Postoperative Pain After Using Reciprocating Motion With Reciproc Files Versus Adaptive Motion With Twisted File Adaptive

Study Overview
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Brief Summary
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assess the effect of using reciprocating motion with reciproc files versus adaptive motion using twisted file adaptive on postoperative pain after instrumentation of necrotic mandibular molars.

Detailed Description
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In root canal treatment of mandibular molar teeth in patients having necrotic pulp with symptomatic or asymptomatic apical periodontitis, Is there difference in postoperative pain after instrumentation between two different kinematics; adaptive motion using Twisted File Adaptive and reciprocation motion using Reciproc

Official Title
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Postoperative Pain After Using Reciprocating Motion With Reciproc Files Versus Adaptive Motion With Twisted File Adaptive In Instrumentation Of Necrotic Mandibular Molars: A Randomized Clinical Trial

Conditions
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Postoperative Pain

Intervention / Treatment
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* Device: Twisted file adaptive
* Device: Reciproc


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who are medically free from any systemic disease that may contraindicate our interventions. Patient's age between 18-60 years old. Mandibular molars having necrotic pulps with symptomatic or asymptomatic apical periodontitis because this group of patients may have more postoperative pain than vital teeth22. Positive patient's acceptance for participation in the study. Exclusion Criteria: Patients who had used any type of analgesic medication during the preceding 12 hours before the treatment to give true response of pain after instrumentation. Teeth with vital pulps or Symptomatic irreversible pulpitis. Pregnant patients or lactating because of radiographic hazards and use of analgesics27. Any known sensitivity or adverse reactions to ibuprofen.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 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: Twisted file adaptive<br>Files that are used in root canal preparation in adaptive motion | Device: Twisted file adaptive<br>* Endodontic files that are used in preparation of root canals with adaptive motion<br>|
| Active Comparator: Reciproc<br>Reciproc files are used in root canal preparation with reciprocation motion | Device: Reciproc<br>* Endodontic files that are used in root canal preparation with reciprocation motion<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Post instrumentation pain | post instrumentation pain will be recorded by the patient using numerical rating scale (0-10) will be used to record pain intensity | up to 7 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| analgesic intake | number of analgesic intake will be recorded by the patient | up to 7 days | 
| Colony forming units | calculation of colony forming units before and after instrumentation | 6 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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postoperative pain, reciproc, twisted file adaptive