Postoperative Pain Following Irrigation With Endodontic Needle, Sonic and Passive Ultrasonic Techniques

Not Applicable

• Conditions: Tooth,Non-vital
• Interventions: Device: conventional needle irrigation; Device: passive ultrasonic irrigation; Device: sonic irrigation

• Registration Number: NCT02912286
• Lead Sponsor: Cairo University

Brief Summary

The aim of this study is to compare the postoperative pain after root canal treatment following irrigation by endodontic needle, sonic and passive ultrasonic irrigation techniques.

Detailed Description

Different irrigation delivery systems are introduced to the market aiming to improve root canals disinfection. The conventional endodontic needle is commonly used because of its ease in use and good control of needle depth and irrigant volume. However it carries a higher risk of extruding the solution periapically because of positive pressure used in solution delivery.

Passive ultrasonic irrigation is a noncutting irrigation technique that is done with ultrasonically activated files with continuous or intermittent flow of irrigant. It was shown that it is effective in removing remnants of pulp tissue, dentin debris and planktonic bacteria.

The vibringe (Cavex Holland BV, Haarlem, the Netherlands) is an irrigation device that combines manual delivery and sonic activation of the irrigant.

The aim of this study is to compare the postoperative pain after root canal treatment following irrigation by endodontic needle, sonic and passive ultrasonic irrigation techniques.

Study Timeline

• Status Verified: 2016-09
• Study First Submitted: 2016-09-20
• Study First Submitted QC: 2016-09-22
• Last Update Submitted: 2016-09-22
• Study First Posted: 2016-09-23
• Last Update Posted: 2016-09-23
• Study Start: 2017-01
• Primary Completion: 2019-01
• Study Completion: 2019-05

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 57

Inclusion Criteria

• Males or Females

• Age between 16-60 years old

• Permanent Mandibular molars with:

  • Non-vital response of pulp tissue
  • Absence of spontaneous pain

Exclusion Criteria

• Pregnant females

• Patients having significant systemic disorder

• Patients received analgesics, anti-inflammatory or antibiotic in the last 24 hours

• Teeth that have:

  • Vital pulp tissues
  • Association with swelling or fistulous tract
  • Acute periapical abscess
  • Greater than grade I mobility
  • Pocket depth greater than 5mm
  • Previous endodontic treatment

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
conventional needle irrigation	conventional needle irrigation	side-vented needle used for endodontic irrigation
passive ultrasonic irrigation	passive ultrasonic irrigation	IrriSafe ultrasonic tip used for irrigation agitation in endodontic treatment
sonic irrigation	sonic irrigation	Vibringe is a sonic irrigation system used to irrigate and activate the irrigant at same time

Primary Outcome Measures

Name	Time	Method
postoperative pain measured by numerical rate scale	4 hours after treatment	Numerical rate scale (NRS) consists of a line graded from 0-10 where 0 indicates no pain and 10 indicates worst pain, patient will choose the number that describe his pain level.