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Postoperative Pain After Using Reciprocating Motion With Reciproc Files Versus Adaptive Motion With Twisted File Adaptive

Not Applicable
Conditions
Postoperative Pain
Interventions
Device: Twisted file adaptive
Device: Reciproc
Registration Number
NCT03338322
Lead Sponsor
Cairo University
Brief Summary

assess the effect of using reciprocating motion with reciproc files versus adaptive motion using twisted file adaptive on postoperative pain after instrumentation of necrotic mandibular molars.

Detailed Description

In root canal treatment of mandibular molar teeth in patients having necrotic pulp with symptomatic or asymptomatic apical periodontitis, Is there difference in postoperative pain after instrumentation between two different kinematics; adaptive motion using Twisted File Adaptive and reciprocation motion using Reciproc

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
56
Inclusion Criteria
  1. Patients who are medically free from any systemic disease that may contraindicate our interventions.
  2. Patient's age between 18-60 years old.
  3. Mandibular molars having necrotic pulps with symptomatic or asymptomatic apical periodontitis because this group of patients may have more postoperative pain than vital teeth22.
  4. Positive patient's acceptance for participation in the study.
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Exclusion Criteria
  1. Patients who had used any type of analgesic medication during the preceding 12 hours before the treatment to give true response of pain after instrumentation.
  2. Teeth with vital pulps or Symptomatic irreversible pulpitis.
  3. Pregnant patients or lactating because of radiographic hazards and use of analgesics27.
  4. Any known sensitivity or adverse reactions to ibuprofen.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Twisted file adaptiveTwisted file adaptiveFiles that are used in root canal preparation in adaptive motion
ReciprocReciprocReciproc files are used in root canal preparation with reciprocation motion
Primary Outcome Measures
NameTimeMethod
Post instrumentation painup to 7 days

post instrumentation pain will be recorded by the patient using numerical rating scale (0-10) will be used to record pain intensity

Secondary Outcome Measures
NameTimeMethod
Colony forming units6 hours

calculation of colony forming units before and after instrumentation

analgesic intakeup to 7 days

number of analgesic intake will be recorded by the patient

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