The Effect of Totalfil and Neosealer Sealers on the Post-endodontic Pain
NCT ID: NCT06194773
Last Updated: 2025-03-18
Study Results
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Basic Information
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COMPLETED
NA
39 participants
INTERVENTIONAL
2023-06-26
2025-01-06
Brief Summary
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Detailed Description
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Group I: Endodontic treatment with obturation using single cone technique with Totalfil sealer.
Group 2: Endodontic treatment with obturation using single cone technique with Neosealer.
Group 3: Endodontic treatment with obturation using single cone technique with AH plus sealer.
Clinical procedure:
1. Patient history will be recorded before starting the procedure.
2. The consent form will be given and signed by the patient.
3. Pre-operative pain will be assessed using VAS.
4. Tooth diagnosis will take place through visualization, percussion, palpation, mobility, electric pulp test as well as cold test before the treatment begins.
5. Pre-operative radiograph will be taken to confirm diagnosis.
6. All the patients will receive local anesthesia: 2% lidocaine with 1:100,000 epinephrine. The inferior alveolar nerve block will be administered.
7. A single tooth will be isolated using a rubber dam, and the access cavity will be prepared using a round bur (no.4) and tapered fissure diamond stone (NO173).
8. The saliva ejector will be introduced below the integrated frame and will be positioned in the corner of the mouth.
9. De-roofing of the pulp chamber will be done using Endo Z bur.
10. After removal of the pulp tissue using an H-file, the working length will be determined with stainless steel hand K-files size #10 and the use of an apex locator and confirmed using intraoral periapical radiographs.
11. All the canals will be prepared using Protaper Gold rotary system using NSK endodontic motor, according to the manufacturer guidelines.
12. To establish apical patency between the files during shaping we will use initial file size #10 between each instrument.
13. Each canal will be irrigated with 30 mL 3% NaOCl and flushed with saline 10 mL between each file during the whole preparation procedure using a plastic syringe with a side vented needle.
14. After completion of cleaning and shaping in all the canals will be flushed with a final rinse of NaOCl, saline and EDTA 17%.
15. For group 1, the canals will be moist and obturated using the single cone technique by gutta percha using Totalfill as a sealer.
16. For group 2, the canals will be moist and obturated using the single cone technique by gutta percha using Neosealer.
17. For group 3, the canals will be dried using suitable size of paper points, followed by obturation using single cone technique using AH plus as a sealer.
18. Final restoration will be placed.
19. Post-operative pain will be accessed using The Visual Analogue Scale (VAS), after 6, 24, 48, 72 hours, and 7 days. Any analgesic pills taken by the patient will be reported.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Totalfil
Totalfil
Root canal treatment using TotalFil sealer
NeoSealer
NeoSealer
Root canal treatment using NeoSealer
AH-Plus
AH-Plus sealer
Root canal treatment using AH-Plus sealer
Interventions
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Totalfil
Root canal treatment using TotalFil sealer
NeoSealer
Root canal treatment using NeoSealer
AH-Plus sealer
Root canal treatment using AH-Plus sealer
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
2. Pregnant patients.
3. Teeth with immature apex formation.
18 Years
70 Years
ALL
Yes
Sponsors
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Gulf Medical University
OTHER
Responsible Party
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Rania Zaarour
Senior Researcher at Thumbay Research Institute Coordinator
Locations
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Gulf Medical University
Ajman, , United Arab Emirates
Countries
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Other Identifiers
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IRB-COD-STD-123-JUNE-2023
Identifier Type: -
Identifier Source: org_study_id
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