Rosmarinus Officinalis Versus 2.5%Sodium Hypochlorite as Root Canal Irrigants
Necrotic Pulp
About this trial
This is an interventional treatment trial for Necrotic Pulp
Eligibility Criteria
Inclusion Criteria:
- Systematically healthy patient (ASA I and II).
- Age between 20 and 45 years with no sex predilection
Mandibular permanent premolar teeth:
- Diagnosed clinically with pulp necrosis.
- Absence of spontaneous pain.
- Radiographic evidence of root and root canal.
- Slight widening in the periodontal membrane space or with periapical radiolucency.
- No response to cold pulp tester (ethyl chloride spray)
- Patients who can understand and interpret Numerical rating scale (NRS).
- Patients' acceptance to participate in the trial
Exclusion Criteria:
1- Medically compromised patients having significant systemic disorders. (ASA III or IV).
2- History of intolerance to NSAIDS. 3- If analgesics or antibiotics have been administrated by the patient during the past 24 hours preoperatively as it might alter their pain perception.
4- Pregnant women: Avoid radiation exposure, anesthesia, and medication. 5- Teeth with: i. Vital teeth. ii. Double canal mandibular premolar teeth iii. Association with swelling or fistulous tract. iv. Acute peri-apical abscess and swelling: Need special treatment steps which could involve additional visits with incision and drainage. Also, it could influence initiation and progression of postoperative pain.
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.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Experimental
Control Group
Rosmarinus officinals will be used as root canal irrigant in treating aysymptomatic mandibular premolars.
Sodium Hypochlorite used as control in root canal irrigations in treating a asymptomatic mandibular premoalrs.