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The aim of this study is to compare the postoperative pain after root canal treatment following irrigation by endodontic needle, sonic and passive ultrasonic irrigation techniques.
Different irrigation delivery systems are introduced to the market aiming to improve root canals disinfection. The conventional endodontic needle is commonly used because of its ease in use and good control of needle depth and irrigant volume. However it carries a higher risk of extruding the solution periapically because of positive pressure used in solution delivery.
Passive ultrasonic irrigation is a noncutting irrigation technique that is done with ultrasonically activated files with continuous or intermittent flow of irrigant. It was shown that it is effective in removing remnants of pulp tissue, dentin debris and planktonic bacteria.
The vibringe (Cavex Holland BV, Haarlem, the Netherlands) is an irrigation device that combines manual delivery and sonic activation of the irrigant.
The aim of this study is to compare the postoperative pain after root canal treatment following irrigation by endodontic needle, sonic and passive ultrasonic irrigation techniques.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| conventional needle irrigation | Active Comparator | side-vented needle used for endodontic irrigation |
|
| passive ultrasonic irrigation | Experimental | IrriSafe ultrasonic tip used for irrigation agitation in endodontic treatment |
|
| sonic irrigation | Experimental | Vibringe is a sonic irrigation system used to irrigate and activate the irrigant at same time |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| conventional needle irrigation | Device | conventional side-vented syringe used to deliver irrigant in root canal treatment |
|
| Measure | Description | Time Frame |
|---|---|---|
| postoperative pain measured by numerical rate scale | Numerical rate scale (NRS) consists of a line graded from 0-10 where 0 indicates no pain and 10 indicates worst pain, patient will choose the number that describe his pain level. | 4 hours after treatment |
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Inclusion Criteria:
Males or Females
Age between 16-60 years old
Permanent Mandibular molars with:
Exclusion Criteria:
Pregnant females
Patients having significant systemic disorder
Patients received analgesics, anti-inflammatory or antibiotic in the last 24 hours
Teeth that have:
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| passive ultrasonic irrigation | Device | ultrasonic tip (IrriSafe) activate the irrigant after mechanical preparation in root canal treatment |
|
| sonic irrigation | Device | vibringe system is a sonic device that deliver and agitate the irrigant |
|