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Health conditions
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The study aims to evaluate the efficiency of using a Calcium silicate-based sealer (CSBS) with different obturation techniques in treating root canals with apical periodontitis in single visit.
Evaluating:
Evaluation of Dia-Root Bio Sealer (CSBS) using the three known obturation techniques; Single cone (SC) technique, Warm vertical compaction (WVC) technique, and Cold lateral compaction (CLC) technique.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single cone (SC) technique group | Experimental | Conventional Root canal treatment followed by obturation with the Dia-Root Bio sealer using the Single cone technique |
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| Warm vertical compaction (WVC) technique group | Experimental | Conventional Root canal treatment followed by obturation with the Dia-Root Bio sealer using the warm vertical compaction technique |
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| Cold lateral compaction (CLC) technique group | Active Comparator | Conventional Root canal treatment followed by obturation with the Dia-Root Bio sealer using the cold lateral compaction technique |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dia-Root Bio Sealer | Device | The sealer will be delivered in the canals with the provided intracanal tips inserted three millimeters from the WL and back filling until the orifice. The pre-fitted master cone will be inserted with slight up and down motion before reaching the WL. |
| Measure | Description | Time Frame |
|---|---|---|
| Success of healing and healing rate of the periapical lesion after one year | Periapical bone healing will be evaluated using Cone Beam Computed Tomography (CBCT) images scored according to the CBCT Periapical Index (CBCT-PAI). Success is defined as a CBCT-PAI score of 0 (healthy) or a significant reduction in the volumetric size of the periapical radiolucency compared to the preoperative baseline | 6 and 12 months postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Postoperative Pain Intensity | The change in patient-reported pain intensity from baseline. Pain is evaluated using a 0 to 100 mm Visual Analog Scale (VAS), where 0 represents 'no pain' and 100 represents 'the worst imaginable pain' Patients will be asked not to use analgesic medication after treatment until needed. If necessary, the patient will be instructed to record pain score before analgesic administration and record the dose and frequency of intake (by hour) of the analgesic and to submit this information after 72 h. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mohammed M Nagy, Professor | Faculty of Dentistry, Ain Shams University | Study Director |
| Sara H Fahmy, Lecturer of Endodontics | Faculty of Dentistry, Ain Shams University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry, Ain Shams University | Cairo | Egypt |
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| Single cone (SC) Obturation technique | Procedure | Filling the prepared root canal with the master cone and the CSBS. Then cutting the excess gutta percha from the root canal orifice |
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| Warm Vertical compaction (WVC) technique | Procedure | After placing the CSBS intside the RC, the cone will be packed down till 4 mm from the apex for 4 seconds cycles. Then the apical GP will be condensed using pluggers previously fitted inside the canal. Canals will be backfilled with 180C temperature setting. The tip will be placed into the root canal against the apical gutta-percha for 5 s before extruding the gutta-percha on increments. The middle and coronal thirds will be condensed using pre-fitted pluggers. |
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| Cold lateral condensation (CLC) technique | Procedure | After placing the CSBS inside the root canal, the master GP cone will be laterally condensed with a pre-selected spreader inserted 2-4 mm from the WL and accessory GP cone will be placed in the provided space by the spreader. This process will be repeated until 1 mm from the canal orifice. Excess GP will be cut at the orifice with a heat carrier and lightly packed vertically with a plugger. |
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| Preoperative (Baseline) and 72 hours postoperative |
| ID | Term |
|---|---|
| D010485 | Periapical Periodontitis |
| D010482 | Periapical Abscess |
| D003790 | Dental Pulp Necrosis |
| ID | Term |
|---|---|
| D010483 | Periapical Diseases |
| D007571 | Jaw Diseases |
| D009057 | Stomatognathic Diseases |
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
| D010518 | Periodontitis |
| D000038 | Abscess |
| D013492 | Suppuration |
| D007239 | Infections |
| D003788 | Dental Pulp Diseases |
| D014076 | Tooth Diseases |
| D009336 | Necrosis |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D008722 | Methods |
| D012389 | Root Canal Obturation |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
| D012390 | Root Canal Therapy |
| D004708 | Endodontics |
| D003813 | Dentistry |
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