Reciprocation vs Rotational Single-file Systems in Postoperative Pain

Isparta Military Hospital

Status: Completed

Conditions: Apical Periodontitis; Assessment, Pain; Dental Pulp Necrosis

Treatments: Procedure: Reciprocating single-file system; Procedure: Rotational single-file system.; Procedure: Active comparator Protaper multi-file system

Study type: Interventional

Funder types: Other

Identifiers

NCT02929511

IAH-3

Details and patient eligibility

About

In this study, the researchers will investigate the effect of single-file reciprocating versus single-file rotational file systems on the postoperative pain in adult patients who have necrotic pulp and apical periodontitis. The participants will be assigned by chance to separate groups that compare 2 different treatments, reciprocating single-file system (Reciproc Blue) and rotational single-file system (OneShape). As a reference, Mtwo multi-file (full-sequence) will be used.

Full description

The infected root canal treatments will be performed using one-visit approach with either a reciprocating single-file system or a continuous rotational single-file system. (Reciproc Blue reciprocating single-file system vs OneShape rotational single-file system). The root canals will be completed in single-visit. The patients will record their postoperative pain during the follow-up period using a VAS scale.

Enrollment: 91 patients

Sex: All

Ages: 21 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Participants who have in their mandibular or maxillary molar teeth necrotic pulp and apical periodontitis.

Exclusion criteria

• Pregnancy, drug hypersensitivity, cardiac problems, previously performed endodontics treatment.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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91 participants in 3 patient groups

Reciproc Blue

Experimental group

Description:

Endodontic treatment will be performed in teeth with necrotic pulp and periapical periodontitis. Local anaesthesia will be provided (2% Novocaine with 1:80,000 epinephrine), isolation with rubber dam and standard access cavity preparation will be done.Using 2.5 % sodium hypochlorite, canal negotiation will be done. Coronal flaring with # 2 and #3 Gates-Glidden drills will be done. The canals will be obturated with gutta-percha and epoxy resin sealer. The treatments will be carried out in single-visit. In this group, intervention will be carried out by the Reciproc motor (VDW, Germany) and Reciproc Blue single-file system (VDW, Germany). The intervention is root canal treatment with the Reciproc Blue single-file system.

Treatment:

Procedure: Reciprocating single-file system

OneShape

Experimental group

Description:

In this group, OneShape rotational single-file system (Micro Mega, France) will be used as single-file system according to the manufacturer's instruction.

Treatment:

Procedure: Rotational single-file system.

Protaper

Active Comparator group

Description:

As a control group, Protaper (Dentsply, Mailleffer, Switzerland) will be used according to the manufacturer's instruction.

Treatment:

Procedure: Active comparator Protaper multi-file system