Comparative Evaluation of Impact of Sodium Hypochlorite on Physical Properties of Finishing Files of ProTaper Gold And Dia-x ProTaper An In-Vitro Randomized Control Trial.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 24
- 试验地点
- 1
- 主要终点
- Stereomicroscope and Optical microscope used to evaluate the changes of finishing files of ProTaper Gold (F2) and Dia-X ProTaper (D4).
研究概览
简要总结
The goal of the endodontic treatment is to make the root canal system free of the bacteria and its products to maximum extent, to allow healing of the inflamed apical periodontium.
Nickel titanium files have super elasticity, better cutting efficiency, and shapes canal anatomy more efficiently as compared to stainless steel manual files. Regardless of these properties, main shortcoming of Ni-Ti based files is their tendency to fracture unexpectedly inside the root canals. This abrupt file separation could be due to mechanical friction or chemical stimuli leading to the damage of surface contents (wear) and formation of micro cracks, waviness, scratches or roughness.
Sodium Hypochlorite is considered a gold standard irrigant in endodontics that renders bacteria free root canal system, but it has been postulated to have many shortcomings and certain concentrations of Sodium Hypochlorite affects the properties of Ni-Ti rotary instruments.
This clinical trial aimed to compare the physical properties (dimensional stability, deformation, surface roughness and metal slivering) and impact of 5.25% sodium hypochlorite on these physical properties of Protaper Gold finishing F2 Files and Dia-X ProTaper finishing D4 files when subjected to root canal preparation.
详细描述
It is estimated that over 95% of the reported cases of orofacial pain arises due to diseases of teeth and their associated supporting structures . There are several known etiological factors amongst which caries is the major cause of pulpal inflammation. The severity of the pulpal inflammation increases as the carious lesions progress deep into dentine and towards the pulp. This inflammatory process if left untreated triggers a cascade of events that leads to development of local or systematic pathologies. To resolve the symptoms of pulpitis, it becomes mandatory to carry out endodontic treatment by means of root canal treatment.
Root canal treatment is defined as "eradication and/or inhibition of apical periodontitis. Endodontic therapy is rendered as one of the most widely performed dental procedure as per survey conducted by AAE in 2007, the results showed the estimate of about 15.1 million RCT being performed annually in America.
Endodontic therapy is a categorization of treatment steps to eradicate the pulpal and Periapical infection from infected tooth. The therapy aims to decontaminate the tooth so that microbial invasion in future can be prevented. In case of already established Periapical lesion, root canal treatment facilitates healing of Periapical pathology, thus restoring the function of the dentition and at same time prevent reinfection of the tooth.
In order to carry out endodontic therapy successfully, the eradication of organic and inorganic debris from root canal system by means proper cleaning and shaping using chemo-mechanical debridement is compulsory. Adequate cleaning, shaping, proper irrigation and sealing of root canal is the triad for effective root canal therapy. The cleansing of the root canals is completed with the aid of endodontic files and irrigants, and later appropriate closing of the root canals by means of endodontic obturation is done.
The model of the germ theory of disease integrated with the development of dentistry had a direct effect on the practice of endodontics during the latter half of the 19TH century. The period between 1859 strengthened the importance of irrigation in endodontics when the use of syringes became frequent to remove "irritants" from root canal system and it was recommended by Taft until the mid-1940s when endodontics turn out to be a special field within dentistry and the American Endodontic Society was recognized.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Mandibular first permanent molars
- •A degree of root canal curvature ranging from 10 to 20 degree taper.
排除标准
- •Teeth with internal and external resorption
- •Teeth with calcified canals
- •Previously endodontic treated teeth
结局指标
主要结局
Stereomicroscope and Optical microscope used to evaluate the changes of finishing files of ProTaper Gold (F2) and Dia-X ProTaper (D4).
时间窗: 9 months
The change in Deformation of two file systems before and after clinical application and after exposure to Sodium Hypochlorite in root canal system.
Stereomicroscope and Optical microscope used to evaluate monitor the changes of finishing files of ProTaper Gold (F2) and Dia-X ProTaper (D4).
时间窗: 9 months
The Presence or absence of metal slivering of two file systems before and after clinical application and after exposure to Sodium Hypochlorite in root canal system.
次要结局
未报告次要终点
研究者
Iqra Kamal
Lecturer/ MDS Post graduate trainee
Dow University of Health Sciences
