Pulp necrosis
Conditions
Interventions
This is a randomized controlled clinical trial with three arms and a single blind. Participants will be selected at the School of Dentistry of the University of São Paulo, and will be eligible for inc
E06.397.778
Sponsors
Faculdade de Odontologia da Universidade de São Paulo
Faculdade de Odontologia da Universidade de São Paulo
Eligibility
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: Participants will be selected at the Faculty of Dentistry of the University of São Paulo (FOUSP); individuals classified by the American Society of Anesthesiology as ASA I and II; aged between 18 and 60 years old; both genders; single-rooted teeth with single canal; diagnosis of pulp necrosis; evidence of symptomatic or asymptomatic apical periodontitis; radiolucency with a minimum diameter of 2 x 2 mm based on the initial periapical radiograph
Exclusion criteria
Exclusion criteria: Individuals classified by the American Society of Anesthesiology as ASA III or higher; pregnancy; allergies to local anesthetics, sodium hypochlorite, latex, or Ibuprofen; tooth with probing depth greater than 3mm; mobility score grade 2 or higher; subgingival fracture or caries that makes absolute isolation difficult or is not capable of definitive restoration; root fracture; any type of root resorption; incompletely formed root apex; endodontic treatment performed; individuals who took analgesic or anti-inflammatory medication that could alter pain perception within at least 12 hours before the start of the treatment session or those who took antibiotic medication 2 weeks before the start of treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluate the success of endodontic treatment through clinical and radiographic examination and Cone Beam Computed Tomography in a period of 6 and 12 months from the completion of endodontic treatment. Through Tomography we will calculate the percentage of change in the status of the lesion size.;Evaluate the incidence of postoperative pain at 3, 6, 12, 24, 48, 72 hours and 7 days after the first and second consultation using the Visual Analog Scale (VAS) in participants undergoing endodontic treatment in the Laser Activated Irrigation, Ultrasound Activated Irrigation and Positive Pressure Irrigation groups (control group). These values ??will be compared between groups in the form of scores.;To assess quality of life using the OHIP-14 (Oral Health Impact Profile) instrument at the first consultation and after a period of 6 and 12 months from the end of endodontic treatment in all groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcomes | — |
Countries
Brazil
Contacts
Public ContactMarcella Cassal
Faculdade de Odontologia da Universidade de São Paulo
Outcome results
None listed