Comparison of Different Irrigation Activation Techniques on Postoperative Pain After Endodontic Treatment

Overview

The aim of this study is to evaluate the effect of different irrigation activation methods on postoperative pain using visual analog scale (VAS) using Xp-endo Finisher, EndoActivator and Passive ultrasonic irrigation activation techniques with traditional irrigation method. In this study, Traditional Irrigation (GI), Xp-endo Finisher (XPF), Passive Ultrasonic Irrigation (PUI), EndoActivator (EA) techniques will be used for irrigation activation. Twenty-five maxillary or mandibular single root and canal-shaped nonvital teeth will used in each group. Root canals will be prepared with TF-Adaptive system. Four different activation techniques will be applied during final irrigation. The canal treatments will be completed in one stage and postoperative pain analysis will be taken with VAS (Visual Analog Scale) scale after 12-24-48 hours. Statistical analysis will be performed with Mann Whitney-U test.

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: N/A
    • Intervention Model: Single Group Assignment
    • Primary Purpose: Treatment
    • Masking: None (Open Label)
  • Study Primary Completion Date: September 14, 2019

Detailed Description

Vaious irrigation activation techniques have been used endodontic practice. These techniques are used to improve the activity of solutions. The selected techniques in this study are accepted as efficient methods for activation. However, postoperative pan is an important issue for clinicians. Thus, Traditional Irrigation (GI), Xp-endo Finisher (XPF), Passive Ultrasonic Irrigation (PUI), EndoActivator (EA) techniques will be used for irrigation activation. All techniques remove hard and soft tissue remnants successfully. The clinician expect to eliminate the postoperative pain. Therefore, a possible increase in pain due to activation technique may limit the use of these methods. The pain scores will be measured using the scale and statistically analyzed.

Interventions

  • Procedure: Traditional Irrigation
    • irrigation with syringe
  • Device: Xp-endo Finisher (XPF)
    • irrigation activation file
  • Device: Passive Ultrasonic Irrigation
    • irrigation activation method
  • Device: EndoActivator
    • irrigation activation method

Arms, Groups and Cohorts

  • Other: irrigation activation method
    • Irrigation activation is a crucial stage of root canal treatment. Therefore, the effect of activation methods on post treatment is an important fact for the comfort of patients.

Clinical Trial Outcome Measures

Primary Measures

  • Incidence of postoperative after endodontic treatment
    • Time Frame: 0-48 hours
    • The incidence and severity of pain will be evaluated by using visual analog scale (VAS). The severity of pain varies between 0 to 10, in which 0 means no pain, whislt 10 means unbearable pain.

Participating in This Clinical Trial

Inclusion Criteria

  • nonvital tooth – single rooted tooth Exclusion Criteria:

  • tooth not requiring root canal treatment – patients under 18 years old – vital tooth – tooth having more than 1 canal

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 65 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Bulent Ecevit University
  • Provider of Information About this Clinical Study
    • Principal Investigator: Mustafa Murat Koçak, Associate professor – Bulent Ecevit University

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