Apical Patency, Periapical Lesion Volume, and Postoperative Pain After Root Canal Treatment
Effect of Apical Patency and Periapical Lesion Volume on Postoperative Pain: A CBCT-Based Volumetric Clinical Study
Effect of Apical Patency and Periapical Lesion Volume on Postoperative Pain: A CBCT-Based Volumetric Clinical Study
Sponsor study identifier
interventional
113
1 country
1
Study Start
May 22, 2025
Actual (reported)Primary Completion
December 25, 2025
Actual (reported)Study Completion
December 25, 2025
Actual (reported)This prospective clinical study evaluated whether maintaining apical patency during single-visit root canal treatment influences postoperative pain in adults with single-rooted maxillary anterior teeth and chronic apical periodontitis. Participants were systematically allocated in consecutive order to treatment with apical patency or treatment without apical patency. The study also evaluated the relationship between baseline periapical lesion volume measured on clinically indicated cone-beam computed tomography images and postoperative pain.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
December 25, 2025
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
May 22, 2025
Actual (reported)December 25, 2025
Actual (reported)December 25, 2025
Actual (reported)August 14, 2026
Actual (reported)August 24, 2026
Actual (reported)Postoperative Pain Intensity
Postoperative pain intensity was assessed using a 100-mm visual analog scale (VAS), where 0 mm indicated no pain and 100 mm indicated unbearable pain. Participants recorded the highest pain experienced during each predefined postoperative interval.
8 hours, 24 hours, 3 days, 5 days, and 7 days after root canal treatment
Number of Participants Who Used Any Postoperative Analgesic Medication
From completion of root canal treatment through Day 7
Baseline Periapical Lesion Volume
Baseline, before root canal treatment
Participants received standardized single-visit root canal treatment. During canal preparation, a #10 stainless-steel K-file was passively advanced approximately 0.5-1 mm beyond the working length after each rotary instrument to maintain apical patency. No intentional apical enlargement or dentin removal was performed.
Participants received the same standardized single-visit root canal treatment, but canal preparation was confined to the working length and no instrument was intentionally extended beyond the apical foramen.
A #10 stainless-steel K-file was passively advanced approximately 0.5-1 mm beyond the working length after each rotary instrument during standardized single-visit root canal treatment.
Standardized single-visit root canal treatment was performed with instrumentation confined to the working length and without intentional passage of an instrument beyond the apical foramen.
Recep Tayyip Erdoğan University Faculty of Dentistry, Department of Endodontics
Rize, Turkey (Türkiye)
Fatma Pertek Hatipoğlu
Recep Tayyip Erdogan University
113 participants (actual enrollment reported by the registry).
First Submitted
August 14, 2026
First Posted
August 24, 2026
Study Start
May 22, 2025
Actual (reported)Retreatment and Diabetes
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Primary Completion
December 25, 2025
Actual (reported)Study Completion
December 25, 2025
Actual (reported)Last Updated
August 24, 2026
Record last verified: 2026-08
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Source: ClinicalTrials.gov.
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