The main goal of clinical trail to compare obturation quality and lateral canal sealer fill between ultrasonic activated and conventional irrigation in root canal treatment. 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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
118
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.
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.
Peshawar Dental Collge
Peshawar, Khyber Pakhtoon Khawa(KPK)a, Pakistan
To compare obturation quality and lateral canal sealer fill between ultrasonic activated and conventional irrigation in root canal treatment
Obturation Quality and Lateral Canal Fill:- This will involve evaluating the length of the root canal filling in the main canals, assessing the homogeneity (density) of the obturation material, determining the taper of the root canal filling, and examining the sealer's penetration into lateral canals using postoperative radiographs. The radiographs will be reviewed independently by two senior endodontists. A scoring system will be applied, and each of the three parameters will be individually assessed. Lateral Canal:- A type of accessory canal located in the coronal or middle third of the root, usually extending horizontally from the main canal space.
Time frame: Immediate, after completion of procedure
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