Post-endodontic Pain After Single-visit Root Canal Treatment

NCT03424655 | Completed DMC

• 1 other identifier: endodontic pain 2018
• Study Type: interventional
• Target: 224
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this research was to relate the occurrence of post-endodontic pain after single-visit RCT using Balanced Force technique and three reciprocating system when AP is conserved. Methodology: All 224 patients had upper or lower molar, premolar or anterior teeth selected for conventional RCT for prosthetic reasons detected with only vital pulps. Of the sample of 224 teeth, 56 were selected to the 4 instrumentation methods. For hand instrumentation, Balanced Force were used. All canals were clean and shaped with hand Flex-R files (fMoyco/Union Broach, York PA, USA). For mechanical shaping, all instruments were used with a micro motor (VDW, Munich Germany). Twisted files adaptive, WaveOne and Reciproc instruments. Final irrigation with cold (6oC) 17% EDTA served as a lubricant.

Conditions

Relate Post-endodontic Pain

Keywords

post -endodontic pain; endodontic pain; pain

Outcome Measures

Primary Outcomes (1)

• Use of intracanal cryotherapy on post-endodontic pain after single-visit RCT using manual and reciprocating systems when Apical Patency is conserved.

  Relate the post-endodontic pain after single-visit After the root canal treatment with Balanced Force technique and three reciprocating system.

  24 hrs

Secondary Outcomes (1)

• Use of intracanal cryotherapy on post-endodontic pain after single-visit RCT

  24 hrs

Study Arms (4)

Group TFA

EXPERIMENTAL

Twisted files were used serially with a single controlled motion according to the manufacturer's instructions.

Procedure: Twisted File Adaptive

Group BF

EXPERIMENTAL

The root canals were cleaned and shaped using a #40 instrument for thin or curved canals and a #55 file for widespread canals.

Procedure: Balance Force

Group WON

EXPERIMENTAL

WaveOne files was used to prepare narrow, straight and curved canals, and a file (40.08) was used for large and wide canals.

Procedure: WaveOne

Group REC

EXPERIMENTAL

Reciproc instrument was used in thin and curved RC, and R40 files (40.06) were used in wide canals.

Procedure: Reciproc technique

Interventions

Twisted File Adaptive PROCEDURE

Twisted file adaptive SM1 (size 20, .04 taper) and SM2 (size 25, .06 taper) were used serially with a single controlled motion according to the manufacturer's instructions.

Group TFA

Balance Force PROCEDURE

Flex-R files sizes 15-45 taper .02 were used according to the technique

Group BF

WaveOne PROCEDURE

WaveOne instrument was used to prepare narrow, straight and curved canals, and file (40.08) was used for large canals. Three in-and-out motions were used with lengths not beyond 3 mm in the three thirds of the canal until reaching the estimated WL.

Group WON

Reciproc technique PROCEDURE

Reciproc files were used in wide canals. Three in-and-out motions were used with lengths not beyond 3 mm in the three thirds of the canal until reaching the estimated WL.

Group REC

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Thermal pulp examination was achieved by the corresponding author, and radiographic analysis was established by 3 certified endodontists. Clinical requirements were established on the next conditions: 1) The purposes and necessities of the research were spontaneously accepted. 2) Clinical Management was pointed to patients in physical and mental well-being. 3) All teeth had vital pulps and absence of apical periodontitis. 4) Positive thermal stimulation with EndoIce (Hygenic Corp, Akron, OH). 5) Teeth with enough coronal structure for rubber dam isolation. 6) No RCT done before the research. 7) No painkillers or antibiotics used 7 days' prior the clinical events started.

Sponsors & Collaborators

• Jorge Paredes Vieyra: lead

Study Sites (1)

Jose Clemente

Tijuana, Estado de Baja California, 22000, Mexico

Location

Related Publications (1)

• Paredes-Vieyra J, Enriquez FJ. Success rate of single- versus two-visit root canal treatment of teeth with apical periodontitis: a randomized controlled trial. J Endod. 2012 Sep;38(9):1164-9. doi: 10.1016/j.joen.2012.05.021. Epub 2012 Jul 26.

  PMID: 22892729 RESULT

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: Certified endodontists trained in the procedures, devices, and systems investigated took part in the research. All experts tracked a pre-established procedure for the Balanced Force technique, Twisted File Adaptive, WaveOne, and Reciproc instrument systems.
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Dr. Jorge Paredes Vieyra D.D.S., MsC, PhD

Model Details: teeth selected for conventional RCT for prosthetic reasons detected with only vital pulps. Of the sample of 224 teeth, 56 were selected to the 4 instrumentation methods. For hand instrumentation, Balanced Force were used. All canals were clean and shaped with hand Flex-R files (fMoyco/Union Broach, York PA, USA). For mechanical shaping, all instruments were used with a micro motor (VDW, Munich Germany). Twisted files adaptive, WaveOne and Reciproc instruments. Final irrigation with cold (6oC) 17% EDTA served as a lubricant.

Study Record Dates

• First Submitted: January 18, 2018
• First Posted: February 7, 2018
• Study Start: November 12, 2017
• Primary Completion: November 13, 2017
• Study Completion: November 14, 2017
• Last Updated: February 7, 2018

Record last verified: 2018-01

Data Sharing

• IPD Sharing: Will not share

Locations

ME (1)