Assessment of Post-operative Pain After Different Instrumentation Techniques in Pulpectomy Treatment of Primary Molars

Mansoura University

Status: Active, not recruiting

Conditions: Pulp Necroses

Treatments: Procedure: pulpectomy treatment will be done using hand k files.; Procedure: pulpectomy treatment will be done using the adaptive xp endo shaper.; Procedure: pulpectomy treatment will be done using FANTA AF baby files.

Study type: Interventional

Funder types: Other

Identifiers

NCT06256250

A0106023PP

Details and patient eligibility

About

The goal of this clinical trial is to compare the post operative pain after using three different instrumentation techniques in pulpectomy treatment of pediatric participant. The main question it aims to answer:

If different instrumentation techniques will affect the post operative pain in pulpectomy treatment of primary molars ? Participants will evaluate the pain using Modified Wong baker pain rating scale.

Researchers will compare [ the adaptive XP endo shaper, Fanta AF baby files, and hand K files] to see if they will affect the post operative pain.

Enrollment: 75 estimated patients

Sex: All

Ages: 4 to 9 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Cooperative children free from systemic diseases.
• Teeth with sufficient coronal tooth structure.
• Teeth with necrotic pulp.
• Teeth should have 2/3 of the remaining roots.

Exclusion criteria

• Children taking medications up to six hours before the treatment.
• Children with multiple teeth that required pulpectomy will not be included to eliminate the possibility of pain referral.
• Excessive tooth mobility.
• Teeth with perforated pulpal floor.
• Teeth with external or internal root resorption.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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75 participants in 3 patient groups

group (1): the adaptive xp endo shaper

Experimental group

Description:

the root canals of primary molars will be cleaned and shaped in pulpectomy treatment using the adaptive xp endo shaper. it is single file technique saves time and help with patient cooperation.

Treatment:

Procedure: pulpectomy treatment will be done using the adaptive xp endo shaper.

group (2): Fanta AF baby file

Experimental group

Description:

the root canals of primary molars will be cleaned and shaped in pulpectomy treatment using FANTA AF baby files. it is pediatric rotary system consists of 4 files specialized for primary molars.

Treatment:

Procedure: pulpectomy treatment will be done using FANTA AF baby files.

group (3): hand k files

Active Comparator group

Description:

the root canals of primary molars will be cleaned and shaped in pulpectomy treatment using hand k files. they are manual files, they are standard for root canal treatment (control group)

Treatment:

Procedure: pulpectomy treatment will be done using hand k files.