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assessment of pain using two different irrigation systems after root canal treatment
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional Needle Irrigation (Control Group) | Active Comparator | Patients in this group will receive traditional syringe and needle irrigation during root canal treatment. An open ended irrigation needle will be used to deliver 2.5% sodium hypochlorite into the root canal system. The needle will be placed 1-2 mm short of the working length, and irrigation will be performed intermittently during canal instrumentation. No additional activation method will be used. |
|
| Sonic Irrigation using EndoActivator (Intervention Group) | Experimental | Patients in this group will receive sonic activation of the irrigant using the EndoActivator device during root canal treatment. After instrumentation and irrigation with 2.5% sodium hypochlorite, the irrigant will be activated using the EndoActivator with a medium-sized (25/04) polymer tip. The device will operate at sonic frequencies (~6000 cycles/min) for 30 seconds per canal to enhance irrigant penetration and cleaning efficacy, particularly in the apical third and lateral canals. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional Needle Irrigation | Procedure | Patients in this arm will receive traditional syringe and needle irrigation using a 30-gauge side-vented needle. 2.5% sodium hypochlorite will be used as the irrigant, delivered 1-2 mm short of working length intermittently during root canal instrumentation. No activation device will be used. |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative Pain | Assessment of postoperative pain intensity using a Visual Analog Scale (VAS) ranging from 0 (no pain) to 10 (worst possible pain). | Pain scores will be recorded at 6 hours, 24 hours, and 48 hours after completion of root canal treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Analgesic Consumption | Number of analgesic tablets (e.g., ibuprofen/paracetamol) consumed by patients within the first 48 hours post-treatment. | 0 to 48 hours after treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dental hospial, Hitec-IMS | Rawalpindi | Punjab Province | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20647083 | Background | Gondim E Jr, Setzer FC, Dos Carmo CB, Kim S. Postoperative pain after the application of two different irrigation devices in a prospective randomized clinical trial. J Endod. 2010 Aug;36(8):1295-301. doi: 10.1016/j.joen.2010.04.012. Epub 2010 Jun 19. |
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|
|
| Conventional Needle Irrigation (Control Group) | Device | Patients in this arm will receive traditional syringe and needle irrigation using a 30-gauge side-vented needle. 2.5% sodium hypochlorite will be used as the irrigant, delivered 1-2 mm short of working length intermittently during root canal instrumentation. No activation device will be used. |
|
|
| endoactivator | Device | in group 2 irrigation done with endoactivator |
|
| Irrigation Solution | Device | irrigation protocol done with disposable syringe |
|
| Irrigation Solution | Device | irrigation protocol done with endoactivator |
|
| Sonic Irrigation with EndoActivator (Experimental Group) | Device | Patients in this arm will receive sonic activation of the irrigant using the EndoActivator device during root canal treatment. After initial instrumentation and irrigation with 2.5% sodium hypochlorite, the irrigant will be activated using a medium-sized (25/04) EndoActivator tip for 30 seconds per canal at a sonic frequency (~6000 cycles/min), to enhance cleaning and irrigant penetration. |
|
| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
| D008722 | Methods |
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