Status:

UNKNOWN

Assessment of Postoperative Pain and Bacterial Load Reduction After Using TruNatomy and ProTaper Next Rotary Systems in Patients With Necrotic Mandibular Molars: A Randomized Clinical Trial

Lead Sponsor:

Cairo University

Conditions:

Endodontic Treatment

Eligibility:

All Genders

22-45 years

Phase:

NA

Brief Summary

This study aims to assess the effect of rotary instrumentation using ProTaper Next rotary system versus TruNatomy rotary system on postoperative pain and the bacterial load reduction following single ...

Detailed Description

In the last years several rotary systems had launched to the market for mechanical preparation. The new era in the mechanical instrumentation aims to preserve the maximum amount of the peri-cervical d...

Eligibility Criteria

Inclusion

  • \- Medically free patients.
  • Mandibular permanent molar teeth:
  • Diagnosed clinically with pulp necrosis.
  • Absence of spontaneous pain.
  • Slight widening in the periodontal membrane space or with periapical radiolucency
  • Patient's age ranges between 22 to 45 years with no sex predilection.
  • Patients who can understand Modified Visual Analogue Scale (VAS).
  • Patients' acceptance to participate in the trial.
  • Patients able to sign informed consent.

Exclusion

  • \- Medically compromised patients: Pain levels and healing following treatment would be compromised as these patients have shown higher incidence of pain and lower healing rate.
  • Pregnant women: Avoid radiation exposure, anesthesia, and medication.
  • If analgesics or antibiotics have been administrated by the patient during the past 24 hours preoperatively might alter their pain perception.
  • Patients reporting bruxism or clenching: Avoid further pressure on an already inflamed tooth inducing subsequent irritation and inflammation.
  • Teeth that show association with acute periapical abscess and swelling: Need special treatment steps which could involve additional visits with incision and drainage. Also, it could influence initiation and progression of postoperative pain.
  • Greater than grade I mobility or pocket depth greater than 5mm. Need special surgical and/or periodontal therapy.
  • No restorability: Hopeless tooth.
  • Vital teeth.
  • Immature teeth.
  • Radiographic evidence of external or internal root resorption vertical root fracture, perforation, calcification.

Key Trial Info

Start Date :

September 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2022

Estimated Enrollment :

34 Patients enrolled

Trial Details

Trial ID

NCT04862702

Start Date

September 1 2021

End Date

September 1 2022

Last Update

April 28 2021

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Assessment of Postoperative Pain and Bacterial Load Reduction After Using TruNatomy and ProTaper Next Rotary Systems in Patients With Necrotic Mandibular Molars: A Randomized Clinical Trial | DecenTrialz