Evaluation of the Effect of Root Canal Shaping With TruNatomy on Postoperative Pain and Operative Torque Generated During Instrumentation

NCT ID: NCT04616469

Last Updated: 2025-04-17

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-01

Study Completion Date

2024-07-01

Brief Summary

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The aim of the present study is to compare the effect of canal shaping using TruNatomy and RaCe rotary systems in bi-rooted maxillary premolars in terms of:

* Post operative pain: incidence and intensity
* Real time torque generated during mechanical instrumentation using real time torque motoring endodontic motor
* Time needed for the instruments to reach to the full working length

Detailed Description

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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

Study Groups

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Root canal treatment using RaCe rotary system

Canal shaping using RaCe rotary system powered with endodontic motor with real time torque monitoring capacity

Group Type ACTIVE_COMPARATOR

Root canal treatment using race rotary instruments

Intervention Type PROCEDURE

Race rotary files will be used for the process of cleaning and shaping of the root canal system

Root canal treatment using TruNatomy rotary system

Canal shaping using TruNatomy rotary system powered with endodontic motor with real time torque monitoring capacity

Group Type EXPERIMENTAL

Root canal treatment using TruNaomy rotary files

Intervention Type PROCEDURE

Trunatomy rotary files will be used for the process of cleaning and shaping of the root canal system

Interventions

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Root canal treatment using TruNaomy rotary files

Trunatomy rotary files will be used for the process of cleaning and shaping of the root canal system

Intervention Type PROCEDURE

Root canal treatment using race rotary instruments

Race rotary files will be used for the process of cleaning and shaping of the root canal system

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients who are free from any physical or mental handicapping condition and no contributory systemic disease.
* Age between 30-60 years old.
* Males \& Females.
* Patients' acceptance for participating in the trial through an informed consent
* Maxillary permanent premolar teeth:

* Diagnosed clinically and radiographically with pulp necrosis
* With or without periapical radiolucency
* Negative response of pulp tissue to thermal and electric pulp tester
* Possessing two independent roots each having a type I canal
* Patent canals with no internal calcification or resorptive lesions
* Fully formed roots
* Root curvatures less than 30

Exclusion Criteria

* Patient with contributory medical condition
* Badly destructed teeth
* Patients with pre-operative pain
* Patients having significant systemic disorders
* Patients with two or more adjacent teeth requiring root canal therapy
* Patients who had received antibiotics in the last month
* Teeth presenting with:

* Positive response to thermal or electric pulp tester
* History of trauma or previous endodontic treatment
* Immature or open apices
* Association with acute periapical abscess and swelling or fistulous tract
* Fused roots at any level
* Canals larger than size 15# K-file
* Periodontonal/ endodontic lesions
* Mobility higher than grade I
* Radiographic evidence of external or internal root resorption vertical root fracture, perforation, calcification.
* Severe root curvature (\>30)
Minimum Eligible Age

30 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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Tarek Ali El Mosalamy

Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cairo University

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Gambarini G, Galli M, Seracchiani M, Di Nardo D, Versiani MA, Piasecki L, Testarelli L. In Vivo Evaluation of Operative Torque Generated by Two Nickel-Titanium Rotary Instruments during Root Canal Preparation. Eur J Dent. 2019 Oct;13(4):556-562. doi: 10.1055/s-0039-1698369. Epub 2019 Dec 31.

Reference Type BACKGROUND
PMID: 31891973 (View on PubMed)

Zand V, Milani AS, Hassani Dehkharghani A, Rahbar M, Tehranchi P. Treatment of Necrotic Teeth Using Two Engine-Driven Systems and Patient's Postoperative Pain: A Double-Blind Clinical Trial. Iran Endod J. 2016 Fall;11(4):267-272. doi: 10.22037/iej.2016.3.

Reference Type BACKGROUND
PMID: 27790254 (View on PubMed)

Al-Mosalmy TA, El-Far HM, Gomaa MM, Morsy DA. Impact of root canal shaping using TruNatomy on postoperative pain and operative torque generation: a randomized clinical trial. BMC Oral Health. 2025 Jul 19;25(1):1222. doi: 10.1186/s12903-025-06418-z.

Reference Type DERIVED
PMID: 40684114 (View on PubMed)

Other Identifiers

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ENDO:3-3-5 (8-10-2020)

Identifier Type: -

Identifier Source: org_study_id

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