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Evaluation of the Effect of Root Canal Shaping With TruNatomy on Postoperative Pain and Operative Torque Generated During Instrumentation

Phase 4
Completed
Conditions
Postoperative Pain
Interventions
Procedure: Root canal treatment using race rotary instruments
Procedure: Root canal treatment using TruNaomy rotary files
Registration Number
NCT04616469
Lead Sponsor
Cairo University
Brief Summary

The aim of the present study is to compare the effect of canal shaping using TruNatomy and RaCe rotary systems in bi-rooted maxillary premolars in terms of:

* Post operative pain: incidence and intensity

* Real time torque generated during mechanical instrumentation using real time torque motoring endodontic motor

* Time needed for the instruments to reach to the full working length

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Patients who are free from any physical or mental handicapping condition and no contributory systemic disease.

  • Age between 30-60 years old.

  • Males & Females.

  • Patients' acceptance for participating in the trial through an informed consent

  • Maxillary permanent premolar teeth:

    • Diagnosed clinically and radiographically with pulp necrosis
    • With or without periapical radiolucency
    • Negative response of pulp tissue to thermal and electric pulp tester
    • Possessing two independent roots each having a type I canal
    • Patent canals with no internal calcification or resorptive lesions
    • Fully formed roots
    • Root curvatures less than 30
Exclusion Criteria
  • Patient with contributory medical condition

  • Badly destructed teeth

  • Patients with pre-operative pain

  • Patients having significant systemic disorders

  • Patients with two or more adjacent teeth requiring root canal therapy

  • Patients who had received antibiotics in the last month

  • Teeth presenting with:

    • Positive response to thermal or electric pulp tester
    • History of trauma or previous endodontic treatment
    • Immature or open apices
    • Association with acute periapical abscess and swelling or fistulous tract
    • Fused roots at any level
    • Canals larger than size 15# K-file
    • Periodontonal/ endodontic lesions
    • Mobility higher than grade I
    • Radiographic evidence of external or internal root resorption vertical root fracture, perforation, calcification.
    • Severe root curvature (>30)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Root canal treatment using RaCe rotary systemRoot canal treatment using race rotary instrumentsCanal shaping using RaCe rotary system powered with endodontic motor with real time torque monitoring capacity
Root canal treatment using TruNatomy rotary systemRoot canal treatment using TruNaomy rotary filesCanal shaping using TruNatomy rotary system powered with endodontic motor with real time torque monitoring capacity
Primary Outcome Measures
NameTimeMethod
Post operative pain using visual analogue scaleat 1 week post treatment

pain after treatment would be measured with a VAS scale from 0-10 cm with zero representing the least amount of pain and 10 representing the worst pain possible

Secondary Outcome Measures
NameTimeMethod
time required for the instrument to reach the full working lengthduring treatment

time required for the the instrument to reach the full length and complete the shaping process will be calculated using a Realtime torque motoring motor

operative torque generated during instrumentationduring treatment

real time operative torque exerted on the instrument through out the shaping process and until the instrument reaches the full working length will be measured using a torque measuring motor in real time

Trial Locations

Locations (1)

Cairo University

🇪🇬

Cairo, Egypt

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