The Effect of Eddy Sonic Versus AF Max Activation of Bio-ceramic Sealer on Post-operative Pain in Teeth with Symptomatic Irreversible Pulpitis with Apical Periodontitis
NCT ID: NCT06640218
Last Updated: 2024-10-15
Study Results
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Basic Information
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RECRUITING
NA
30 participants
INTERVENTIONAL
2024-11-01
2026-04-01
Brief Summary
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Postoperative pain in endodontic treatments, affecting 3-58% of patients, is often caused by peri-radicular tissue injuries. Understanding these factors helps professionals select methods and supplies to minimize discomfort.
30 patients will be divided into 3 groups according to the method of activation (10 par ticipants/each). participants will be recruited from the postgrad clinic of the endodontic department faculty of oral and dental medicine, Future University in Egypt Patients with mature mandibular first permanent molar with irreversible pulpitis with apical periodontitis Intervention 1: bio-ceramic sealer activation with Eddy sonic Intervention 2: bio-ceramic sealer activation with AF max Control/Comparator: bio-ceramic sealer without activation The study aims to evaluate the effect of Eddy Sonic and AF max activation of bio-ceramic sealer on postoperative pain in mandibular first molars with symptomatic irreversible pulpitis with apical periodontitis
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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bio-ceramic sealer activation with Eddy sonic before obturation
cleaning and shaping the root canals and Well Root bio ceramic sealer activation using Eddy sonic before obturation
sealer activation with Eddy sonic and AF max
activation of sealer after cleaning and shaping, before the obturation
bio-ceramic sealer activation with AF max before obturation
cleaning and shaping the root canals and Well Root bio ceramic sealer activation using AF max before obturation
sealer activation with Eddy sonic and AF max
activation of sealer after cleaning and shaping, before the obturation
bio-ceramic sealer obturation without any activation (negative control)
obturation of root canals with bio ceramic sealer directly without any activation
without AF max or Eddy sonic sealer activation
sealer without activation
Interventions
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sealer activation with Eddy sonic and AF max
activation of sealer after cleaning and shaping, before the obturation
without AF max or Eddy sonic sealer activation
sealer without activation
Eligibility Criteria
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Inclusion Criteria
* No sex predilection
* Patients seeking root canal treatment.
* restorable teeth.
* Positive patient acceptance for participating in the study.
* patients able to sign informed consent.
* Systematically healthy patient (ASA I, Il).
* Patient who can understand the numerical rate scale and sign an informed consent.
* Mandibular first molar teeth with pain on bite or percussion
* Preoperative sharp (moderate or severe) pain.
* Vital response of pulp tissue to cold pulp tester (ethyl chloride spray).
* widening in periodontal membrane space in radiographic appearance.
Exclusion Criteria
* Patients who have already ingested preoperative medication, such as analgesics, non-steroidal, or steroidal anti-inflammatory drugs, within 12 hours of the start of treatment.
* This was done to prevent any misinterpretation of the diagnosis or post-treatment pain severity, as these drugs substantially lower post-endodontic pain (Jorge-Arajo et al.,2018).
* Patients with NSAID allergy.
* Patients having two or more adjacent teeth needing root canal therapy
* Pregnant patients.
* Patients with bleeding disorder.
* Patients with long-term corticosteroid use.
* Teeth having:
* Necrotic pulp.
* History or presence of swelling or fistulous tract.
* Acute/chronic periapical abscess.
* Mobility more than grade 1.
* Pocket depth of more than 5mm
* No possible restorability.
* Previous root canal treatment.
* Periapical radiolucency.
* External or internal resorption
* Vertical root fracture.
* TMJ problems, bruxism, clenching or traumatic occlusion.
* Inability to understand and perform the given instructions.
18 Years
40 Years
ALL
Yes
Sponsors
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Future University in Egypt
OTHER
Responsible Party
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Youssef Abd El Hameed Mohamed Ahmed
Principal Investigator
Locations
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Future University in Egypt
Cairo, New Cairo, Egypt
Countries
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Facility Contacts
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Other Identifiers
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FUE-REC code (17)/7/2024
Identifier Type: -
Identifier Source: org_study_id
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