Comparison of Obturation Quality and Lateral Canal Fill (by Sealer): Ultrasonic-Activated Versus Non-Ultrasonic Conventional Irrigation Techniques in Root Canal Treatment - A Randomized Controlled Trial
NCT ID: NCT07303478
Last Updated: 2025-12-24
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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NOT_YET_RECRUITING
NA
118 participants
INTERVENTIONAL
2025-12-01
2026-05-30
Brief Summary
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HYPOTHESIS There is a difference in obturation quality and lateral canal fill between ultrasonic activated irrigation results as compared to conventional irrigation technique in root canal treatment.
Eligible patients will be recruited from the Endodontics Department at Peshawar Dental College who present with pain and sensitivity in mandibular teeth and are advised root canal treatment after clinical examination and X-ray. Patients will be screened according to inclusion and exclusion criteria and informed written consent will be taken. This will be a double-blinded study, and demographic and tooth-related information will be recorded.
Participants will be randomized into two groups using block randomization with a block size of six. The Non-Ultrasonic group will receive conventional irrigation using syringe, 3% sodium hypochlorite, and Tg sealer, while the Ultrasonic group will be irrigated using the VAT-3 ultrasonic activator with the same solution and sealer. Pre- and post-operative radiographs will be taken to evaluate obturation quality and lateral canal fill in terms of length, density, and taper using a standardized proforma.
Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
DOUBLE
Study Groups
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ULTRASONIC IRRIGITATION TECHNIQUE
ULTRASONIC IRRIGATION TECHNIQUE
The utilization of theVAT-3 ultrasonic activator high frequency device (45KHz± 5kHz) \[Refine\] for the Ultrasonic Activated Irrigation group and same solution of 3% sodium hypochlorite and Tg Sealer will be used. Post-operative radiographs will be obtained to assess the obturation quality and lateral canal fill. A detailed radiographic proforma will be employed to evaluate the length, density, taper of the root canal filling, and lateral canal fill . Each of these components will be scored individually, and an overall Obturation Quality Score is calculated by summing these scores.
NON-ULTRASONIC CONVENTIONAL IRRIGATION TECHNIQUE
NON-ULTRASONIC CONVENTIONAL IRRIGATION TECHNIQUE
The root canal treatment is then performed as per the assigned group, with conventional irrigation involving the use of syringes and 3% sodium hypochlorite solution and Tg Sealer for the Non-Ultrasonic Conventional Irrigation group.A detailed radiographic proforma will be employed to evaluate the length, density, taper of the root canal filling, and lateral canal fill . Each of these components will be scored individually, and an overall Obturation Quality Score is calculated by summing these scores.
Interventions
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ULTRASONIC IRRIGATION TECHNIQUE
The utilization of theVAT-3 ultrasonic activator high frequency device (45KHz± 5kHz) \[Refine\] for the Ultrasonic Activated Irrigation group and same solution of 3% sodium hypochlorite and Tg Sealer will be used. Post-operative radiographs will be obtained to assess the obturation quality and lateral canal fill. A detailed radiographic proforma will be employed to evaluate the length, density, taper of the root canal filling, and lateral canal fill . Each of these components will be scored individually, and an overall Obturation Quality Score is calculated by summing these scores.
NON-ULTRASONIC CONVENTIONAL IRRIGATION TECHNIQUE
The root canal treatment is then performed as per the assigned group, with conventional irrigation involving the use of syringes and 3% sodium hypochlorite solution and Tg Sealer for the Non-Ultrasonic Conventional Irrigation group.A detailed radiographic proforma will be employed to evaluate the length, density, taper of the root canal filling, and lateral canal fill . Each of these components will be scored individually, and an overall Obturation Quality Score is calculated by summing these scores.
Eligibility Criteria
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Inclusion Criteria
* Age group adults 18 to 70 years
* Patients presenting with pain and sensitivity in mandibular molars and advised root canal treatment after examination and x ray
Exclusion Criteria
* Pregnancy
* Medically compromised patients including uncontrolled diabetes -cardiovascular disease immunodeficiency disorders bleeding disorders and -severe respiratory disease
* Patients who refused to participate in this study
18 Years
70 Years
ALL
No
Sponsors
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Prime Foundation
OTHER
Responsible Party
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Syed Shahbaz Ali Shah
Doctor
Locations
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Peshawar Dental Collge
Peshawar, Khyber Pakhtoon Khawa(KPK)a, Pakistan
Countries
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Central Contacts
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Provided Documents
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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form
Other Identifiers
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Prime Foundation
Identifier Type: -
Identifier Source: org_study_id