Postoperative Pain After the Use of Different Last Irrigation Method During Root Canal Treatment in Primary Teeth

Study Overview
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Brief Summary
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This study was to evaluate and compare the postoperative pain levels after using EndoActivator and conventional endodontic syringe irrigation in root canal therapy of primary molars.

Official Title
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A Comparative Evaluation of the Effect of EndoActivator and Endodontic Syringe Usage on Postoperative Pain in Root Canal Irrigations in Primary Molar Teeth: A Randomized Clinical Study

Conditions
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Post Operative Pain

Intervention / Treatment
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* Other: Irrigation Method


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients exhibiting positive or definitely positive behavior on the Frankl's behavior rating scale (rating 3 or 4 on the Frankl's scale) American Society of Anesthesiologists class 1 patients aged 5-9 years Patients with symptomatic irreversible pulpitis of maxillary primary molars confirmed using periapical radiographs, percussion, and cold test Patients having teeth with two-thirds of each root remaining Absence of periapical lesions and interradicular radiolucency Moderate to very severe (2-4) five-face scale pain scores in the 24-hour period before the procedure. Exclusion Criteria: Patients who had taken analgesics and antibiotics within the last 12 hours before root canal treatment Teeth with pathologic root resorption Teeth with excessive mobility.

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 9 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: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: EndoActivator<br> | Other: Irrigation Method<br>* Irrigation Method<br>|
| Experimental: Conventional Endodontic Syringe<br> | Other: Irrigation Method<br>* Irrigation Method<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain level comparison after root canal treatment with two different irrigation methods:The five-face pain scale chart at 8th hours | Pain levels according to the five-face scale were recorded numerically as no pain (0), mild pain (1), moderate pain (2), severe pain (3), or very severe pain (4). All participants and their parents were informed by a blind researcher about filling out the five-face pain scale chart. To achieve standardization, pain levels were recorded by the participants under the same parent's guidance at each time interval. | 8th hours | 
| Pain level comparison after root canal treatment with two different irrigation methods:The five-face pain scale chart at 24th hours | Pain levels according to the five-face scale were recorded numerically as no pain (0), mild pain (1), moderate pain (2), severe pain (3), or very severe pain (4). All participants and their parents were informed by a blind researcher about filling out the five-face pain scale chart. To achieve standardization, pain levels were recorded by the participants under the same parent's guidance at each time interval. | 24th hours | 
| Pain level comparison after root canal treatment with two different irrigation methods:The five-face pain scale chart at 48th hours | Pain levels according to the five-face scale were recorded numerically as no pain (0), mild pain (1), moderate pain (2), severe pain (3), or very severe pain (4). All participants and their parents were informed by a blind researcher about filling out the five-face pain scale chart. To achieve standardization, pain levels were recorded by the participants under the same parent's guidance at each time interval. | 48th hours | 
| Pain level comparison after root canal treatment with two different irrigation methods:The five-face pain scale chart at 72th hours | Pain levels according to the five-face scale were recorded numerically as no pain (0), mild pain (1), moderate pain (2), severe pain (3), or very severe pain (4). All participants and their parents were informed by a blind researcher about filling out the five-face pain scale chart. To achieve standardization, pain levels were recorded by the participants under the same parent's guidance at each time interval. | 72th hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Analgesic intake comparison after root canal treatment with two different irrigation methods at 0-8 hours. | The patients were asked to choose one of the two options: 0: No pain, or no pain which does not require the use of analgesics, 1: Moderate pain which can be controlled very well by the use of analgesics and does not affect daily activities or sleep. | 0-8 hours | 
| Analgesic intake comparison after root canal treatment with two different irrigation methods at 8-24 hours. | The patients were asked to choose one of the two options: 0: No pain, or no pain which does not require the use of analgesics, 1: Moderate pain which can be controlled very well by the use of analgesics and does not affect daily activities or sleep. | 8-24 hours | 
| Analgesic intake comparison after root canal treatment with two different irrigation methods at 24-48 hours. | The patients were asked to choose one of the two options: 0: No pain, or no pain which does not require the use of analgesics, 1: Moderate pain which can be controlled very well by the use of analgesics and does not affect daily activities or sleep. | 24-48 hours | 
| Analgesic intake comparison after root canal treatment with two different irrigation methods at 48-72 hours. | The patients were asked to choose one of the two options: 0: No pain, or no pain which does not require the use of analgesics, 1: Moderate pain which can be controlled very well by the use of analgesics and does not affect daily activities or sleep. | 48-72 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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EndoActivator, Irrigation, Postoperative pain, Primary teeth