Assessment of Pain Using Two Different Irrigation Systems After Root Canal Treatment

HITEC-Institute of Medical Sciences

Status: Completed

Conditions: Pulpal Inflammation

Treatments: Device: endoactivator; Procedure: Conventional Needle Irrigation; Device: Sonic Irrigation with EndoActivator (Experimental Group); Device: Conventional Needle Irrigation (Control Group); Device: Irrigation Solution

Study type: Interventional

Funder types: Other

Identifiers

NCT07108842

Dr Farhana

Details and patient eligibility

About

assessment of pain using two different irrigation systems after root canal treatment

Enrollment: 82 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Single rooted teeth (Anterior or posterior)
2. Teeth with symptomatic irreversible pulpitis with acute apical periodontitis
3. Age group 18-65 years

Exclusion criteria

1. Non-restorable teeth, teeth with acute or chronic apical abcess, teeth with internal/external root resorption
2. Teeth with anatomical difficulties like open apices, calcified canals, dilacerations
3. Patients that had any serious medical illness or with systemic disorders
4. Previous root canal treatment
5. Periodontally compromised teeth
6. Presence of sinus tract

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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82 participants in 2 patient groups

Conventional Needle Irrigation (Control Group)

Active Comparator group

Description:

Patients in this group will receive traditional syringe and needle irrigation during root canal treatment. An open ended irrigation needle will be used to deliver 2.5% sodium hypochlorite into the root canal system. The needle will be placed 1-2 mm short of the working length, and irrigation will be performed intermittently during canal instrumentation. No additional activation method will be used.

Treatment:

Device: Irrigation Solution

Device: Conventional Needle Irrigation (Control Group)

Procedure: Conventional Needle Irrigation

Device: Irrigation Solution

Sonic Irrigation using EndoActivator (Intervention Group)

Experimental group

Description:

Patients in this group will receive sonic activation of the irrigant using the EndoActivator device during root canal treatment. After instrumentation and irrigation with 2.5% sodium hypochlorite, the irrigant will be activated using the EndoActivator with a medium-sized (25/04) polymer tip. The device will operate at sonic frequencies (\~6000 cycles/min) for 30 seconds per canal to enhance irrigant penetration and cleaning efficacy, particularly in the apical third and lateral canals.

Treatment:

Device: Irrigation Solution

Device: Sonic Irrigation with EndoActivator (Experimental Group)

Device: endoactivator

Device: Irrigation Solution