Postoperative Pain After İntracanal Procedures

Afyonkarahisar Health Sciences University

Status: Unknown

Conditions: Endodontically Treated Teeth

Treatments: Device: Root canal irrigation

Study type: Interventional

Funder types: Other

Identifiers

NCT04892355

AfyonkarahisarHSU

Details and patient eligibility

About

Aim: The aim of this study is to investigate the effects of different irrigation activation systems on pain after endodontic treatment in molar teeth with irreversible pulpitis.Post-operative pain values of the participants will be recorded and evaluated with the VAS scale.

Postoperative pain values of the techniques will be compared with statistical evaluation.

Full description

Aim: The aim of this study is to investigate the effects of different irrigation activation systems on pain after endodontic treatment in molar teeth with irreversible pulpitis.Materials and Methods: The study will be carried out on 140 patients with molar teeth diagnosed with irreversible pulpitis. After the root canal preparation is completed, the patients will be divided into 4 groups according to the irrigation activation system; Conventional syringe irrigation (CSI), EDDY, EndoActivator (EA) and Xp-endo Finisher (XPF). After the irrigation process is completed, the root canals will be filled using gutta-percha and canal sealer and the treatment will be completed in one session. Pain values at 6, 24, 48, 72 hours and 7 days after treatment will be evaluated at a 0.05% significance level using the Kruskal-Wallis test.

Enrollment: 140 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Healthy patients ranging between 18 and 60 years in age
• Patients that experienced moderate-to-severe pain represented on a visual analogue scale (VAS)
• Maxillar and Mandibular molar teeth were diagnosed with symptomatic irreversible pulpitis

Exclusion criteria

• Any systemic disease and pregnancy in the patient
• Having used analgesic-anti-inflammatory in the last 12 hours and cortisone for the last 6 months
• The patient has bruxism
• Teeth with severe damage
• Teeth with calcified canals
• Teeth with pain to percussion
• Teeth with periapical radiolucency
• Teeth with root resorption
• Teeth with an immature / open apex
• Teeth with previous RCT

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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140 participants in 4 patient groups

Conventional Syringe Irrigation Group

Experimental group

Description:

During the final irrigation procedure, a 30 - G side vented needle was placed 2 mm shorter than the working length and was applied without agitation. 5 mL of 2.5% NaOCl was applied for 1 minute for each channel. Each canal was then washed with 2 mL of 17% EDTA for 1 minute.

Treatment:

Device: Root canal irrigation

Xp Endo Finisher Group

Experimental group

Description:

Xp Endo Finisher file was used with VDW Silver (VDW) endomotor at 800 rpm speed and 1 Ncm torque according to the manufacturer's instructions. The Xp Endo Finisher file was placed in the canal, 2 mm shorter than the working length, and was used with slow movements of 7-8 mm amplitude in the canal during activation. 5 mL of 2.5% NaOCl was applied for 1 minute for each channel. Each canal was then washed with 2 mL of 17% EDTA for 1 minute.

Treatment:

Device: Root canal irrigation

EDDY Group

Experimental group

Description:

An EDDY tip of size 25/04 was used for sonic activation. The EDDY was placed in the duct 2 mm shorter than the working length and the activation process was performed with slow movements with an amplitude of 2-4 mm. In the irrigation process, 5 mL of 2.5% NaOCI was applied for 1 minute for each channel. Each canal was then washed with 2 mL of 17% EDTA for 1 minute.

Treatment:

Device: Root canal irrigation

Endoactivator Group

Experimental group

Description:

Medium Endoactivator tip of 25 / .04 size was used for irrigation activation. Medium type was placed in the canal 2 mm shorter than the working length and activation was performed by making short strokes of 2-3 mm. 5 mL of 2.5% NaOCl was applied for 1 minute for each channel. Each canal was then washed with 2 mL of 17% EDTA for 1 minute.

Treatment:

Device: Root canal irrigation