Effects of the Elements
Conditions
Brief summary
Recruited patients with necrotic pulp after application of Calcium hydroxide are assigned to group (XP Endo Finisher file) and group( Passive ultrasonic irrigation) and group (conventional syringe irrigation with side vented needle) to remove intracanal medication and record postoperative pain afterwards.
Detailed description
The investigator will recruit patients who are found eligible to the criteria, Calcium hydroxide will be inserted inside the canals. After 7 days, patients will be randomly assigned to either removal of intracanal medication using, the XP-Endo Finisher file, passive ultrasonic irrigation (PUI) and conventional syringe irrigation with side vented needle. After the visit, patients will be asked to record post operative pain by Visual Analog Scale)in a given sheet
Interventions
XP-endo Finisher files (FKG Dentaire, La Chaux-de-Fonds, Switzerland). file will be used with an endodontic motor X-Smart (Dentsply Sirona, Ballaigues, Switzerland) in removal of calcium hydroxide
passive ultrasonic irrigation (PUI) with an IrriSafe Ultrasonic tips (Acteon,France), which will be driven by an ultrasonic device (Newtron P5, Satelec, Acteongroup, Merignac, France) in reemoval of calcium hydroxide
conventional syringe irrigation with side vented needle (prime Dent, India) in removal of calcium hydroxide
Sponsors
Study design
Masking description
double
Eligibility
Inclusion criteria
* Medically free patients. * Patient's age between 20-50 years. * Both sexes. * Necrotic pulp as indicated by thermal or electric pulp testing. * No history of previous endodontic treatment of the tooth. * Enough crown structure for adequate isolation.
Exclusion criteria
* Pregnancy or lactation * Medically compromised patients * Previous endodontic therapy of the affected tooth. * Teeth diagnosed with vital pulp. * Teeth with periodontal pocket more than 3mm deep. * Teeth with abnormal anatomy or calcified canals. * Teeth with caries below the bony level (non-restorable tooth). * Immature teeth with open apices.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in post operative pain (Visual Analogue Scale) | Intrappointment at 4,24,48,72 and 96 hours | Numerical (0-10) |
Countries
Egypt