Antibacterial Effect and Postoperative Pain After Triton Irrigation Protocol in Necrotic Mandibular Molar

N/ANot Yet RecruitingNCT07435883

sara hosny mostafa36 enrolled

Overview

This randomized clinical study evaluates the antibacterial effectiveness and postoperative pain following root canal irrigation using the Triton irrigation protocol in necrotic mandibular molars. Thirty-six patients requiring root canal treatment will be included. The study aims to compare bacterial reduction and postoperative pain outcomes after treatment. Results may help improve irrigation protocols and patient comfort during endodontic therapy.

Root canal disinfection is a critical factor affecting the success of endodontic treatment, especially in teeth with necrotic pulps. Irrigation protocols play an essential role in reducing bacterial load inside the root canal system. The Triton irrigation protocol has been introduced to enhance antimicrobial effectiveness and improve debris removal. This randomized clinical trial will include 36 patients diagnosed with necrotic mandibular molars indicated for root canal treatment. Participants will receive treatment following the assigned irrigation protocol. Bacterial samples will be collected before and after irrigation to evaluate antibacterial effectiveness. Postoperative pain will be assessed using a standardized pain scale during the follow-up period. The findings of this study are expected to provide clinical evidence regarding the effectiveness of the Triton irrigation protocol in improving disinfection outcomes and reducing postoperative discomfort

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Pulp Necrosis

Interventions

triton irrigation protocolPROCEDURE

Root canal irrigation performed using Triton solution according to a standardized endodontic irrigation protocol during root canal treatment.

conventional irrigation groupPROCEDURE

Participants receive conventional root canal irrigation using standard irrigation solutions during chemo-mechanical preparation according to the routine clinical protocol.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients aged 18-45 years with no sex predilection * Medically free Patients with no systemic conditions that can affect post operative pain response. * Patients should not be taking any pain medications 24 hours before intervention * Positive patients' acceptance for participating in the study * Patient able to sign informed consent * Permanent mandibular molars diagnosis with pulpal necrosis with asymptomatic apical periodontitis. * Mandibular molars without any anatomical variations or severe curvatures with mesial roots configuration weine class 3 and a distal root with 2 distal canals Exclusion Criteria: * Medically compromised patients * Patients who have received antibiotic therapy within the last 2 weeks. * Pregnant or lactating women. * Patients with known allergy to any of the irrigants used. * Patients with swelling or acute peri-apical abscess or fistulous tract. * Teeth that have: * Wide or open apex . * Vital pulp tissue .

Locations (1)

Faculty of Oral and Dental Medicine , Future University in Egypt

Cairo, New Cairo, Egypt

Outcomes

Primary Outcomes

antibacterial effect

Reduction in bacterial count will be evaluated by microbiological sampling before and after irrigation.

Time frame: immediately after irrigation procedures

Secondary Outcomes

postoperative pain intensity

Postoperative pain will be assessed using a Visual Analog Scale (VAS) following root canal treatment with different irrigation protocols.

Time frame: 6, 12, 24, and 48 hours after treatment

Central Contacts

sara hosny mostafa adly, BDS

CONTACT

00201009568678 drsarahosny45@yahoo.com

Data from ClinicalTrials.gov

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