None listed
Conditions
Brief summary
This study is a clinical based research on comparison of post-operative pain after root canal treatment using passive irrigation and ultrasonic activation techniques. The study's aim is to determine whether there is a difference in the postoperative pain after using passive irrigation and ultrasonic activation of sodium hypochlorite. The anticipated results of this research include gaining an enhanced understanding of the difference between the severity of post-operative pain after using passive irrigation and Ultrasonic activation of sodium hypochlorite as an irrigating material during root canal treatment of lower premolar teeth, which may help in decreasing postoperative pain of the patients and performing more successful root canal treatments in the future.
Interventions
Ultrasonic activation is presently the most popular irrigant activation method and the second most popular irrigation method. In our study, 5.25% Sodium hypochlorite will be the irrigant used to clean and disinfect the root canal system.
Ultrasonically activated irrigation (UAI) implies the ultrasonic activation of irrigant in the center of the instrumented root canal by a non-cutting, oscillating instrument.
The working mechanism primarily is the generation of steady, unidirectional circulatio
Ultrasonic activation is presently the most popular irrigant activation method and the second most popular irrigation method. In our study, 5.25% Sodium hypochlorite will be the irrigant used to clean and disinfect the root canal system. Ultrasonically activated irrigation (UAI) implies the ultrasonic activation of irrigant in the center of the instrumented root canal by a non-cutting, oscillating instrument. The working mechanism primarily is the generation of steady, unidirectional circulation of fluid in the vicinity of the vibrating instrument, called acoustic microstreaming. Nonetheless, transient cavitation has also been observed within the root canal confinement during UAI. Following cleaning and shaping of the root canal system, Ultra X activator tip will be selected and fits passively when placed 2-3 mm short of working length. The solution will then be agitated using short vertical strokes for around 30 seconds. The procedure will be performed by a post graduate dental student, who is qualified and trained in the specialization of Endodontics. To assess the adherence to the intervention, a pre-procedural checklist is prepared after consent from a specialist Endodontist, which is standardised based on recent guidelines.
Sponsors
MAHSA University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients should be more than 18 years of age. Lower Premolar teeth that are diagnosed with pulp necrosis or Symptomatic or Asymptomatic irreversible pulpitis with healthy periapex; Should not have taken any antibiotics, anti-inflammatories, or analgesics for at least 12h hours before the treatment.
Exclusion criteria
Patients refusing to participate in the study, Patients with immunosuppression or immunocompromised condition and systemic diseases; Pregnant or lactating female patients; Psychologically disturbed patients; Patients allergic to any sort of medications used in this clinical trial Tooth associated with swelling or acute periapical abscess/lesions, immature tooth Impossible restorability Abnormal anatomy or calcified canals Previous root canal treatments Cracked tooth Grade 2 or 3 mobility of tooth Patients that administered anti-inflammatory analgesics or antibiotics 12 hours preoperatively
Outcome results
None listed