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Efficiency of Sonic Activation During Root Canal Treatment of Primary Molars on Postoperative Pain and Facial Expressions

Efficiency of Sonic Activation During Root Canal Treatment of Primary Molars on Postoperative Pain and Facial Expressions of Children Using Artificial Intelligence

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07138937
Enrollment
30
Registered
2025-08-24
Start date
2024-08-01
Completion date
2025-03-01
Last updated
2025-09-12

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

Conditions

Artificial Intelligence Mobile Application, Facial Emotions, Facial Expressions, Postoperative Pain, Root Canal Treatment in Children Primary Molars, Sonic Activation

Keywords

Sonic activation, Postoperative pain, Primary molars, AI applications, Facial emotions

Brief summary

This study was conducted to evaluate the efficiency of sonic activation of 5%sodium hypochlorite during root canal treatment of primary molars on postoperative pain and facial expressions. In addition to comparing between the Five-face pain scale and AI Emotion Detector mobile application in postoperative pain assessment.

Detailed description

The current study addresses an important gap in research, as the impact of sonic activation of irrigation on postoperative pain in children and the validity of artificial intelligence mobile application in detecting facial expressions following root canal treatment as not been well explored.

Interventions

PROCEDURERoot canal treatment in primary molars with irreversible pulpitis

Root canal treatment in primary molars with irreversible pulpitis followed by coronal restoration with stainless-steel crowns in a single visit.

DEVICEEDDY system for sonic activation of irrigation

sonic activation of irrigation with EDDY system during root canal treatment in primary molars

DEVICEside-vented needle

conventional irrigation with side-vented needle without activation during root canal treatment in primary molars

Sponsors

Suez Canal University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Intervention model description

A comparative, randomized, prospective clinical trial to evaluate the efficacy of sonic activation versus no activation by comparing the pain scale and facial expressions following root canal treatment in primary molars.

Eligibility

Sex/Gender
ALL
Age
5 Years to 8 Years
Healthy volunteers
No

Inclusion criteria

1. Children's age range 5-8 years. Boys and girls will be included. 2. Children with positive or definitely positive behavior on the Frankl's behavior rating scale (rating 3 or 4 on the scale). 3. Children with at least one primary molar with irreversible pulpitis and symptomatic apical periodontitis confirmed using periapical radiographs, percussion, and cold test. 4. Children having teeth with two-thirds of each root remaining. 5. Children with a moderate to very severe (2-4) pain score according to five-face pain scale in only one tooth within the 24-h period before the procedure. 6. Children with no allergy to Ibuprofen.

Exclusion criteria

1. Teeth with pathological root resorption. 2. Teeth with mobility greater than 1st-degree mobility. 3. Children who received analgesics and/or antibiotics in the last 12 h before root canal treatment

Design outcomes

Primary

MeasureTime frameDescription
Five-Face Pain Scale Score8 ,24,48,72 hours, and after 1week post-operativePostoperative pain is assessed using the Five-Face Pain Scale (range: 0 = no pain to 4= worst pain; lower scores indicate less pain). Unit of Measure: Scale units (0-4)
facial expressions analysis8 ,24,48,72 hours, and after 1week post-operativefacial expressions of the patients are assessed from their photographs and analyzed by the AI Emotion Detector mobile application. Unit of Measure: Percentage (%)

Countries

Egypt

Outcome results

None listed

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