Effect of Diode Laser Activated Irrigation Versus Ultrasonic on Post-Operative Pain in Single Visit of Necrotic Teeth

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

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 .

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