Comparing Between XP Endo Finisher and Conventional Irrigation Method On Post-Operative Flare Ups In Necrotic Teeth

Not Applicable

• Conditions: Dental Pulp Necroses
• Interventions: Procedure: XP Endo Finsher as final step of the irrigation protocol; Procedure: Conventional needle irrigation only

• Registration Number: NCT02952326
• Lead Sponsor: Cairo University

Brief Summary

Comparing the postoperative flare ups and pain after adding the XP Endo Finisher to the final irrigation protocol on necrotic mandibular premolars.

Detailed Description

patients are randomized into 2 groups after meeting the eligibility criteria,

1. Each patient will be given pain scale chart in order to record his /her pain level before any intervention.

2. The tooth is anesthetized, accessed and mechanical instrumentation to be made 3 A) For the experimental group: The canals will be thoroughly irrigated using 3ml syringe of 2.5% Sodium hypochlorite between every subsequent instrument. XP Endo finisher is used after the last instrument in preparation

B) For the control group :

The canals will be thoroughly irrigated using 3ml syringe of 2.5% Sodium hypochlorite between every subsequent instrument.

4) Obturation is done and postoperative instructions are given to the patient

Study Timeline

• Study First Submitted: 2016-10-31
• Study First Submitted QC: 2016-10-31
• Status Verified: 2016-11
• Study First Posted: 2016-11-02
• Last Update Submitted: 2016-11-14
• Last Update Posted: 2016-11-15
• Study Start: 2016-12
• Primary Completion: 2017-11
• Study Completion: 2018-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

i. Age between 18-50 years old. ii. Males or Females. iii. mandibular Premolars

• Asymptomatic.
• Non-vital response of pulp tissue (negative response).
• With or without periapical radiolucency.

Exclusion Criteria

i. Patients allergic to penicillin. ii. Pregnant females. iii. Patients having significant systemic disorder. iv. If antibiotics have been administrated during the past two weeks preoperatively.

v. Patients having bruxism or clenching. vi. Teeth that have :

• Vital pulp tissues.
• Association with swelling
• Acute peri-apical abscess
• Periodontally affected teeth
• No possible restorability
• Previous endodontic treatment.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
XP Endo Finisher	XP Endo Finsher as final step of the irrigation protocol	-
Conventional needle irrigation	Conventional needle irrigation only	-

Primary Outcome Measures

Name	Time	Method
Post-operative pain recorded by the patient using a four step pain scale (0-3)	up to 5 days after the treatment

Secondary Outcome Measures

Name	Time	Method
Post-operative swelling	up to 5 days after the treatment
Need\ number of Analgesic tablets	up to 5 days after the treatment
Need for systemic antibiotics	up to 5 days after the treatment