Pulpitis - Irreversible
Conditions
Keywords
irrigant , ultrasonic, LASER , sonic
Brief summary
The aim of this clinical trial is : To evaluate effect of different techniques of irrigant activation: 1. LASER activation 2. sonic activation 3. ultrasonic activation 4. passive needle irrigation On: 1. Postoperative pain in vital teeth (Randomized controlled trial) 2. Amount of apical extrusion (In vitro study) Participants will describe their preoperative pain and postoperative pain level at fixed time interval Research will compare postoperative pain accompanied with different irrigant activation techniques and correlate it to amount of debris extrusion
Interventions
DEVICEsonic activator
Polyamide EDDY tips 28mm long is inserted in the canal 2mm short of the working length operated at 6,000 Hz. Activation is done for three cycles each for 20sec. The tip is moved vertically in up and down motion, 1ml is used for each activation cycle followed by 2ml 17% EDTA20
DEVICELASER activation
Diode laser 980nm is used to activate the irrigant using fiber optic tip of (200micrometer) and power of 1.5w continuous mode. The tip is placed 2 mm shorter than the working length. Laser irradiation is done for each canal for 20 secs repeated over three cycles for total time of 60 secs and 10 secs pauses between each cycle
DEVICEUltrasonic activation
ED60tip is used with ultrasonic device operated on mode E and inserted in the canal 2mm short of the working. Activation is done for three cycles each for 20 sec. The tip is moved vertically in up and down motion,1ml is used for each activation cycle followed by 2ml 17% EDTA
DEVICEpassive irrigation with Endodontic needle
Each canal is irrigated with side vented endodontic needle 30G Placed 2mm short of the working length with total time of 60 secs followed by 2ml 17% EDTA
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Age group 18-50 years * Males and females * Lower molars with symptomatic irreversible pulpitis without apical periodontitis
Exclusion criteria
* Patients with uncontrolled health conditions * Immunocompromised patients * Teeth with periodontal diseases * Teeth with calcified canals * pregnant patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of postoperative pain | 8,24,48 hours and one week | Numerical Rating Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of analgesic intake | 8,24,48 hours and one week | number of tablets |
Countries
Egypt
Outcome results
None listed