Comparison Between Two Type of Irrigation Systems
Conditions
Brief summary
The main goal of clinical trail to compare obturation quality and lateral canal sealer fill between ultrasonic activated and conventional irrigation in root canal treatment. HYPOTHESIS There is a difference in obturation quality and lateral canal fill between ultrasonic activated irrigation results as compared to conventional irrigation technique in root canal treatment. Eligible patients will be recruited from the Endodontics Department at Peshawar Dental College who present with pain and sensitivity in mandibular teeth and are advised root canal treatment after clinical examination and X-ray. Patients will be screened according to inclusion and exclusion criteria and informed written consent will be taken. This will be a double-blinded study, and demographic and tooth-related information will be recorded. Participants will be randomized into two groups using block randomization with a block size of six. The Non-Ultrasonic group will receive conventional irrigation using syringe, 3% sodium hypochlorite, and Tg sealer, while the Ultrasonic group will be irrigated using the VAT-3 ultrasonic activator with the same solution and sealer. Pre- and post-operative radiographs will be taken to evaluate obturation quality and lateral canal fill in terms of length, density, and taper using a standardized proforma.
Interventions
OTHERULTRASONIC IRRIGATION TECHNIQUE
The utilization of theVAT-3 ultrasonic activator high frequency device (45KHz± 5kHz) \[Refine\] for the Ultrasonic Activated Irrigation group and same solution of 3% sodium hypochlorite and Tg Sealer will be used. Post-operative radiographs will be obtained to assess the obturation quality and lateral canal fill. A detailed radiographic proforma will be employed to evaluate the length, density, taper of the root canal filling, and lateral canal fill . Each of these components will be scored individually, and an overall Obturation Quality Score is calculated by summing these scores.
OTHERNON-ULTRASONIC CONVENTIONAL IRRIGATION TECHNIQUE
The root canal treatment is then performed as per the assigned group, with conventional irrigation involving the use of syringes and 3% sodium hypochlorite solution and Tg Sealer for the Non-Ultrasonic Conventional Irrigation group.A detailed radiographic proforma will be employed to evaluate the length, density, taper of the root canal filling, and lateral canal fill . Each of these components will be scored individually, and an overall Obturation Quality Score is calculated by summing these scores.
Sponsors
Prime Foundation
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Both male and female * Age group adults 18 to 70 years * Patients presenting with pain and sensitivity in mandibular molars and advised root canal treatment after examination and x ray
Exclusion criteria
* Teeth with complex root canal anatomy that may complicate the obturation process * Pregnancy * Medically compromised patients including uncontrolled diabetes -cardiovascular disease immunodeficiency disorders bleeding disorders and -severe respiratory disease * Patients who refused to participate in this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To compare obturation quality and lateral canal sealer fill between ultrasonic activated and conventional irrigation in root canal treatment | Immediate, after completion of procedure | Obturation Quality and Lateral Canal Fill:- This will involve evaluating the length of the root canal filling in the main canals, assessing the homogeneity (density) of the obturation material, determining the taper of the root canal filling, and examining the sealer's penetration into lateral canals using postoperative radiographs. The radiographs will be reviewed independently by two senior endodontists. A scoring system will be applied, and each of the three parameters will be individually assessed. Lateral Canal:- A type of accessory canal located in the coronal or middle third of the root, usually extending horizontally from the main canal space. |
Countries
Pakistan
Contacts
Primary ContactDr. Syed Shahbaz Ali Shah
Outcome results
None listed