Pulp Necrosis
Conditions
Keywords
root canal treatment, endodontics, irrigation protocol, triton irrigation, postoperative pain, antibacterial effect
Brief summary
This randomized clinical study evaluates the antibacterial effectiveness and postoperative pain following root canal irrigation using the Triton irrigation protocol in necrotic mandibular molars. Thirty-six patients requiring root canal treatment will be included. The study aims to compare bacterial reduction and postoperative pain outcomes after treatment. Results may help improve irrigation protocols and patient comfort during endodontic therapy.
Detailed description
Root canal disinfection is a critical factor affecting the success of endodontic treatment, especially in teeth with necrotic pulps. Irrigation protocols play an essential role in reducing bacterial load inside the root canal system. The Triton irrigation protocol has been introduced to enhance antimicrobial effectiveness and improve debris removal. This randomized clinical trial will include 36 patients diagnosed with necrotic mandibular molars indicated for root canal treatment. Participants will receive treatment following the assigned irrigation protocol. Bacterial samples will be collected before and after irrigation to evaluate antibacterial effectiveness. Postoperative pain will be assessed using a standardized pain scale during the follow-up period. The findings of this study are expected to provide clinical evidence regarding the effectiveness of the Triton irrigation protocol in improving disinfection outcomes and reducing postoperative discomfort
Interventions
PROCEDUREtriton irrigation protocol
Root canal irrigation performed using Triton solution according to a standardized endodontic irrigation protocol during root canal treatment.
PROCEDUREconventional irrigation group
Participants receive conventional root canal irrigation using standard irrigation solutions during chemo-mechanical preparation according to the routine clinical protocol.
Sponsors
sara hosny mostafa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Participants and outcome assessors were blinded to group allocation, while the operator delivering the intervention was aware of the assigned treatment.
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged 18-45 years with no sex predilection * Medically free Patients with no systemic conditions that can affect post operative pain response. * Patients should not be taking any pain medications 24 hours before intervention * Positive patients' acceptance for participating in the study * Patient able to sign informed consent * Permanent mandibular molars diagnosis with pulpal necrosis with asymptomatic apical periodontitis. * Mandibular molars without any anatomical variations or severe curvatures with mesial roots configuration weine class 3 and a distal root with 2 distal canals
Exclusion criteria
* Medically compromised patients * Patients who have received antibiotic therapy within the last 2 weeks. * Pregnant or lactating women. * Patients with known allergy to any of the irrigants used. * Patients with swelling or acute peri-apical abscess or fistulous tract. * Teeth that have: * Wide or open apex . * Vital pulp tissue .
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| antibacterial effect | immediately after irrigation procedures | Reduction in bacterial count will be evaluated by microbiological sampling before and after irrigation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative pain intensity | 6, 12, 24, and 48 hours after treatment | Postoperative pain will be assessed using a Visual Analog Scale (VAS) following root canal treatment with different irrigation protocols. |
Countries
Egypt
Contacts
CONTACTsara hosny mostafa adly, BDS
PRINCIPAL_INVESTIGATORsara hosny mostafa adly, BDS
faculty of oral and dental medicine , future university in egypt
Outcome results
None listed