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clinically compare the intensity of post-operative pain and the amount of bacterial load reduction after using 20% Epigallocatechin-3-gallate solution during chemomechanical preparation, versus 2.5% NaOCl, in asymptomatic necrotic mandibular premolars treated in a single visit.
The patients will be randomly divided into 2 groups. Intervention group (20% epigallocatechin-3-gallate solution root canal irrigant) and control group (2.5% sodium hypochlorite root canal irrigant).
Post-operative pain will be measured at 6, 12, 24 and 48 hours post-operatively. The pain will be recorded using the Numerical Rating Scale (NRS).
Amount of bacterial load reduction The intracanal bacterial load reduction will be determined using agar culture technique by counting the colony forming units per milliliter (CFUs/mL) before and after root canal preparation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Epigallocatechin-3-Gallate | Experimental | 20% Epigallocatechin-3-Gallate solution |
|
| sodium hypochlorite | Active Comparator | 2.5% sodium hypochlorite |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Epigallocatechin-3-gallate | Other | to be used as a root canal irrigant |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain | Categorical None 0 Mild 1-3 Moderate 4-6 Severe 7-10 | Postoperative pain measured at 6, 12, 24, 48 hours after single visit treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Amount of intracanal bacterial load reduction | The intracanal bacterial load reduction will be determined using agar culture technique by counting the colony forming units per milliliter (CFUs/mL) before and after root canal preparation | T0: preintervention, preinstrumentation after access cavity. T1: postinstrumentation up to 10 min |
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The inclusion criteria:
The exclusion criteria:
Medically compromised patients having significant systemic disorders. (ASA III or IV).
Teeth with:
Patients who could not interpret the NRS.
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| Name | Affiliation | Role |
|---|---|---|
| rayan adlan | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dentistry | Cairo | Egypt |
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| sodium hypochlorite | Other | to be used as a root canal irrigant |
|
| ID | Term |
|---|---|
| D003790 | Dental Pulp Necrosis |
| ID | Term |
|---|---|
| D003788 | Dental Pulp Diseases |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
| D009336 | Necrosis |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C045651 | epigallocatechin gallate |
| D012973 | Sodium Hypochlorite |
| ID | Term |
|---|---|
| D006997 | Hypochlorous Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D010087 | Oxides |
| D017601 | Oxygen Compounds |
| D017670 | Sodium Compounds |
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