Comparison of Post-operative Pain After Different Root Canal Irrigant Activation Methods

RANA AHMAD

Status: Not yet enrolling

Conditions: Irriversible Pulpitis; Irrigation; Activation, Patient

Treatments: Procedure: passive ultrasonic activation; Procedure: sonic activation

Study type: Interventional

Funder types: Other

Identifiers

NCT07196215

TUF/IRB/21/25

Details and patient eligibility

About

root canal irrigation protocol

Full description

To compare mean post-operative pain intensity at different time intervals (24h and 48h) using visual analogue scale (VAS) in maxillary incisors with symptomatic irreversible pulpitis using two different irrigation activation methods (passive ultrasonic activation and sonic activation using EndoActivator).

Enrollment: 72 estimated patients

Sex: All

Ages: 20 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• • Patients in good health with no systemic disease (ASA Class I or II)

  • Age range is between 20 to 50 years.
  • Patients diagnosed with symptomatic irreversible pulpitis in maxillary incisor teeth.
  • Patients who can understand VAS.
  • Patients who give verbal consent to participate voluntarily in the study.

Exclusion criteria

• • History of systemic disorder.

  • Pregnant / lactating females (As per medical record/verbally)
  • Patients who had taken preoperative drugs as anti-inflammatory analgesic or antibiotics.
  • Patients with swelling or acute peri-apical abscess.
  • Tooth not suitable for restoration.
  • Periodontally compromised teeth.
  • Retreatment cases.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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72 participants in 2 patient groups

Passive ultrasonic activation

Active Comparator group

Description:

passive ultrasonic irrigant activation will be performed by using a stainless steel ultrasonic Irrisafe file of size 20 (IRRI S 21/25; VDW, Germany) mounted on ultrasonic unit (Woodpecker Ultrasonic Scaler UDS-J). The file will be kept 2 mm short of working length loosely without binding to the canal. 2.5% NaOCl will be activated for 30 seconds by using a power setting of five.

Treatment:

Procedure: passive ultrasonic activation

Sonic activation

Active Comparator group

Description:

In group B, root canals will be filled with 2.5% sodium hypochlorite and medium size tip (red, 25/04) of EndoAcivator (YAHOPE A3, China) will be used keeping it 2 mm short of working length. The activation of irrigant will be done in 2-3 mm vertical strokes for 30 seconds in between each instrumentation

Treatment:

Procedure: sonic activation