3D Instrumentation Versus Rotary Instrumentation

NCT ID: NCT03285334

Last Updated: 2017-09-18

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

2017-11-30

Study Completion Date

2018-11-30

Brief Summary

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enrollment of the patient after diagnosis, radiographic evaluation, and signing the informed consent.

allocation of the patient to either intervention or control group. After anaesthesia and access cavity, the first root canal sample will be taken. Endodontic treatment will be completed in one visit. The second root canal sample will be taken. Patients will be asked to evaluate their postoperative pain level using VAS scale at 6, 12, 24 hours, and daily up to 5 days. Patients will record the number of analgesics if any taken.

Detailed Description

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After diagnosing the case as asymptomatic pulp necrosis and confirming that the patient conforms to all eligibility criteria, (R.S) will enroll the patient in the study.

the operator will complete treatment of all cases in single visit as following:

1. Anesthetizing the tooth using inferior alveolar nerve block technique
2. Removal of Caries and/or coronal restorations completely with sterile bur and rubber dam will be applied.
3. Preparation of access cavity using another sterile round carbide bur size 3 and Endo-z bur .
4. (R.S) will take the preinstrumentation root canal sample (S1)
5. Confirming the patency of the root canals using stainless steel hand K-files size #10 and #15 . Working length will be determined .
6. In the intervention group, (R.S) will perform mechanical preparation in a 3D manner using Xp-endo Shaper single file in an endodontic motor at a speed of 800 rpm and a torque of 1 Ncm.
7. In the control group, mechanical preparation will be done using rotary iRace files (#25/0.04, #30/0.04, and #40/0.04) at a speed of 600 rpm and a torque of 1.5 Ncm. The canal will be irrigated and recapitulated after the use of each instrument.
8. EDTA gel will be used as a lubricant. The canals will be thoroughly irrigated using 3ml of 2.5% sodium hypochlorite.
9. The canal will then be dried by using sterile paper points and then flushed with 5 ml of 5% sodium thiosulfate to inactivate the NaOCl. The postinstrumentation sample (S2) will be taken from the canals.
10. Master cones will be fitted to the working length and a radiograph will be taken to ensure proper length.
11. (R.S) will complete obturation using AdSeal resin-based root canal sealer .

Conditions

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Postoperative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
* The patients will drag an envelope and will not know to which group they will be assigned.
* The patients who already do not know their treatment group will assess the level of their post-operative pain and will record the number of analgesic tablets used.
* The laboratory technician at the microbiological department will not know the treatment group of the patients.

Study Groups

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XP-endo Shaper

The XP-endo Shaper is an innovative single instrument manufactured from Max wire. Its special ability to shift crystalline structure at body temperature in order to adapt to the root canal wall, has provided a unique instrument with the promise of anatomical shaping.

Group Type EXPERIMENTAL

XP-endo Shaper

Intervention Type DEVICE

mechanical preparation in a 3D manner using Xp-endo Shaper

iRace

rotary files

Group Type ACTIVE_COMPARATOR

iRace files

Intervention Type DEVICE

rotary mechanical preparation

Interventions

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XP-endo Shaper

mechanical preparation in a 3D manner using Xp-endo Shaper

Intervention Type DEVICE

iRace files

rotary mechanical preparation

Intervention Type DEVICE

Other Intervention Names

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anatomical (3D) shaping file rotary files

Eligibility Criteria

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Inclusion Criteria

1. Healthy Adult patients.
2. Age between 20-40 years old.
3. Males \& Females.
4. Asymptomatic necrotic mandibular premolars with or without periapical radiolucency.
5. Normal occlusal contact with the opposing teeth.
6. Patients accepting to participate in the study.

Exclusion Criteria

1. Medically compromised patients
2. Pregnant women
3. If analgesics or antibiotics have been administrated by the patient during the past 12 hours preoperatively
4. Patients reporting bruxism or clenching
5. Teeth that shows:

* Association with acute periapical abscess and swelling
* Greater than grade I mobility or pocket depth greater than 5mm
* No restorability
Minimum Eligible Age

20 Years

Maximum Eligible Age

45 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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Radwa Sameeh Emara

assisstant lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Radwa Emara

Role: PRINCIPAL_INVESTIGATOR

faculty of oral and dental medicine - cairo university

Locations

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Faculty of Oral and Dental Medicine - Cairo University

Cairo, Manial, Egypt

Site Status

Countries

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Egypt

Central Contacts

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radwa emara

Role: CONTACT

01272141312

Facility Contacts

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Radwa Emara

Role: primary

01272141312

Other Identifiers

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CEBD-CU-2017-09-19

Identifier Type: -

Identifier Source: org_study_id