Efficiency of Sonic Activation During Root Canal Treatment of Primary Molars on Postoperative Pain and Facial Expressions

Suez Canal University30 enrolled

Overview

This study was conducted to evaluate the efficiency of sonic activation of 5%sodium hypochlorite during root canal treatment of primary molars on postoperative pain and facial expressions. In addition to comparing between the Five-face pain scale and AI Emotion Detector mobile application in postoperative pain assessment.

The current study addresses an important gap in research, as the impact of sonic activation of irrigation on postoperative pain in children and the validity of artificial intelligence mobile application in detecting facial expressions following root canal treatment as not been well explored.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Root Canal Treatment in Children Primary Molars Postoperative Pain Facial Expressions Facial Emotions

Interventions

Root canal treatment in primary molars with irreversible pulpitisPROCEDURE

Root canal treatment in primary molars with irreversible pulpitis followed by coronal restoration with stainless-steel crowns in a single visit.

EDDY system for sonic activation of irrigationDEVICE

sonic activation of irrigation with EDDY system during root canal treatment in primary molars

side-vented needleDEVICE

conventional irrigation with side-vented needle without activation during root canal treatment in primary molars

Eligibility

Sex: ALLMin age: 5 YearsMax age: 8 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Children's age range 5-8 years. Boys and girls will be included. 2. Children with positive or definitely positive behavior on the Frankl's behavior rating scale (rating 3 or 4 on the scale). 3. Children with at least one primary molar with irreversible pulpitis and symptomatic apical periodontitis confirmed using periapical radiographs, percussion, and cold test. 4. Children having teeth with two-thirds of each root remaining. 5. Children with a moderate to very severe (2-4) pain score according to five-face pain scale in only one tooth within the 24-h period before the procedure. 6. Children with no allergy to Ibuprofen. Exclusion Criteria: 1. Teeth with pathological root resorption. 2. Teeth with mobility greater than 1st-degree mobility. 3. Children who received analgesics and/or antibiotics in the last 12 h before root canal treatment

Outcomes

Primary Outcomes

Five-Face Pain Scale Score

Postoperative pain is assessed using the Five-Face Pain Scale (range: 0 = no pain to 4= worst pain; lower scores indicate less pain). Unit of Measure: Scale units (0-4)

Time frame: 8 ,24,48,72 hours, and after 1week post-operative

facial expressions analysis

facial expressions of the patients are assessed from their photographs and analyzed by the AI Emotion Detector mobile application. Unit of Measure: Percentage (%)