Postoperative Pain and Bacterial Reduction in Oval Canals After Instrumentation With Different Noval Rotary Files Systems

King Abdullah University Hospital

Status: Active, not recruiting

Conditions: Post-operative Pain and the Bacterial Count Reduction in Oval Canal After Rotary Instrumentation With Different Systems

Treatments: Other: Xp shaper rise; Other: Protaper ultimate; Other: Truanatomy file system; Other: Hyflex EDM

Study type: Interventional

Funder types: Other

Identifiers

NCT07019792

20230408

Details and patient eligibility

About

Postoperative pain after endodontic treatment can affect a patient's quality of life. It is reported that debris extrusion after the instrumentation technique can influence postoperative pain. As a result, the aim of this clinical trial is to compare the recent rotary systems (TruNatomy, ProTaper Ultimate, Hyflex EDM and XP- rise rotary files systems) in terms of apical extrusion defined by post-operative pain and their role in reducing the bacterial count inside the canal

Full description

One hundred and twenty lower premolar teeth will be included in the study(n=120). Teeth will be randomly assigned to one of the 4 groups(n=30). Preoprative pain will be recorded before root canal treatment. Postoperative pain will be recorded using visual analogue scale (VAS) at 6 hours,12 hours, 1day, 2 days, 3 days, 4 dayse and five days after the root canal treatment. Bacterial count before and after instrumentation will be determined using culturing methods to determine the bacterial count reduction.

Enrollment: 120 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Medically fit - Age ranges from 18-65 year - Restorable teeth - Necrotic teeth and symptoms free - Lower premolars teeth (single canal posterior teeth) - Necrotic pulps .

Exclusion criteria

Medically compromised - Non-restorable teeth - Open apex canal - The past 12-hour history of analgesic intake before treatment. - Patients with a history of antibiotics intake in the last 3 months before treatment. - Pregnant females. - Symptomatic patient. - Pulpal diagnosis is not necrotic pulp. - Retreatment cases

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

---

120 participants in 4 patient groups

Multifile system: Protaper Ultimate

Experimental group

Treatment:

Other: Protaper ultimate

Multiple files systems:TruNatomy

Experimental group

Treatment:

Other: Truanatomy file system

Single file system: Hyflex EDM

Experimental group

Treatment:

Other: Hyflex EDM

Single file system: Xp shaper rise

Experimental group

Treatment:

Other: Xp shaper rise