Pulpal Inflammation
Conditions
Brief summary
assessment of pain using two different irrigation systems after root canal treatment
Interventions
PROCEDUREConventional Needle Irrigation
Patients in this arm will receive traditional syringe and needle irrigation using a 30-gauge side-vented needle. 2.5% sodium hypochlorite will be used as the irrigant, delivered 1-2 mm short of working length intermittently during root canal instrumentation. No activation device will be used.
DEVICEConventional Needle Irrigation (Control Group)
Patients in this arm will receive traditional syringe and needle irrigation using a 30-gauge side-vented needle. 2.5% sodium hypochlorite will be used as the irrigant, delivered 1-2 mm short of working length intermittently during root canal instrumentation. No activation device will be used.
DEVICEendoactivator
in group 2 irrigation done with endoactivator
DEVICEIrrigation Solution
irrigation protocol done with disposable syringe
DEVICESonic Irrigation with EndoActivator (Experimental Group)
Patients in this arm will receive sonic activation of the irrigant using the EndoActivator device during root canal treatment. After initial instrumentation and irrigation with 2.5% sodium hypochlorite, the irrigant will be activated using a medium-sized (25/04) EndoActivator tip for 30 seconds per canal at a sonic frequency (\ 6000 cycles/min), to enhance cleaning and irrigant penetration.
Sponsors
HITEC-Institute of Medical Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. Single rooted teeth (Anterior or posterior) 2. Teeth with symptomatic irreversible pulpitis with acute apical periodontitis 3. Age group 18-65 years
Exclusion criteria
1. Non-restorable teeth, teeth with acute or chronic apical abcess, teeth with internal/external root resorption 2. Teeth with anatomical difficulties like open apices, calcified canals, dilacerations 3. Patients that had any serious medical illness or with systemic disorders 4. Previous root canal treatment 5. Periodontally compromised teeth 6. Presence of sinus tract
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Pain | Pain scores will be recorded at 6 hours, 24 hours, and 48 hours after completion of root canal treatment. | Assessment of postoperative pain intensity using a Visual Analog Scale (VAS) ranging from 0 (no pain) to 10 (worst possible pain). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Analgesic Consumption | 0 to 48 hours after treatment | Number of analgesic tablets (e.g., ibuprofen/paracetamol) consumed by patients within the first 48 hours post-treatment. |
Countries
Pakistan
Outcome results
None listed