Comparing Between XP Endo Finisher and Conventional Irrigation Method On Post-Operative Flare Ups In Necrotic Teeth

Study Overview
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Brief Summary
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Comparing the postoperative flare ups and pain after adding the XP Endo Finisher to the final irrigation protocol on necrotic mandibular premolars.

Detailed Description
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patients are randomized into 2 groups after meeting the eligibility criteria, Each patient will be given pain scale chart in order to record his /her pain level before any intervention. The tooth is anesthetized, accessed and mechanical instrumentation to be made 3 A) For the experimental group: The canals will be thoroughly irrigated using 3ml syringe of 2.5% Sodium hypochlorite between every subsequent instrument. XP Endo finisher is used after the last instrument in preparation B) For the control group : The canals will be thoroughly irrigated using 3ml syringe of 2.5% Sodium hypochlorite between every subsequent instrument. 4) Obturation is done and postoperative instructions are given to the patient

Official Title
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Comparison Of The Effect of Adding XP Endo Finisher To The Irrigation Protocol Versus Conventional Irrigation Method On Post-Operative Flare Ups In Necrotic Teeth

Conditions
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Dental Pulp Necroses

Intervention / Treatment
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* Procedure: XP Endo Finsher as final step of the irrigation protocol
* Procedure: Conventional needle irrigation only


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: i. Age between 18-50 years old. ii. Males or Females. iii. mandibular Premolars Asymptomatic. Non-vital response of pulp tissue (negative response). With or without periapical radiolucency. Exclusion Criteria: i. Patients allergic to penicillin. ii. Pregnant females. iii. Patients having significant systemic disorder. iv. If antibiotics have been administrated during the past two weeks preoperatively. v. Patients having bruxism or clenching. vi. Teeth that have : Vital pulp tissues. Association with swelling Acute peri-apical abscess Periodontally affected teeth No possible restorability Previous endodontic treatment.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 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<br> | Procedure: XP Endo Finsher as final step of the irrigation protocol<br>* The canals will be thoroughly irrigated using 3ml syringe of 2.5% Sodium hypochlorite between every subsequent instrument. XP Endo finisher is used after the last instrument in preparation<br>|
| Active Comparator: Conventional needle irrigation<br> | Procedure: Conventional needle irrigation only<br>* The canals will be thoroughly irrigated using 3ml syringe of 2.5% Sodium hypochlorite between every subsequent instrument.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Post-operative pain recorded by the patient using a four step pain scale (0-3) |  | up to 5 days after the treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Post-operative swelling |  | up to 5 days after the treatment | 
| Need\ number of Analgesic tablets |  | up to 5 days after the treatment | 
| Need for systemic antibiotics |  | up to 5 days after the treatment |