A Study to Compare Various Root Canal Cleaning Devices Based on Cavitation,Ultrasonic and Conventional Methods.
NCT ID: NCT06005545
Last Updated: 2023-12-06
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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RECRUITING
NA
109 participants
INTERVENTIONAL
2023-10-04
2026-03-31
Brief Summary
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The main question\[s\] it aims to answer are:
* Effectiveness of the cleaning mechanism
* Evaluate the safety of use of the device. Participants will be provided root canal treatment. Participants will be asked to record their post-operative pain levels in a Patient Pain diary. The healing rate of the lesion will be examined at follow-up visits using intraoral X-rays. At the end of the study, a statistical analysis of the clinical outcomes of the root canal treatment will be examined and evaluated in every group.
Detailed Description
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Study Design: This is a prospective, 3-arm randomized, non-blinded, single-center pivotal clinical investigation, performed to evaluate the effectiveness and safety of the Endoclean device with 2 comparator arms.
Primary objective: To test the effectiveness of the Endoclean device for root canal debridement up to 12-month follow-up.
Secondary objective: To test the extended effectiveness and safety of the Endoclean device up to a 24-month follow-up.
Inclusion/Exclusion Criteria:
1. Inclusion Criteria
•Patients aged between 18-75 years with ASA (American Society of Anesthesiologists) classification 1 and 2.
ASA 1: A normal healthy patient. Example: Fit, non-obese BMI (Body mass index) under 30, a non-smoking patient with good exercise tolerance.
ASA 2: A patient with mild systemic disease. Example: Patient with no functional limitations and a well-controlled disease (e.g., treated hypertension, obesity with BMI under 35, frequent social drinker, or cigarette smoker).
* Patients who agreed to participate and who have signed the informed consent.
* Patients presenting with symptomatic and/or asymptomatic apical periodontitis and radiographic evidence of apical periodontitis in anterior or posterior teeth larger than 1.5 mm in diameter.
* Mature tooth with closed apices
* Tooth that has never been treated with root canal therapy.
2. Exclusion Criteria:
* Patients, who have pre-existing health or oral conditions that placed them at risk during the trial.
* Patients with generalized untreated periodontal disease.
* Patients with a history of analgesic intake within the past 3 days or antibiotics in the last 1 month.
* Uncooperative patients
* Teeth with immature apices, root resorption, or requiring extensive prosthetic rehabilitation.
* Teeth that cannot be made functional nor restored or difficult to access teeth with no importance (wisdom teeth)
* Teeth with insufficient periodontal support
* Teeth with poor prognosis, for example due to deep root caries, large root resorption or open apex cases
* Fractured teeth
* Local anatomical factors such as an inaccessible root end
* Presence of fractured instrument in the root canal
* Pregnant women
* Patients unable to understand the study procedure.
Number of Participants:
Total number of participants = 109 subjects Arm 1: 40 subjects Arm 2: 40 subjects Arm 3: 29 subjects Test device: Endoclean (Lumendo AG): hydraulic cavitation cleaning device Control device 1: Passive ultrasonic irrigation (PUI) Control device 2: Rotary files with standard NaOCl irrigation Study duration: 2-3 years The results of the Endoclean group shall be compared to data gathered from the comparator device groups and results shall be presented in the clinical investigation report.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
Arm 1: Passive ultrasonic irrigation group (PUI); shaping up to WL with 25.06, Arm 2: Endoclean (EC) group; shaping up to WL with 20.06; EC application tip kept 3mm short of WL, irrigation protocol with NaOCl (sodium hypochlorite) Arm 3: Conventional group; shaping up to WL of 25.06, irrigation protocol with NaOCl (sodium hypochlorite)
TREATMENT
NONE
Study Groups
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Passive Ultrasonic Irrigation group (PUI)
Arm 1: Passive ultrasonic irrigation group (PUI); shaping up to WL with 25.06,
Passive Ultrasonic Irrigation (PUI) group
Passive ultrasonic irrigation is the current golden standard in root canal cleaning and irrigation devices. It is used after root canal shaping using manual or rotary instruments. It uses sodium hypochlorite which is mobilized in the canal using ultrasonic non-cutting tips to clean, debride, disinfect, and prepare the root canal for obturation.
