Postoperative Pain After İntracanal Procedures

NCT ID: NCT04892355

Last Updated: 2022-02-15

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 140 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-08-06
• Study Completion Date: 2022-11-06

Brief Summary

Aim: The aim of this study is to investigate the effects of different irrigation activation systems on pain after endodontic treatment in molar teeth with irreversible pulpitis.Post-operative pain values of the participants will be recorded and evaluated with the VAS scale.

Postoperative pain values of the techniques will be compared with statistical evaluation.

Detailed Description

Aim: The aim of this study is to investigate the effects of different irrigation activation systems on pain after endodontic treatment in molar teeth with irreversible pulpitis.Materials and Methods: The study will be carried out on 140 patients with molar teeth diagnosed with irreversible pulpitis. After the root canal preparation is completed, the patients will be divided into 4 groups according to the irrigation activation system; Conventional syringe irrigation (CSI), EDDY, EndoActivator (EA) and Xp-endo Finisher (XPF). After the irrigation process is completed, the root canals will be filled using gutta-percha and canal sealer and the treatment will be completed in one session. Pain values at 6, 24, 48, 72 hours and 7 days after treatment will be evaluated at a 0.05% significance level using the Kruskal-Wallis test.

Conditions

Endodontically Treated Teeth

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Conventional Syringe Irrigation Group

During the final irrigation procedure, a 30 - G side vented needle was placed 2 mm shorter than the working length and was applied without agitation. 5 mL of 2.5% NaOCl was applied for 1 minute for each channel. Each canal was then washed with 2 mL of 17% EDTA for 1 minute.

Group Type: EXPERIMENTAL

Root canal irrigation

Intervention Type: DEVICE

Devices used during root canal irrigation

Xp Endo Finisher Group

Xp Endo Finisher file was used with VDW Silver (VDW) endomotor at 800 rpm speed and 1 Ncm torque according to the manufacturer's instructions. The Xp Endo Finisher file was placed in the canal, 2 mm shorter than the working length, and was used with slow movements of 7-8 mm amplitude in the canal during activation. 5 mL of 2.5% NaOCl was applied for 1 minute for each channel. Each canal was then washed with 2 mL of 17% EDTA for 1 minute.

Group Type: EXPERIMENTAL

Root canal irrigation

Intervention Type: DEVICE

Devices used during root canal irrigation

EDDY Group

An EDDY tip of size 25/04 was used for sonic activation. The EDDY was placed in the duct 2 mm shorter than the working length and the activation process was performed with slow movements with an amplitude of 2-4 mm. In the irrigation process, 5 mL of 2.5% NaOCI was applied for 1 minute for each channel. Each canal was then washed with 2 mL of 17% EDTA for 1 minute.

Group Type: EXPERIMENTAL

Root canal irrigation

Intervention Type: DEVICE

Devices used during root canal irrigation

Endoactivator Group

Medium Endoactivator tip of 25 / .04 size was used for irrigation activation. Medium type was placed in the canal 2 mm shorter than the working length and activation was performed by making short strokes of 2-3 mm. 5 mL of 2.5% NaOCl was applied for 1 minute for each channel. Each canal was then washed with 2 mL of 17% EDTA for 1 minute.

Group Type: EXPERIMENTAL

Root canal irrigation

Intervention Type: DEVICE

Devices used during root canal irrigation

Interventions

Root canal irrigation

Devices used during root canal irrigation

Intervention Type: DEVICE

Other Intervention Names

EndoActivator (Dentsply Tulsa Dental Specialties, Tulsa, OK)-XP-endo Finisher (XPF; FKG Dentaire SA, La Chaux-de-Fonds, Switzerland)- EDDY (EDDY; VDW, Munich, Germany)-

Eligibility Criteria

Inclusion Criteria

• Healthy patients ranging between 18 and 60 years in age
• Patients that experienced moderate-to-severe pain represented on a visual analogue scale (VAS)
• Maxillar and Mandibular molar teeth were diagnosed with symptomatic irreversible pulpitis

Exclusion Criteria

• Any systemic disease and pregnancy in the patient
• Having used analgesic-anti-inflammatory in the last 12 hours and cortisone for the last 6 months
• The patient has bruxism
• Teeth with severe damage
• Teeth with calcified canals
• Teeth with pain to percussion
• Teeth with periapical radiolucency
• Teeth with root resorption
• Teeth with an immature / open apex
• Teeth with previous RCT

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Afyonkarahisar Health Sciences University

OTHER

Sponsor Role: lead

Responsible Party

Yahya Güven

Assist. Prof. Dr. Yahya GÜVEN

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

yahya güven

Role: PRINCIPAL_INVESTIGATOR

Afyonkarahisar Health Sciences University

Central Contacts

yahya güven

Role: CONTACT

yahyaguven52@outlook.com

05314599583

Other Identifiers

AfyonkarahisarHSU

Identifier Type: -

Identifier Source: org_study_id