Postoperative Pain Following Irrigation With Endodontic Needle, Sonic and Passive Ultrasonic Techniques

Cairo University (CU)

Status: Unknown

Conditions: Tooth,Non-vital

Treatments: Device: passive ultrasonic irrigation; Device: sonic irrigation; Device: conventional needle irrigation

Study type: Interventional

Funder types: Other

Identifiers

NCT02912286

CEBD-CU-2016-09-200

Details and patient eligibility

About

The aim of this study is to compare the postoperative pain after root canal treatment following irrigation by endodontic needle, sonic and passive ultrasonic irrigation techniques.

Full description

Different irrigation delivery systems are introduced to the market aiming to improve root canals disinfection. The conventional endodontic needle is commonly used because of its ease in use and good control of needle depth and irrigant volume. However it carries a higher risk of extruding the solution periapically because of positive pressure used in solution delivery.

Passive ultrasonic irrigation is a noncutting irrigation technique that is done with ultrasonically activated files with continuous or intermittent flow of irrigant. It was shown that it is effective in removing remnants of pulp tissue, dentin debris and planktonic bacteria.

The vibringe (Cavex Holland BV, Haarlem, the Netherlands) is an irrigation device that combines manual delivery and sonic activation of the irrigant.

The aim of this study is to compare the postoperative pain after root canal treatment following irrigation by endodontic needle, sonic and passive ultrasonic irrigation techniques.

Enrollment: 57 estimated patients

Sex: All

Ages: 16 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Males or Females

• Age between 16-60 years old

• Permanent Mandibular molars with:

  • Non-vital response of pulp tissue
  • Absence of spontaneous pain

Exclusion criteria

• Pregnant females

• Patients having significant systemic disorder

• Patients received analgesics, anti-inflammatory or antibiotic in the last 24 hours

• Teeth that have:

  • Vital pulp tissues
  • Association with swelling or fistulous tract
  • Acute periapical abscess
  • Greater than grade I mobility
  • Pocket depth greater than 5mm
  • Previous endodontic treatment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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57 participants in 3 patient groups

conventional needle irrigation

Active Comparator group

Description:

side-vented needle used for endodontic irrigation

Treatment:

Device: conventional needle irrigation

passive ultrasonic irrigation

Experimental group

Description:

IrriSafe ultrasonic tip used for irrigation agitation in endodontic treatment

Treatment:

Device: passive ultrasonic irrigation

sonic irrigation

Experimental group

Description:

Vibringe is a sonic irrigation system used to irrigate and activate the irrigant at same time

Treatment:

Device: sonic irrigation