Tooth,Non-vital
Conditions
Brief summary
The aim of this study is to compare the postoperative pain after root canal treatment following irrigation by endodontic needle, sonic and passive ultrasonic irrigation techniques.
Detailed description
Different irrigation delivery systems are introduced to the market aiming to improve root canals disinfection. The conventional endodontic needle is commonly used because of its ease in use and good control of needle depth and irrigant volume. However it carries a higher risk of extruding the solution periapically because of positive pressure used in solution delivery. Passive ultrasonic irrigation is a noncutting irrigation technique that is done with ultrasonically activated files with continuous or intermittent flow of irrigant. It was shown that it is effective in removing remnants of pulp tissue, dentin debris and planktonic bacteria. The vibringe (Cavex Holland BV, Haarlem, the Netherlands) is an irrigation device that combines manual delivery and sonic activation of the irrigant. The aim of this study is to compare the postoperative pain after root canal treatment following irrigation by endodontic needle, sonic and passive ultrasonic irrigation techniques.
Interventions
conventional side-vented syringe used to deliver irrigant in root canal treatment
ultrasonic tip (IrriSafe) activate the irrigant after mechanical preparation in root canal treatment
DEVICEsonic irrigation
vibringe system is a sonic device that deliver and agitate the irrigant
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
16 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Males or Females * Age between 16-60 years old * Permanent Mandibular molars with: * Non-vital response of pulp tissue * Absence of spontaneous pain
Exclusion criteria
* Pregnant females * Patients having significant systemic disorder * Patients received analgesics, anti-inflammatory or antibiotic in the last 24 hours * Teeth that have: * Vital pulp tissues * Association with swelling or fistulous tract * Acute periapical abscess * Greater than grade I mobility * Pocket depth greater than 5mm * Previous endodontic treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative pain measured by numerical rate scale | 4 hours after treatment | Numerical rate scale (NRS) consists of a line graded from 0-10 where 0 indicates no pain and 10 indicates worst pain, patient will choose the number that describe his pain level. |
Outcome results
None listed