Effect of Manual Glide Path Establishment on Endodontic Postoperative Pain
Effect of Manual Glide Path Versus Mechanical Glide Path Establishment on Endodontic Postoperative Pain. A Randomized Clinical Trial
All patients will be treated in a single session approach regardless of the group. All molars will be anesthetized either through infiltration in case of maxillary molars or inferior alveolar nerve block in case of mandibular molars using Octocaine 2% with epinephrine 1: 100,000 (Lidocaine HCl, Novocol Pharmaceutical, Ontario, Canada.). Rubber dam will be applied; and access will be opened using Endo access bur.
In group A manual glide path will be established using manual thermal treated stainless-steel files in a watch winding maneuver. In group B glide path will be established using rotary Ni-Ti files in a reciprocating maneuver. Coronal flaring will be performed using Gates Glidden drill #3 in a brushing motion away from dangerous zone. Root canals will be copiously irrigated using 10 ml 2.5% sodium hypochlorite NaOCl (Clorox; Egyptian Company for household bleach, Egypt) delivered using 28 Gauge safety Steri Irrigation Tip (DiaDent Group International, Burnaby, BC, Canada) inserted 3 mm below cementoenamel junction. Working length will be determined using electronic apex locator Root ZX II (J. Morita Mfg. Corp, Kyoto, Japan) and confirmed radiographically using parallel technique with receptor holding device. Canals were irrigated again with 10ml 1.5% NaOCl, which was delivered 2mm coronal to apical canal terminus. Irrigation was hydro-dynamically agitated with EndoActivator device (Dentsply Maillefer, Baillagues, Switzerland) using blue tips #30/06 inserted 2mm short of working length for 60 seconds.
研究概览
详细说明
All patients will be treated in a single session approach regardless of the group. All molars will be anesthetized either through infiltration in case of maxillary molars or inferior alveolar nerve block in case of mandibular molars using Octocaine 2% with epinephrine 1: 100,000 (Lidocaine HCl, Novocol Pharmaceutical, Ontario, Canada.). Rubber dam will be applied; and access will be opened using Endo access bur.
In group A manual glide path will be established using manual thermal treated stainless-steel files in a watch winding maneuver. In group B glide path will be established using rotary Ni-Ti files in a reciprocating maneuver. Coronal flaring will be performed using Gates Glidden drill #3 in a brushing motion away from dangerous zone. Root canals will be copiously irrigated using 10 ml 2.5% sodium hypochlorite NaOCl (Clorox; Egyptian Company for household bleach, Egypt) delivered using 28 Gauge safety Steri Irrigation Tip (DiaDent Group International, Burnaby, BC, Canada) inserted 3 mm below cementoenamel junction. Working length will be determined using electronic apex locator Root ZX II (J. Morita Mfg. Corp, Kyoto, Japan) and confirmed radiographically using parallel technique with receptor holding device. Canals were irrigated again with 10ml 1.5% NaOCl, which was delivered 2mm coronal to apical canal terminus. Irrigation was hydro-dynamically agitated with EndoActivator device (Dentsply Maillefer, Baillagues, Switzerland) using blue tips #30/06 inserted 2mm short of working length for 60 seconds. Root canals will be shaped using ProTaper next rotary Ni-Ti files (Dentsply Maillefer, Baillagues, Switzerland). Finally, Root canals will be obturated using cold lateral compaction technique. The molars will be permanently restored using composite resin restoration and will be scheduled for extra coronal restoration.
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:Heba A ElAsfouri, AssProfessor
- 电话号码:+201005276232
- 邮箱:heba.elasfouri@dentistry.cu.edu.eg
研究联系人备份
- 姓名:Mostafa I Negm
- 电话号码:00201227696110
- 邮箱:mostafaibrahim923@gmail.com
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Patient age above 18-70 years old.
- Both males and females will be included.
- All patients are in a good health without systemic condition.
- The offending tooth is a molar.
- The offending molar is indicated for root canal treatment.
- One molar for every patient.
- All patients will sign an informed consent.
Exclusion Criteria:
- 1. The offending tooth has previous attempt of pulp therapy or root canal treatment.
- 2. The patient showing any clinical or radiographic evidence of periapical pathosis.
3. Patients received analgesics or systemic antibiotic prior to treatment.
-.4 Immunocompromised patients.
- 5. Any unknown infectious disease (e.g. HBV, HCV, HIV, or T.B.)
- 6. History of cancer with radio or chemotherapy.
- 7. Offending molar with mobility score ≥2.
- 8. Offending molar with pocket depth ≥6mm.
- 9. Immature molars.
- 10. Nonodontogenic pain.
- 11. Patients with more than one tooth requiring endodontic intervention.
学习计划
研究是如何设计的?
设计细节
- 主要用途:预防
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:双倍的
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
实验性的:Manual glide path
manual glide path will be established using manual thermal treated stainless-steel files in a watch winding maneuver
|
manual glide path will be established using manual thermal treated stainless-steel files in a watch winding maneuver. .
Coronal flaring will be performed using Gates Glidden drill #3 in a brushing motion away from dangerous zone.
|
实验性的:mechanical glide path
glide path will be established using rotary Ni-Ti files in a reciprocating maneuver
|
glide path will be established using rotary Ni-Ti files in a reciprocating maneuver.
Coronal flaring will be performed using Gates Glidden drill #3 in a brushing motion away from dangerous zone.
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
postoperative pain
大体时间:after 4 hours after root canal treatment
|
postoperative pain after root canal treatment using VAS
|
after 4 hours after root canal treatment
|
postoperative pain
大体时间:after 6hours after root canal treatment
|
postoperative pain after root canal treatment using VAS
|
after 6hours after root canal treatment
|
postoperative pain
大体时间:after 12hours after root canal treatment
|
postoperative pain after root canal treatment using VAS
|
after 12hours after root canal treatment
|
postoperative pain
大体时间:after 24hours after root canal treatment
|
postoperative pain after root canal treatment using VAS
|
after 24hours after root canal treatment
|
postoperative pain
大体时间:after 48 hours after root canal treatment
|
postoperative pain after root canal treatment using VAS
|
after 48 hours after root canal treatment
|
合作者和调查者
出版物和有用的链接
研究记录日期
研究主要日期
学习开始 (预期的)
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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Manual glide path的临床试验
-
Weill Medical College of Cornell UniversityNational Institute on Aging (NIA)招聘中
-
Weill Medical College of Cornell UniversityNational Institute of Mental Health (NIMH)完全的
-
Case Western Reserve UniversityUniversity of Washington; University of Delaware完全的
-
University of PittsburghNational Institute of Nursing Research (NINR)完全的
-
University of NebraskaNational Institute of Nursing Research (NINR)完全的
-
Indiana UniversityHealth Information Technology Solutions (HITS) LLC撤销心理健康障碍 | 创伤后应激障碍 | 物质使用障碍 | 青春期行为