Postoperative Pain and Bacterial Reduction in Oval Canals After Instrumentation With Different Noval Rotary Files Systems

N/AActive Not RecruitingNCT07019792

King Abdullah University Hospital120 enrolled

Overview

Postoperative pain after endodontic treatment can affect a patient's quality of life. It is reported that debris extrusion after the instrumentation technique can influence postoperative pain. As a result, the aim of this clinical trial is to compare the recent rotary systems (TruNatomy, ProTaper Ultimate, Hyflex EDM and XP- rise rotary files systems) in terms of apical extrusion defined by post-operative pain and their role in reducing the bacterial count inside the canal

One hundred and twenty lower premolar teeth will be included in the study(n=120). Teeth will be randomly assigned to one of the 4 groups(n=30). Preoprative pain will be recorded before root canal treatment. Postoperative pain will be recorded using visual analogue scale (VAS) at 6 hours,12 hours, 1day, 2 days, 3 days, 4 dayse and five days after the root canal treatment. Bacterial count before and after instrumentation will be determined using culturing methods to determine the bacterial count reduction.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

TRIPLE

Enrollment

120

Conditions

Bacterial Count Reduction in Oval Canal After Rotary Instrumentation With Different Systems Post-operative Pain After Rotary Instrumentation of Oval Canal With Different Systems

Interventions

Protaper ultimateOTHER

Using Protaper Ultimate file system for canal preperation

Truanatomy file systemOTHER

Using Truanatomy file system for canal preperation

Hyflex EDMOTHER

Using Hyflex file system for canal preperation

Xp shaper riseOTHER

Using XPshaper rise system for canal preperation

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Medically fit * Age ranges from 18-65 year * Restorable teeth * Necrotic teeth and symptoms free * Lower premolars teeth (single canal posterior teeth) * Necrotic pulps Exclusion Criteria: * Medically compromised * Non-restorable teeth * Open apex canal * The past 12-hour history of analgesic intake before treatment. * Patients with a history of antibiotics intake in the last 3 months before treatment. * Pregnant females. * Symptomatic patient. * Pulpal diagnosis is not necrotic pulp. * Retreatment cases

Outcomes

Primary Outcomes

Postoperative pain

Postoperative pain will be recorded using Visual Analogue Scale (VAS) at 6hours,12 hours, 24 hours, 2 days, 3 days, 4 days and five days after the root canal treatment Visual Analogue Scale (VAS) ranges from 0-10, the lower number the better outcome. 0= no pain 1-3= mild pain 4-6= moderate pain 7-10= sever pain

Time frame: at 6hours,12 hours, 24 hours, 2 days, 3 days, 4 days and five days after the root canal treatment

Bacterial count reduction

Bacterial count sample will be collected before and after canal prepeartion

Time frame: Sample will be collected before and directly after canal prepeartion