Valacyclovir for Acute Apical Abscess Pain Management
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a treatment combining an antibiotic (amoxicillin) and an antiviral (valacyclovir) for patients with painful dental abscesses. It targets those who have swelling and cannot quickly get dental procedures. The treatment aims to reduce pain and help heal faster by addressing both bacterial and viral components of the infection. Amoxicillin is a commonly used antibiotic for dental abscesses, often prescribed to manage bacterial infections.
Will I have to stop taking my current medications?
The trial requires that you stop taking antibiotics or antiviral medications before participating.
Is valacyclovir generally safe for human use?
Valacyclovir is generally considered safe for human use, with clinical trials involving around 10,000 patients showing an acceptable safety profile for conditions like genital herpes and herpes zoster. However, in patients with kidney problems, dose adjustments are necessary to avoid serious side effects like neurotoxicity (nerve damage).12345
How does the drug Valacyclovir differ from other treatments for acute apical abscess pain management?
What data supports the effectiveness of the drug valacyclovir for managing pain in acute apical abscesses?
Who Is on the Research Team?
Mike Sabeti, DDS
Principal Investigator
University of California, San Francisco
Are You a Good Fit for This Trial?
This trial is for adults over 18 who are in good health (ASA Class I or II) with a tooth abscess causing moderate to severe pain. They must have signs of apical disease on X-rays, agree to standard dental treatment after the study, and not be pregnant, nursing, smoking heavily, taking certain medications, or allergic to amoxicillin or valacyclovir.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive either amoxicillin or amoxicillin + valacyclovir for 7 days to manage acute apical abscess pain
Follow-up
Participants are monitored for pain levels and analgesic use via telephone survey for 7 days post-treatment
Endodontic Treatment
Participants receive non-surgical root canal therapy at UCSF Dental Clinics
Long-term Follow-up
Participants return for recall examinations and CBCT scans at 3 and 6 months to assess clinical and radiographic healing
What Are the Treatments Tested in This Trial?
Interventions
- Valacyclovir
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of California, San Francisco
Lead Sponsor