video-guided breathing exercise immediately before root canal treatment. During the exercise, participants will be instructed to inhale through the nose for 4 seconds and then exhale for 6 seconds. This breathing cycle will be repeated throughout the 2-minute video. The same video will be used for all participants to standardize the instructions and duration of the intervention.

06

What researchers measure

Primary outcomes

  1. Postoperative Pain at 24 Hours

    Postoperative pain intensity will be assessed 24 hours after single-visit root canal treatment using a 10-cm visual analog scale (VAS), with 0 representing "no pain" and 10 representing "the worst imaginable pain."

    Time frame: 24 hours after root canal treatment

07

Study locations

1 site
  • Cukurova University
    Adana, Sarıçam 01250, Turkey (Türkiye)
08

References and documents

Publications

  • Verma MR, Rao RD, Langade D, Jain AK, Guha A, Mohan M. Assessment of yogic relaxation techniques for its anxiolytic effects in patients requiring endodontic treatment: A prospective, randomized controlled study. J Conserv Dent. 2021 Mar-Apr;24(2):209-213. doi: 10.4103/jcd.jcd_97_21. Epub 2021 Oct 9. PubMed 34759592 ↗

Individual participant data

Plan to share: No

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 5, 2026
Show all 1 update
  1. Oct 5, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07859267
Lead sponsor
Cukurova University
Responsible party
Kübra Gürler (Principal Investigator, Cukurova University) — Principal investigator
First posted
Oct 5, 2026
Start date
May 9, 2026
Primary completion
Sep 10, 2026
Completion
Sep 25, 2026
Last update
Oct 5, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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