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The aim of this study is to clinically compare the incidence of post-operative pain after using rotary glide path file (Neoniti GPS), on post-operative pain when compared to manual glide path preparation in lower molars with asymptomatic non-vital pulp.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rotary Neoniti GPS | Experimental | Glide path preparation using Rotary Neoniti GPS file (Neolix, châtres-la-Forêt, France). |
|
| Stainless steel K-files | Active Comparator | Glide path preparation using manual stainless steel K-files #10, #15 (Dentsply Maillefer, Ballaigues, Switzerland). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rotary Neoniti GPS file | Other | Glide path creation will be achieved using Neoniti GPS file (15/.03). The file will be introduced passively inside the canal, in continuous rotation at a constant speed between 300 and 500 rpm and torque of 1.5 N. |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain assessed using the Visual Analogue Scale | Intensity of pain after root canal treatment will be recorded by the patient where; "0" = no pain, 1-3 = mild pain, 4-6 = moderate pain, 7-10 = severe pain. | 6 hours post treatment. |
| Postoperative pain assessed using the Visual Analogue Scale | Intensity of pain after root canal treatment will be recorded by the patient where; "0" = no pain, 1-3 = mild pain, 4-6 = moderate pain, 7-10 = severe pain. | 12 hours post-treatment. |
| Postoperative pain assessed using the Visual Analogue Scale | Intensity of pain after root canal treatment will be recorded by the patient where; "0" = no pain, 1-3 = mild pain, 4-6 = moderate pain, 7-10 = severe pain. | 24 hours post-treatment. |
| Postoperative pain assessed using the Visual Analogue Scale | Intensity of pain after root canal treatment will be recorded by the patient where; "0" = no pain, 1-3 = mild pain, 4-6 = moderate pain, 7-10 = severe pain. | 48 hours post-treatment. |
| Postoperative pain assessed using the Visual Analogue Scale | Intensity of pain after root canal treatment will be recorded by the patient where; "0" = no pain, 1-3 = mild pain, 4-6 = moderate pain, 7-10 = severe pain. | 72 hours post treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of analgesic tablets taken by the patient | Number of analgesic tablets taken by the patient after root canal treatment. | Up to 72 hours post treatment. |
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Inclusion Criteria:
Asymptomatic non-vital pulps, No response of pulp tissue to cold pulp tester (ethyl chloride spray), with or without periapical lesions.
Exclusion Criteria:
Vital pulp tissues. Association with swelling. Acute periapical abscess. Mobility Grade II or III. Pocket depth more than 5mm. Previous root canal therapy. Non-restorability.
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| Name | Affiliation | Role |
|---|---|---|
| Heba ElFar, Professor | Cairo University (Endodontics Department) | Study Chair |
| Dina Morsy, Lecturer | Cairo University (Endodontics Department) | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University | Cairo | 11331 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22152616 | Background | Pasqualini D, Mollo L, Scotti N, Cantatore G, Castellucci A, Migliaretti G, Berutti E. Postoperative pain after manual and mechanical glide path: a randomized clinical trial. J Endod. 2012 Jan;38(1):32-6. doi: 10.1016/j.joen.2011.09.017. Epub 2011 Oct 27. | |
| 30536837 | Background | Keskin C, Sivas Yilmaz O, Inan U, Ozdemir O. Postoperative pain after glide path preparation using manual, reciprocating and continuous rotary instruments: a randomized clinical trial. Int Endod J. 2019 May;52(5):579-587. doi: 10.1111/iej.13053. Epub 2018 Dec 31. |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| Manual stainless steel K-files | Other | Glide path preparation will be done by hand instrumentation using K-files #10 and 15. |
|
| 20973422 | Background | West JD. The endodontic Glidepath: "Secret to rotary safety". Dent Today. 2010 Sep;29(9):86, 88, 90-3. |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |