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In this study, the researchers will investigate the effect of single-file reciprocating versus single-file rotational file systems on the postoperative pain in adult patients who have necrotic pulp and apical periodontitis. The participants will be assigned by chance to separate groups that compare 2 different treatments, reciprocating single-file system (Reciproc Blue) and rotational single-file system (OneShape). As a reference, Mtwo multi-file (full-sequence) will be used.
The infected root canal treatments will be performed using one-visit approach with either a reciprocating single-file system or a continuous rotational single-file system. (Reciproc Blue reciprocating single-file system vs OneShape rotational single-file system). The root canals will be completed in single-visit. The patients will record their postoperative pain during the follow-up period using a VAS scale.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Reciproc Blue | Experimental | Endodontic treatment will be performed in teeth with necrotic pulp and periapical periodontitis. Local anaesthesia will be provided (2% Novocaine with 1:80,000 epinephrine), isolation with rubber dam and standard access cavity preparation will be done.Using 2.5 % sodium hypochlorite, canal negotiation will be done. Coronal flaring with # 2 and #3 Gates-Glidden drills will be done. The canals will be obturated with gutta-percha and epoxy resin sealer. The treatments will be carried out in single-visit. In this group, intervention will be carried out by the Reciproc motor (VDW, Germany) and Reciproc Blue single-file system (VDW, Germany). The intervention is root canal treatment with the Reciproc Blue single-file system. |
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| OneShape | Experimental | In this group, OneShape rotational single-file system (Micro Mega, France) will be used as single-file system according to the manufacturer's instruction. |
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| Protaper | Active Comparator | As a control group, Protaper (Dentsply, Mailleffer, Switzerland) will be used according to the manufacturer's instruction. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Reciprocating single-file system | Procedure | The device is moving in CW and CCW direction with different angles. It is a single-file endodontic file. The intervention is Reciproc Blue reciprocating single-file system. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain level | A VAS scale will be used for the postoperative pain level. The patients will noted their postoperative pain level according to the VAS scale during the follow-up period. | 7 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Analgesic usage | The patients will record the consumption of the analgesic during the 7 days of follow-up. | 7 days. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ibrahim E YAYLALI, PhD | Devlet hastanesi | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Askeri Hastane | Isparta | 32010 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010485 | Periapical Periodontitis |
| D010146 | Pain |
| D003790 | Dental Pulp Necrosis |
| ID | Term |
|---|---|
| D010483 | Periapical Diseases |
| D007571 | Jaw Diseases |
| D009057 | Stomatognathic Diseases |
| D010510 | Periodontal Diseases |
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| Rotational single-file system. | Procedure | The device is moving in continuous rotational. It is a single-fie endodontic file. |
|
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| Active comparator Protaper multi-file system | Procedure |
|
| D009059 |
| Mouth Diseases |
| D010518 | Periodontitis |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D003788 | Dental Pulp Diseases |
| D014076 | Tooth Diseases |
| D009336 | Necrosis |
| D010335 | Pathologic Processes |