Postoperative Pain and PTN and Reciproc

Isparta Military Hospital60 enrolled

Overview

In this clinical trial, the researchers will investigate the effect of single-file reciprocating file system (Reciproc) versus multi-file rotational file systems (ProTaper Next) on the postoperative pain in adult patients who have necrotic pulp and apical periodontitis. The participants will be assigned by chance to separate groups that compare 2 different treatments, reciprocating single-file system (Reciproc) and rotational multi-file system (ProTaper Next).

The infected root canal treatments will be performed using one-visit approach with either a reciprocating single-file system or a continuous rotational multi-file system. Foraminal enlargement will be perfomed using either Reciproc or ProTaper Next file systems. The root canals will be completed in single-visit. The patients will record their postoperative pain during the follow-up period using a VAS scale.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Apical Periodontitis Dental Pulp Necrosis

Interventions

Reciprocating single-file systemPROCEDURE

After determining the working length, a flexible size 30 K-file will be inserted 1 mm beyond the WL and the apical foramen will be enlarged.The device in the experimental group moves in CW and CCW direction with different angles. It is a single-file endodontic file system. The intervention is reciprocating single-file system. A Reciproc single-file will be used for enlarging apical foramen. In the active comparator group, a continuous rotational multi-file system, ProTaper Next, will be used in enlarging apical foramen.

Rotational multi-file system.PROCEDURE

After determining the working length, a flexible size 30 K-file will be inserted 1 mm beyond the WL and the apical foramen will be enlarged. In this group, a continuous rotational multi-file system, ProTaper Next, will be used in enlarging apical foramen.

Eligibility

Sex: ALLMin age: 21 YearsMax age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: Participants who have in their mandibular or maxillary molar teeth necrotic pulp and apical periodontitis. Exclusion Criteria: Pregnancy, drug hypersensitivity, cardiac problems, previously performed endodontics treatment.

Locations (1)

Isparta Military Hospital

Isparta, Turkey (Türkiye)

Outcomes

Primary Outcomes

4-step pain intensity measures using a Visual Analog Scale (VAS).

The severity of pain in 1-7 days according to the VAS: 0 no pain, 1-3 mild pain, 4-7 moderate pain, 7-10 severe pain.

Time frame: 7 days

Secondary Outcomes

The number of patients taking an analgesic following the endodontics treatment.

The patients were asked to take an analgesic in the 7 days of time frame.

Time frame: 7 days

Data from ClinicalTrials.gov

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