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

Study Overview
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Brief Summary
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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.

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

Conditions
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Irrigation Activation

Intervention / Treatment
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* Device: Irrigation activation using xp endo finisher file , new sonic eddy tip and conventional needle syringe irrigation


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Sequential Assignment
Interventional Model Description: the study will evaluate 3 groups of patients each consists of 10 participants receiving different type of irrigation activation.
Masking: Single


Arms and Interventions

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

What is the study measuring?
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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 |