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This study aims to research the effect of different instrument designs by comparing protaper ultimate versus protaper gold systems on root canal preparation by evaluating bacterial count reduction and post-operative pain following single visit treatment in patients with necrotic pulp in maxillary premolar teeth.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Protaper Ultimate | Experimental |
| |
| Protaper Gold | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Instrument Design | Other | Research the effect of different instrument designs on root canal preparation by evaluating bacterial count reduction and post-operative pain |
|
| Measure | Description | Time Frame |
|---|---|---|
| Post Operative Pain | Intensity of pain felt after endodontic treatment recorded by the patient using modified Visual Analogue Scale where 0=no pain, 1-3=mild pain, 4-6=moderate pain and 7-10=severe pain | Postoperative pain will be measured by modified Visual Analogue Scale immediately after the end of treatment, and at 6, 12, 24 and 48 hours. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of needed analgesic tablets in case of intolerable pain | The patient will record the number of analgesic tablets taken in case of intolerable pain | Patient will be contacted after 48 hours after endodontic treatment to know the number of analgesic tablets taken |
| Antibacterial Effectiveness |
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Inclusion Criteria:
Patient's age ranges between 22 to 45 years with no sex predilection.
Medically free patients.
Maxillary permanent premolar teeth:
Patients who can understand Modified Visual Analogue Scale (VAS).
Patients' acceptance to participate in the trial.
Exclusion Criteria:
Medically compromised patients.
Pregnant women.
If analgesics or antibiotics have been administrated by the patient during the past 24 hours preoperatively.
Patients reporting bruxism or clenching.
Teeth with:
i. Vital teeth. ii. Single canal maxillary premolar teeth iii. Association with swelling or fistulous tract. iv. Acute peri-apical abscess and swelling. v. Mobility Grade II or III. vi. Pocket depth more than 5mm. vii. Previous root canal therapy. viii. Non-restorable teeth: Hopeless tooth
Immature teeth.
Radiographic evidence of external or internal root resorption vertical root fracture, perforation, calcification, root caries.
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41882642 | Derived | Abed KH, Hashem AAR, Lutfy RA, Eissa SA, Morsy DA. Effect of different rotary instrument designs (protaper ultimate and protaper gold) on postoperative pain and bacterial reduction: a randomized clinical trial. BMC Oral Health. 2026 Mar 25;26(1):698. doi: 10.1186/s12903-026-07973-9. |
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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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Bacterial counting using agar Culture technique |
| First as a Baseline (T0): After the access cavity Sample 1 will be taken, after 15 minutes (T1) mechanical instrumentation will be done and Sample 2 will be taken, after 5 minutes from T1 (T2) final irrigation will be done and Sample 3 will be taken. |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |