Effect of Apical Third Enlargement to Different Taper and Master Apical Preparation Size on Periapical Healing and Postoperative Pain After Primary Single Sitting Non Surgical Root Canal Treatment
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 270
- 试验地点
- 1
- 主要终点
- periapical healing using the Periapical index score
研究概览
简要总结
To Determine Effect Of Apical Third enlargement To Different Taper And Master Apical Preparation Size On Periapical Healing And Postoperative Pain After Primary Single Sitting Non Surgical Root Canal Treatment : A Randomized Clinical Trial
详细描述
The primary goal of endodontic therapy is to eradicate microbial infection within the root canal system and prevent reinfection. Thorough debridement and disinfection of the apical third are crucial, as this region serves as a reservoir for residual microorganisms.
Till date, only four clinical trials have analysed the effect of apical canal preparation size on treatment outcomes. Out of the four clinical trials one retrospective in nature, Hoskinson study no improvement in radiographic and clinical outcome with an increase in the master apical file .
Souza (2012) conducted clinical trial in necrotic pulp and concluded that apical third enlargement does not alter endodontic treatment outcomes.
Saini (2012) stated that enlarging the canal three sizes beyond the first apical binding file is sufficient.
Fatima (2021) found that preparing the apical region in two sizes larger the initial apical binding file (IABF) with a 4% taper is inadequate, leading to significantly lower success rates compared to larger preparation sizes and greater tapers .
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •18-65 years of age of either sex
- •Asymptomatic teeth having pulpal necrosis with apical periodontitis in a mandibular molar (no response to EPT or cold test)
- •Radiographic evidence of periapical radiolucency corresponding to a periapical index (PAI) score >/=3 in mesial root of mandibular molars
排除标准
- •Patients who were medically compromised
- •Patients with initial apical binding file (IABF) size more than 20
- •Pregnancy; lactation & contraceptives.
- •Positive history of antibiotic use within the past month or required antibiotic premedication for dental treatment (including infective endocarditis or pros thetic joint prophylaxis -
研究组 & 干预措施
GROUP A HAVING MASTER APICAL FILE SIZE # 25
group a is further dived into 3 further subgroup a1 2% taper a2 4% taper a3 6% taper
干预措施: root canal treatment with 2% taper (Procedure)
GROUP A HAVING MASTER APICAL FILE SIZE # 25
group a is further dived into 3 further subgroup a1 2% taper a2 4% taper a3 6% taper
干预措施: root canal treatment with 6 %taper (Procedure)
GROUP B HAVING MASTER APICAL FILE SIZE # 30
GROUP B is further divide into 3 further subgroup b1 2% taper b2 4 % taper b3 6 % taper
干预措施: root canal treatment with 2% taper (Procedure)
GROUP A HAVING MASTER APICAL FILE SIZE # 25
group a is further dived into 3 further subgroup a1 2% taper a2 4% taper a3 6% taper
干预措施: root canal treatment with 4% taper (Procedure)
GROUP B HAVING MASTER APICAL FILE SIZE # 30
GROUP B is further divide into 3 further subgroup b1 2% taper b2 4 % taper b3 6 % taper
干预措施: root canal treatment with 4% taper (Procedure)
GROUP B HAVING MASTER APICAL FILE SIZE # 30
GROUP B is further divide into 3 further subgroup b1 2% taper b2 4 % taper b3 6 % taper
干预措施: root canal treatment with 6 %taper (Procedure)
GROUP C HAVING MASTER APICAL FILE SIZE # 35
GROUP C is further divide into 3 subgroups c1 2 % taper c2 4 % taper c3 6 % taper
干预措施: root canal treatment with 2% taper (Procedure)
GROUP C HAVING MASTER APICAL FILE SIZE # 35
GROUP C is further divide into 3 subgroups c1 2 % taper c2 4 % taper c3 6 % taper
干预措施: root canal treatment with 4% taper (Procedure)
GROUP C HAVING MASTER APICAL FILE SIZE # 35
GROUP C is further divide into 3 subgroups c1 2 % taper c2 4 % taper c3 6 % taper
干预措施: root canal treatment with 6 %taper (Procedure)
结局指标
主要结局
periapical healing using the Periapical index score
时间窗: 12 month follow up
Description: Periodical status will be assessed in periapical radiograph • Periapical status will be checked according to periapical index given by Orstavik * Scoring of periapical radiolucency of each tooth will be done according to the following 5 point scale (PAI score) * Score 1- Normal periapical structure * Score 2- Small changes in bone structure * Score 3- Changes in bone structure with some mineral loss * Score 4- Periodontitis with well-defined radiolucent area * Score 5- Severe periodontitis with exacerbating features Time Frame: 12MONTHS
次要结局
- post operative pain(Baseline and at 24 hours, Day 2, Day 3, Day 4, Day 5, Day 6 and Day 7 after the treatment)