Dental Pulp Necrosis
Conditions
Keywords
Root canal treatment, Obturation, Sealer, Postoperative pain
Brief summary
Postoperative pain is an important consideration in endodontic treatment, and its incidence may be influenced by both obturation technique and sealer type. This study focused on molars to minimize anatomical variability and provide a consistent assessment of pain associated with different endodontic protocols. This study aimed to evaluate the incidence and level of postoperative pain in molars treated with root canal therapy, in relation to the type of sealer and obturation technique used.
Detailed description
One hundred and twenty patients (aged 18-60 years; 63 males, 57 females) requiring root canal treatment of mandibular or maxillary molars will be included. Only teeth with necrotic pulp and asymptomatic apical periodontitis or previously extirpated pulp are considered. Patients will be randomly assigned to one of four groups (30 patients each): Group A-AH Plus resin sealer with cold lateral compaction (AH-CLC); Group B-AH Plus with warm vertical compaction (AH-WVC); Group C-TotalFill bioceramic sealer with single-cone technique (TF-SC); Group D-TotalFill HiFlow with warm vertical compaction (TF-WVC). Postoperative pain will be self-recorded using the Visual Analog Scale (VAS) and Verbal Rating Scale (VRS) at 6 hours, 1 day, 2 days, 3 days, and 1 week after treatment. Completed forms will be collected when patients returned for permanent coronal restoration. Analgesic use was also recorded. Data will analyzed using one way ANOVA and Chi square tests.
Interventions
PROCEDUREObturation of root canals
filling of root canal using different materials of resin based or bioceramic based and cold lateral condensation or warm vertical condenstion techniques
Sponsors
Jordan University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
The patient is blinded to the type of treatment, the operator is partly blinded until the stage of filling material placement since blinding at this point is not possible due to material differences
Intervention model description
Patients will be randomly assigned into four treatment methods
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
1. both male and female patients within 2. The age of 18-60 years old who required root canal treatment 3. Either mandibular or maxillary molars with the diagnosis of either; necrotic pulp with asymptomatic apical periodontitis, 4. Teeth with pulp extirpated ( previously initiated root canal treatment) regardless of the periapical status
Exclusion criteria
1. Teeth diagnosed with irreversible pulpitis; 2. Teeth with intracanal abberations or mishaps such as perforations, transportation, severe ledging , broken instruments, apical resorption or open apices; 3. Teeth requiring posts; 4. Any patient on long term steroid or any other medical condition that requires long term analgesic.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain level after obturation of root canals | 6 hours, 1 day, 2 days, 3 days and 1 week | The level of pain the patient will experience after obturation of the teeth using a visual analogue scale and a numerical scale from 0-10. Zero is the minimum and 10 is the maximum. The higher the score the worse it is, the best technique will have low scores of pain |
Countries
Jordan
Contacts
STUDY_CHAIRAhmad Alhiyasat, PhD
Jordan University of Science and Technology
Outcome results
None listed