Dental Pulp Necrosis
Conditions
Brief summary
Comparing the postoperative pain resulting after mechanical instrumentation using Reciproc reciprocating files versus that resulting after using ProTaper Next rotary files in asymptomatic necrotic molars.
Detailed description
Asymptomatic Necrotic molars are selected according to the eligibility and exclusion criteria and patients are then randomized to receive treatment either using Reciproc Files or ProTaper Next files. Postoperative pain is then assessed using the Numerical Rating scale 6, 12, 24 and 48 hours post-instrumentation. The tooth is then temporized and after 1 week obturation is then and post obturation pain is assessed using the Numerical Rating scale after 12 and 24 hours following obturation. The time required to complete instrumentation is also measured and compared using the two files.
Interventions
An endodontic file that works through a reciprocating motion
An endodontic file that works through a continuous rotary motion
Sponsors
Study design
Eligibility
Inclusion criteria
* Mandibular molar teeth with no pain, no response of pulp tissue to pulp testing and teeth with apical periodontitis
Exclusion criteria
* Patients on medication for chronic pain * Patients with pre-operative pain. * Patients having significant systemic disorders. * Patients with two or more adjacent teeth requiring root canal therapy * teeth that have vital pulp tissues, greater than grade I mobility, pocket depth greater than 5 mm, no possible restorability or previous endodontic treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post operative pain assessed with the Numerical Rating Pain Scale | Up to 48 hours post-instrumentation | 1 to 10 Numerical Rating Pain Scale up to 48 hours post-instrumentation |
| Post-obturation pain assessed with the Numerical Rating Pain Scale | up to 24 hours following obturation | 1 to 10 Numerical Rating Pain Scale up to 24 hours following obturation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time required to complete instrumentation | From the completion of the access cavity preparation till the end of cleaning and shaping procedure up to 2 hours | time required to complete instrumentation |
Countries
Egypt