Pain Following One-visit Versus Two-visit Root Canal of Necrotic Teeth Using Protaper Next

NCT ID: NCT02984488

Last Updated: 2016-12-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-31

Study Completion Date

2018-02-28

Brief Summary

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To evaluate the incidence and severity of postoperative pain after root canal therapy of necrotic teeth in one appointment versus two appointments using Protaper next instrument.

Detailed Description

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The key to endodontic success was described as the debridement and neutralization of any tissue, bacteria, or inflammatory products within the root canal system.

Endodontic treatment used to take multiple visits to complete, with one of the main reasons for this being that it required a considerable amount of time to complete the treatment.

The single-visit treatment was bought back in the 1950s by Ferranti, who advocated the use of diathermy for pulpal disinfection and hydrogen peroxide for irrigation.

The use of contemporary endodontic techniques and equipment, such as use of rubber dam, magnifying devices, electronic apex locators, engine-driven rotary nickel titanium files, and so forth, not only increases the success rate of endodontic treatment but also, shortens the time needed for the treatment. Endodontic treatment may therefore be completed in a single visit.

It is generally agreed upon that the prepared canals can never be sterile before obturation, no matter how potent the antibacterial irrigants or intracanal medications are. There are currently two measures to reduce bacterial persistence and reinfection in the canals. We can either dress the canals with antibacterial agents in multiple visits or immediately obturate the canals, to reduce the space for bacterial colonization, in a single-visit approach. Calcium hydroxide is the most commonly used intracanal medicament, however its efficacy towards Enterococcus faecalis is questionable.

Conditions

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Tooth, Nonvital

Keywords

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necrotic teeth single visit multiple visits protaper next

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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single visit endodontic treatment.

•single visit endodontic Treatment of necrotic teeth using Protaper next.

Group Type EXPERIMENTAL

single visits

Intervention Type PROCEDURE

Endodontic treatment is done and completed in a single visit using protaper next rotary system.

Two visits endodontic treatment

•Two visits endodontic Treatment of necrotic teeth using Protaper next.

Group Type ACTIVE_COMPARATOR

two visits

Intervention Type PROCEDURE

Endodontic treatment is done and completed in two visits using protaper next rotary system.

Interventions

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single visits

Endodontic treatment is done and completed in a single visit using protaper next rotary system.

Intervention Type PROCEDURE

two visits

Endodontic treatment is done and completed in two visits using protaper next rotary system.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Medically free patients.
* Patient's age above 18 years old.
* Teeth diagnosed clinically with necrosis.
* Positive patient's acceptance for participation in the study.
* Sex includes both male and female.
* Patients who can understand visual analogue scale.
* Patients able to sign informed consent.

Exclusion Criteria

* Pregnancy or lactation.
* Medically compromised patients.
* Patient with multiple teeth that required treatment in the same quadrant to eliminate the possibility of pain referral.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Hebatallah Mostafa Mahmoud Ahmed Nada

principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Saeed M Abd El aziz, professor

Role: STUDY_CHAIR

Department of endodontics - Faculty of Oral and Dental medicine - CU

hebatallah M nada, student

Role: PRINCIPAL_INVESTIGATOR

Department of endodontics - Faculty of Oral and Dental medicine - CU

Central Contacts

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hebatallah M nada, student

Role: CONTACT

Phone: o1112393619

Email: [email protected]

Abeer sabi, lecturer

Role: CONTACT

Phone: 01001192266

References

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Rao KN, Kandaswamy R, Umashetty G, Rathore VP, Hotkar C, Patil BS. Post-Obturation pain following one-visit and two-visit root canal treatment in necrotic anterior teeth. J Int Oral Health. 2014 Apr;6(2):28-32. Epub 2014 Apr 26.

Reference Type BACKGROUND
PMID: 24876699 (View on PubMed)

DiRenzo A, Gresla T, Johnson BR, Rogers M, Tucker D, BeGole EA. Postoperative pain after 1- and 2-visit root canal therapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002 May;93(5):605-10. doi: 10.1067/moe.2002.121900.

Reference Type BACKGROUND
PMID: 12075212 (View on PubMed)

Other Identifiers

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single_two visits

Identifier Type: -

Identifier Source: org_study_id