Effect of Different Irrigation Activating Techniques on Irrigant Penetration Depth and on Post-Operative Pain

Effect of Different Irrigation Activating Techniques on Irrigant Penetration Depth Into Root Canals and on Post-Operative Pain After Single-Visit Endodontic Treatment

Irrigation activation in endodontics is considered now a very important step for the success of root canal treatment. In this study, the investigator will examine the effect of two recent activation systems ( XP-endo Finisher file and the new sonic EDDY system) in comparison with the conventional needle irrigation on irrigant penetration depth into root canals using radiopaque contrast media and digital radiography and on the postoperative pain after single-visit endodontic treatment using a visual analog scale.

Study Overview

• Status: Completed
• Conditions: Irrigation Activation
• Intervention / Treatment: Device: Irrigation activation using xp endo finisher file , new sonic eddy tip and conventional needle syringe irrigation

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: yara fawzy kotb Elgazzar, B.D.S (2016); Phone Number: +02 01113674317; Email: yara.fawzy@dent.tanta.edu.eg

Study Locations

• Egypt
  • Tanta, Egypt
    • Faculty of Dentistry, Tanta University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 50 years (Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Asymptomatic vital/non vital teeth requiring root canal treatment.
• Teeth with sound periodontal apparatus.
• Teeth without pus or inflammatory exudates draining through the canal.
• Teeth without anatomic variations.
• Teeth with sinus tract.
• Teeth without history of trauma.
• Patients not on analgesics or sedative medication prior to root canal therapy

Exclusion Criteria:

• • Patients with any systemic diseases.

  • Pregnant or lactating patients.
  • Immunocompromised patients.
  • Apparently thin roots in which apical preparation with #40 file would be overzealous.
  • Patient allergic to anything used in this procedure especially rubber dam material and Iohexol (radiographic contrast media).
  • Teeth with calcified canals.
  • Patients with acute apical periodontitis, acute apical abscess, and weeping canals.
  • Necrotic painful teeth with the absence of sinus tract for drainage.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Sequential Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: xp endo finisher file	Device: Irrigation activation using xp endo finisher file , new sonic eddy tip and conventional needle syringe irrigation; irrigation activation using 3 different irrigation activation systems including xp endo finisher file , new sonic eddy system and conventional needle syringe irrigation
Other: new sonic EDDY system	Device: Irrigation activation using xp endo finisher file , new sonic eddy tip and conventional needle syringe irrigation; irrigation activation using 3 different irrigation activation systems including xp endo finisher file , new sonic eddy system and conventional needle syringe irrigation
Other: syringe needle irrigation	Device: Irrigation activation using xp endo finisher file , new sonic eddy tip and conventional needle syringe irrigation; irrigation activation using 3 different irrigation activation systems including xp endo finisher file , new sonic eddy system and conventional needle syringe irrigation

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
irrigant penetration depth	measurement of irrigant penetration depth using radioaque media and digital radiography	through study completion, an average of 3 months
postoperative pain	evaluation of postoperative pain using visual analog scale VAS with scores from 0 to 100. score 0 indicated no pain while score 100 indicates maximum pain	through study completion, an average of 3 months

Collaborators and Investigators

• Sponsor: Tanta University

Study record dates

Study Major Dates

• Study Start (Actual): August 1, 2022
• Primary Completion (Actual): November 12, 2022
• Study Completion (Actual): November 25, 2022

Study Registration Dates

• First Submitted: June 18, 2022
• First Submitted That Met QC Criteria: July 4, 2022
• First Posted (Actual): July 8, 2022

Study Record Updates

• Last Update Posted (Actual): May 19, 2023
• Last Update Submitted That Met QC Criteria: May 17, 2023
• Last Verified: May 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Postoperative Complications; Pain; Neurologic Manifestations; Pain, Postoperative
• Other Study ID Numbers: Elgazzar YF1

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: Yes
• product manufactured in and exported from the U.S.: Yes