Comparison of Postoperative Pain After Root Canal Treatment With Rotary vs Reciprocating Systems
NCT ID: NCT06779565
Last Updated: 2025-01-16
Study Results
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Basic Information
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COMPLETED
NA
80 participants
INTERVENTIONAL
2024-08-15
2025-01-10
Brief Summary
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Detailed Description
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Although apically extruded debris can be reduced through various means, it cannot be completely avoided. Thus, increasing the incidence of postoperative pain in patients. The debris produced during apical extrusion contains necrotic tissue, dental chips, microbes, pulp tissue, and canal irrigants. The infected debris may disturb the balance between the microbes and the immune system, leading to acute exacerbation.
Manual steel K files tend to produce more debris, causing a high risk of postoperative discomfort. Nickel-titanium rotary instruments powered by the engine have various advantages including; time-saving, preservation of root canal anatomy, and homogeneous preparation of the root canal shape. The debris produced by these instruments is potentially lesser than the manual files. Mainly because they have rotary action and excavate the debris with the help of their flutes. Repeated irrigation along with the action of an engine-driven instrument, has the potential to decrease postoperative pain. Reciproc VDW reciprocating file instruments have potential advantages including reduced fatigue, resistance to fracture, less debris extrusion, good shaping ability, no cross-contamination (single use), and reduced cost.
No previous study has established a relationship between debris extrusion and postoperative care. This study aims to compare the use of the Hyflex EDM and Reciproc VDW systems for preparing permanent human teeth during root canal procedures and their effect on postoperative pain.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
TRIPLE
Study Groups
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Hyflex Group
These patients underwent root canal treatment due to pain in their molar teeth. The file system used in this arm was Hyflex EDM (Coltene), a rotary file system that moves in a complete 360° rotation and prepares a root canal.
Hyflex EDM system
A rotary file system
Recriproc Group
These patients underwent root canal treatment due to pain in their molar teeth. The file system used in this arm was Reciproc (VDW), a reciprocating file system that moves in 130° anticlockwise and 50° clockwise motion and prepares a root canal.
Reciproc VDW system
A reciprocating file system
Interventions
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Hyflex EDM system
A rotary file system
Reciproc VDW system
A reciprocating file system
Eligibility Criteria
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Inclusion Criteria
2. Healthy persons between the ages of 18 and 60 years
3. Maxillary and mandibular molar teeth diagnosed with symptomatic irreversible pulpitis.
4. Patients not having taken any medication for 6 hours before treatment
5. No allergies to the drugs or dental material being used in the treatment
Exclusion Criteria
2. Pregnant women and patients with immunocompromised health state
3. Patients having severe malocclusion associated with traumatic occlusion
4. Teeth with calcified canals
5. Teeth with periapical radiolucency
6. Teeth with root resorption
7. Teeth previously undergone root canal treatment
18 Years
65 Years
ALL
Yes
Sponsors
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Armed Forces Institute of Dentistry, Pakistan
OTHER
Responsible Party
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Ahmed Abdullah
Principal investigator
Locations
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21 MDC
Quetta, Balochistan, Pakistan
Countries
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Other Identifiers
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21MDC
Identifier Type: -
Identifier Source: org_study_id
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