Correlation Between Postoperative Pain and Apical Extrusion of Different Irrigation Activation Techniques

NCT ID: NCT06573710

Last Updated: 2024-08-27

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

RECRUITING

Clinical Phase

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-01

Study Completion Date

2024-11-30

Brief Summary

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The aim of this clinical trial is :

To evaluate effect of different techniques of irrigant activation:

1. LASER activation
2. sonic activation
3. ultrasonic activation
4. passive needle irrigation

On:

1. Postoperative pain in vital teeth (Randomized controlled trial)
2. Amount of apical extrusion (In vitro study) Participants will describe their preoperative pain and postoperative pain level at fixed time interval Research will compare postoperative pain accompanied with different irrigant activation techniques and correlate it to amount of debris extrusion

Detailed Description

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Conditions

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Pulpitis - Irreversible

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Sonic activation

Group Type EXPERIMENTAL

sonic activator

Intervention Type DEVICE

Polyamide EDDY tips 28mm long is inserted in the canal 2mm short of the working length operated at 6,000 Hz. Activation is done for three cycles each for 20sec. The tip is moved vertically in up and down motion, 1ml is used for each activation cycle followed by 2ml 17% EDTA20

LASER activation

Group Type EXPERIMENTAL

LASER activation

Intervention Type DEVICE

Diode laser 980nm is used to activate the irrigant using fiber optic tip of (200micrometer) and power of 1.5w continuous mode. The tip is placed 2 mm shorter than the working length. Laser irradiation is done for each canal for 20 secs repeated over three cycles for total time of 60 secs and 10 secs pauses between each cycle

Ultrasonic activation

Group Type EXPERIMENTAL

Ultrasonic activation

Intervention Type DEVICE

ED60tip is used with ultrasonic device operated on mode E and inserted in the canal 2mm short of the working. Activation is done for three cycles each for 20 sec. The tip is moved vertically in up and down motion,1ml is used for each activation cycle followed by 2ml 17% EDTA

passive irrigation with Endodontic needle

Group Type ACTIVE_COMPARATOR

passive irrigation with Endodontic needle

Intervention Type DEVICE

Each canal is irrigated with side vented endodontic needle 30G Placed 2mm short of the working length with total time of 60 secs followed by 2ml 17% EDTA

Interventions

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sonic activator

Polyamide EDDY tips 28mm long is inserted in the canal 2mm short of the working length operated at 6,000 Hz. Activation is done for three cycles each for 20sec. The tip is moved vertically in up and down motion, 1ml is used for each activation cycle followed by 2ml 17% EDTA20

Intervention Type DEVICE

LASER activation

Diode laser 980nm is used to activate the irrigant using fiber optic tip of (200micrometer) and power of 1.5w continuous mode. The tip is placed 2 mm shorter than the working length. Laser irradiation is done for each canal for 20 secs repeated over three cycles for total time of 60 secs and 10 secs pauses between each cycle

Intervention Type DEVICE

Ultrasonic activation

ED60tip is used with ultrasonic device operated on mode E and inserted in the canal 2mm short of the working. Activation is done for three cycles each for 20 sec. The tip is moved vertically in up and down motion,1ml is used for each activation cycle followed by 2ml 17% EDTA

Intervention Type DEVICE

passive irrigation with Endodontic needle

Each canal is irrigated with side vented endodontic needle 30G Placed 2mm short of the working length with total time of 60 secs followed by 2ml 17% EDTA

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age group 18-50 years
* Males and females
* Lower molars with symptomatic irreversible pulpitis without apical periodontitis

Exclusion Criteria

* Patients with uncontrolled health conditions
* Immunocompromised patients
* Teeth with periodontal diseases
* Teeth with calcified canals
* pregnant patients
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Ain Shams University

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Omnia Hani Mohamed Tawfik

Role: CONTACT

01095295055

Other Identifiers

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AinShams Uni Endodontics

Identifier Type: -

Identifier Source: org_study_id

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