Postoperative Pain After Using Reciprocating Motion With Reciproc Files Versus Adaptive Motion With Twisted File Adaptive

Postoperative Pain After Using Reciprocating Motion With Reciproc Files Versus Adaptive Motion With Twisted File Adaptive In Instrumentation Of Necrotic Mandibular Molars: A Randomized Clinical Trial

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03338322

Enrollment

Registered

2017-11-09

Start date

2018-01-31

Completion date

2018-12-31

Last updated

2017-11-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Postoperative Pain

Keywords

postoperative pain, reciproc, twisted file adaptive

Brief summary

assess the effect of using reciprocating motion with reciproc files versus adaptive motion using twisted file adaptive on postoperative pain after instrumentation of necrotic mandibular molars.

Detailed description

In root canal treatment of mandibular molar teeth in patients having necrotic pulp with symptomatic or asymptomatic apical periodontitis, Is there difference in postoperative pain after instrumentation between two different kinematics; adaptive motion using Twisted File Adaptive and reciprocation motion using Reciproc

Interventions

DEVICETwisted file adaptive

Endodontic files that are used in preparation of root canals with adaptive motion

DEVICEReciproc

Endodontic files that are used in root canal preparation with reciprocation motion

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to 60 Years

Healthy volunteers

Yes

Inclusion criteria

1. Patients who are medically free from any systemic disease that may contraindicate our interventions. 2. Patient's age between 18-60 years old. 3. Mandibular molars having necrotic pulps with symptomatic or asymptomatic apical periodontitis because this group of patients may have more postoperative pain than vital teeth22. 4. Positive patient's acceptance for participation in the study.

Exclusion criteria

1. Patients who had used any type of analgesic medication during the preceding 12 hours before the treatment to give true response of pain after instrumentation. 2. Teeth with vital pulps or Symptomatic irreversible pulpitis. 3. Pregnant patients or lactating because of radiographic hazards and use of analgesics27. 4. Any known sensitivity or adverse reactions to ibuprofen.

Design outcomes

Primary

Measure	Time frame	Description
Post instrumentation pain	up to 7 days	post instrumentation pain will be recorded by the patient using numerical rating scale (0-10) will be used to record pain intensity

Secondary

Measure	Time frame	Description
analgesic intake	up to 7 days	number of analgesic intake will be recorded by the patient
Colony forming units	6 hours	calculation of colony forming units before and after instrumentation

Contacts

Primary Contactabu bakr

ahmed.abubakr@dentistry.cu.edu.eg+201225877183

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026