Influence of Early Coronal Flaring Upon Postoperative Pain After Root Canal Treatment
NCT ID: NCT05169879
Last Updated: 2021-12-27
Study Results
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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UNKNOWN
NA
32 participants
INTERVENTIONAL
2022-01-31
2022-04-30
Brief Summary
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Detailed Description
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Canals will be scouted using manual patency file in a watch winding maneuver. In group A, ProGlider PG (size 16, .02 taper) instrument with a length of 25 mm will be used to the working length, then early coronal flaring will be performed using Gates Glidden drill #3 in a brushing motion away from dangerous zone. In group B no coronal flaring will be performed following minimally invasive approach.
Root canals will be copiously irrigated using 10 ml 2.5% sodium hypochlorite NaOCl (Clorox; Egyptian Company for household bleach, Egypt) delivered using 28 Gauge safety Steri Irrigation Tip (DiaDent Group International, Burnaby, BC, Canada) inserted 3 mm below cementoenamel junction. Working length will be determined using electronic apex locator Root ZX II (J. Morita Mfg. Corp, Kyoto, Japan) and confirmed radiographically using parallel technique with receptor holding device.
Canals will be irrigated again with 10ml 1.5% NaOCl, which will be delivered 2mm coronal to apical canal terminus. Irrigation will be hydro-dynamically agitated with EndoActivator device (Dentsply Maillefer, Baillagues, Switzerland) using yellow tips #15/02 inserted 2mm short of working length for 60 seconds. ProGlider PG (size 16, .02 taper) instrument with a length of 25 mm will be used to the working length. Root canals will be shaped using ProTaper next rotary Ni-Ti files (Dentsply Maillefer, Baillagues, Switzerland) till # X3 (Elnaghy et al. 2014). Each file will be used in one molar. Finally, Root canals will be obturated using cold lateral compaction technique. The molars will be permanently restored using composite resin restoration and will be scheduled for extra coronal restoration.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
DOUBLE
Study Groups
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Early acoronal flaring
In group A, ProGlider PG (size 16, .02 taper) instrument with a length of 25 mm will be used to the working length, then early coronal flaring will be performed using Gates Glidden drill #3 in a brushing motion away from dangerous zone
coronal flaring
early coronal flaring will be performed using Gates Glidden drill #3 in a brushing motion away from dangerous zone
Non coronal flaring
In group B no coronal flaring will be performed following minimally invasive approach.
Non coronal flaring
No coronal flaring will be performed
Interventions
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coronal flaring
early coronal flaring will be performed using Gates Glidden drill #3 in a brushing motion away from dangerous zone
Non coronal flaring
No coronal flaring will be performed
Eligibility Criteria
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Inclusion Criteria
* 2\. Both males and females will be included.
* 3\. All patients are in a good health without systemic condition.
* 4\. The offending tooth is a molar.
* 5\. The offending molar is indicated for root canal treatment.
* 6\. One molar for every patient.
* 7\. All patients will sign an informed consent.
Exclusion Criteria
* 2\. The offending tooth has previous attempt of pulp therapy or root canal treatment.
* 3\. The patient showing any clinical or radiographic evidence of periapical pathosis.
* 4\. Patients received analgesics or systemic antibiotic prior to treatment.
* 5\. Immunocompromised patients.
* 6\. Any unknown infectious disease (e.g. HBV, HCV, HIV, or T.B.)
* 7\. History of cancer with radio or chemotherapy.
* 8\. Offending molar with mobility score ≥2.
* 9\. Offending molar with pocket depth ≥6mm.
* 10\. Immature molars.
* 11\. Nonodontogenic pain.
* 12\. Patients with more than one tooth requiring endodontic intervention
18 Years
70 Years
ALL
No
Sponsors
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Zagazig University
OTHER_GOV
Cairo University
OTHER
Responsible Party
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Heba Elasfouri
Associate professor
Principal Investigators
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Heba A ElAsfouri
Role: STUDY_DIRECTOR
Cairo University
Locations
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Cairo University Faculty of Dentistry
Cairo, , Egypt
Countries
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Central Contacts
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References
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Capar ID, Arslan H, Akcay M, Ertas H. An in vitro comparison of apically extruded debris and instrumentation times with ProTaper Universal, ProTaper Next, Twisted File Adaptive, and HyFlex instruments. J Endod. 2014 Oct;40(10):1638-41. doi: 10.1016/j.joen.2014.04.004. Epub 2014 May 27.
Other Identifiers
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Endo 28-11-2021
Identifier Type: -
Identifier Source: org_study_id