Effect of Removal of Intracanal Medication on Post Operative Pain

Study Overview
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Brief Summary
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Recruited patients with necrotic pulp after application of Calcium hydroxide are assigned to group (XP Endo Finisher file) and group( Passive ultrasonic irrigation) and group (conventional syringe irrigation with side vented needle) to remove intracanal medication and record postoperative pain afterwards.

Detailed Description
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The investigator will recruit patients who are found eligible to the criteria, Calcium hydroxide will be inserted inside the canals. After 7 days, patients will be randomly assigned to either removal of intracanal medication using, the XP-Endo Finisher file, passive ultrasonic irrigation (PUI) and conventional syringe irrigation with side vented needle. After the visit, patients will be asked to record post operative pain by Visual Analog Scale)in a given sheet

Official Title
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Post Operative Pain After Removal of Calcium Hydroxide With Different Activation Techniques

Conditions
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Effects of the Elements

Intervention / Treatment
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* Device: Calcium hydroxide with XP-endo Finisher file
* Device: Calcium hydroxide with Irrisafe Ultrasonic tip
* Device: Calcium hydroxide with side vented needle


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Medically free patients. Patient's age between 20-50 years. Both sexes. Necrotic pulp as indicated by thermal or electric pulp testing. No history of previous endodontic treatment of the tooth. Enough crown structure for adequate isolation. Exclusion Criteria: Pregnancy or lactation Medically compromised patients Previous endodontic therapy of the affected tooth. Teeth diagnosed with vital pulp. Teeth with periodontal pocket more than 3mm deep. Teeth with abnormal anatomy or calcified canals. Teeth with caries below the bony level (non-restorable tooth). Immature teeth with open apices.

Ages Eligible for Study
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Minimum Age: 20 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: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: XP-endo Finisher file<br>removal of calcium hydroxide intracanal medication with XP-endo Finisher file | Device: Calcium hydroxide with XP-endo Finisher file<br>* XP-endo Finisher files (FKG Dentaire, La Chaux-de-Fonds, Switzerland). file will be used with an endodontic motor X-Smart (Dentsply Sirona, Ballaigues, Switzerland) in removal of calcium hydroxide<br>|
| Experimental: Irrisafe Ultrasonic tip<br>removal of calcium hydroxide intracanal medication with passive ultrasonic irrigation | Device: Calcium hydroxide with Irrisafe Ultrasonic tip<br>* passive ultrasonic irrigation (PUI) with an IrriSafe Ultrasonic tips (Acteon,France), which will be driven by an ultrasonic device (Newtron P5, Satelec, Acteongroup, Merignac, France) in reemoval of calcium hydroxide<br>* Other names: passive ultrasonic irrigation;|
| Active Comparator: side vented needle<br>removal of calcium hydroxide intracanal medication with conventional syringe irrigation | Device: Calcium hydroxide with side vented needle<br>* conventional syringe irrigation with side vented needle (prime Dent, India) in removal of calcium hydroxide<br>* Other names: conventional syringe irrigation;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in post operative pain (Visual Analogue Scale) | Numerical (0-10) | Intrappointment at 4,24,48,72 and 96 hours |