Endoclean group (EC)
Arm 2: Endoclean (EC) group; shaping up to WL with 20.06; EC application tip kept 3mm short of WL, irrigation protocol with NaOCl (sodium hypochlorite)
Endoclean (EC) group
Endoclean is a novel device that uses hydraulic inertial cavitation with the help of pressure and saline solution to debride the root canal after minimal shaping using manual or rotary shaping instruments. It is used to effectively clean, debride and prepare the root canal before obturation in the root canal treatment procedure.
Conventional Group
Arm 3: Conventional group; shaping up to WL of 25.06, irrigation protocol with NaOCl (sodium hypochlorite)
Conventional group
Conventional root canal preparation uses manual or rotary files along with manual irrigation using syringes and irrigant solutions like sodium hypochlorite or EDTA to clean, debride and prepare the root canal for obturation.
Interventions
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Passive Ultrasonic Irrigation (PUI) group
Passive ultrasonic irrigation is the current golden standard in root canal cleaning and irrigation devices. It is used after root canal shaping using manual or rotary instruments. It uses sodium hypochlorite which is mobilized in the canal using ultrasonic non-cutting tips to clean, debride, disinfect, and prepare the root canal for obturation.
Endoclean (EC) group
Endoclean is a novel device that uses hydraulic inertial cavitation with the help of pressure and saline solution to debride the root canal after minimal shaping using manual or rotary shaping instruments. It is used to effectively clean, debride and prepare the root canal before obturation in the root canal treatment procedure.
Conventional group
Conventional root canal preparation uses manual or rotary files along with manual irrigation using syringes and irrigant solutions like sodium hypochlorite or EDTA to clean, debride and prepare the root canal for obturation.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
ASA 1: A normal healthy patient. Example: Fit, non-obese BMI (Body mass index) under 30, a non-smoking patient with good exercise tolerance.
ASA 2: A patient with mild systemic disease. Example: Patient with no functional limitations and a well-controlled disease (e.g., treated hypertension, obesity with BMI under 35, frequent social drinker, or cigarette smoker).
* Patients who agreed to participate and who have signed the informed consent.
* Patients presenting with symptomatic and/or asymptomatic apical periodontitis and radiographic evidence of apical periodontitis in anterior or posterior teeth larger than 1.5 mm in diameter.
* Mature tooth with closed apices
* Tooth that has never been treated with root canal therapy.
Exclusion Criteria
* Patients with generalized untreated periodontal disease.
* Patients with a history of analgesic intake within the past 3 days or antibiotics in the last 1 month.
* Uncooperative patients
* Teeth with immature apices, root resorption, or requiring extensive prosthetic rehabilitation.
* Teeth that cannot be made functional nor restored or difficult to access teeth with no importance (wisdom teeth)
* Teeth with insufficient periodontal support
* Teeth with poor prognosis, for example due to deep root caries, large root resorption or open apex cases
* Fractured teeth
* Local anatomical factors such as an inaccessible root end.
* Presence of fractured instrument in the root canal
* Pregnant women
* Patients unable to understand the study procedure.
18 Years
75 Years
ALL
Yes
Sponsors
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Lumendo AG
INDUSTRY
Responsible Party
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Locations
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İstanbul Medipol Universitesi, Faculty of Dentistry, Department of Endodontics
Istanbul, Unkapanı, Fatih, Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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Tan Firat EYÜBOĞLU, DDS, PhD
Role: primary
Other Identifiers
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EC_5301_V1.0_CIP
Identifier Type: -
Identifier Source: org_study_id