Clinical trial NCT03015987: Effect of Diode Laser Activated Irrigation Versus Ultrasonic on Post-Operative Pain in Single Visit of Necrotic Teeth
Official title: The Effect of Diode Laser Activated Irrigation Versus Ultrasonic Activated Irrigation on Post-Operative Pain in Single Visit Endodontic Treatment of Asymptomatic Necrotic Teeth: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Necrosis
Keywords: Diode laser
asymptomatic pulp
Laser activated irrigation
continuous ultrasonic activation
post obturation pain
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2017-01-10
Enrollment: 44
Sex: ALL
Minimum age (years): 20
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: the investigator intended to study the effect of laser versus ultrasonic in activation of irrigation in post operative pain of patients have a symptomatic necrotic teeth

Detailed description: the investigator will choose from patients entering clinic of endodontics in faculty of oral and dental medicine Cairo university who are eligible to the criteria.

After the patients is found eligible,the patients will be randomly assigned to either the control (ultrasonic activated irrigation )or to the intervention ( diode laser activated irrigation) treatment done in both in single visit.

At the end of treatment, patients will be asked to record post operative pain by NRS .

Eligibility criteria: Inclusion Criteria:

* Asymptomatic necrotic single rooted single canal teeth with or without chronic periradicular lesion.
* Teeth with mature root
* Teeth without calcified root canals
* Teeth without root caries
* Teeth without internal or external root resorption
* Teeth with no sign of crack formation
* Teeth without anatomic abnormalities

Exclusion Criteria:

* Pregnant or lactating females
* Teeth with vital pulp
* Non- restorable teeth
* Medically compromised patients
* Patients with facial swelling or acute infection.
* Previously endodontically treated teeth
* periodontally affected teeth

Primary outcomes:
measure: post operative pain
timeFrame: up to 1 week
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Department of endodontics -Faculty of Oral and Dental Medicine-Cairo university
name: Ghada A Eid, Professor
role: STUDY_CHAIR
affiliation: Surgery &oral medicine department -National Research Institute-Cairo University
name: Hanaa M El shinawy, Researcher professor
role: STUDY_DIRECTOR
affiliation: Department of endodontics -Faculty of Oral and Dental Medicine-Cairo university
name: Zeinab M Omar, Student
role: PRINCIPAL_INVESTIGATOR
References:
citation: 1-Sathorn C, Parashos P, Messer H. The prevalence of postoperative pain and flare-up in single- and multiple-visit endodontic treatment: a systematic review. Int Endod J 2008; 41:91-9. 2-.Ng YL, Glennon JP, Setchell DJ. Prevalence of and factors affecting post. obturation pain in patients undergoing root canal treatment. Int Endod J 2004;37:381-91. 3-Peters OA. Current challenges and concepts in the preparation of root canal systems a review. J Endod 2004; 30:559-67. 4- Gu L, Kim JR, Ling J. Review of contemporary irrigant agitation techniques and devices. J Endod 2009; 35:791-804.