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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
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 .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| diode laser activated irrigation | Experimental | Laser-activated irrigation (LAI) has been introduced as a powerful method enhancing irrigant action; The laser radiation produces transient cavitation in the liquid through optical breakdown by strong absorption of the laser energy. The high-power diode laser has been tested in several areas of dentistry such as bleaching, depigmentation and gingivectomy, with promising results in dentinal disinfection. The diode laser has proved to be a resource worth testing, because of the it's properties and its low cost and availability in comparison to most lasers used in endodontics. |
|
| ultrasonic activated irrigation | Active Comparator | ultrasonics have been developed to improve the penetration and effectiveness of irrigation in peripheral areas of the root canal space. The efficiency of sonic and ultrasonic devices is based on the creation of hydrodynamic phenomenon in well-shaped canals filled with an irrigant. Such active root canal irrigation has been shown to facilitate the disruption of biofilms and make the cell membrane of bacteria more permeable to NaOCl. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| diode laser activated irrigation | Other | diode laser became the most common and affordable type of laser used in endodontics for many uses , its disinfection effect is an important issue which not discussed in clinical trial before , So this study is assigned to study that |
| Measure | Description | Time Frame |
|---|---|---|
| post operative pain | intensity of post operative pain will be measured using a numerical rating (NRS)scale | up to 1 week |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zeinab M Omar, student | Contact | 01017111154 | dentistonline89@yahoo.com | |
| Ghada A Eid, Professor | Contact | 01001266608 | ghada.eid@dentistry.cu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Ghada A Eid, Professor | Department of endodontics -Faculty of Oral and Dental Medicine-Cairo university | Study Chair |
| Hanaa M El shinawy, Researcher professor | Surgery &oral medicine department -National Research Institute-Cairo University |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | 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. |
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| ID | Term |
|---|---|
| D009336 | Necrosis |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D054023 | Lasers, Semiconductor |
| ID | Term |
|---|---|
| D007834 | Lasers |
| D055096 | Optical Devices |
| D004864 | Equipment and Supplies |
| D055618 | Radiation Equipment and Supplies |
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| Zeinab M Omar, Student | Department of endodontics -Faculty of Oral and Dental Medicine-Cairo university | Principal Investigator |