Effect of MTAD on The Outcome of Primary Root Canal Treatment
Dental Pulp Disease, Periapical Diseases, Tooth, Nonvital
About this trial
This is an interventional treatment trial for Dental Pulp Disease focused on measuring Apical periodontitis, Biopure MTAD, Randomized Clinical Trial
Eligibility Criteria
Inclusion Criteria:
- No systemic diseases
- No history of taking analgesics in the previous seven days or other drugs prior to presenting for treatment
- All selected teeth were necrotic, single root teeth with a periapical lesion ( 2>PAI ≤5 mm)
Exclusion Criteria:
- Systemic and/or periodontal disease
- Allergy to local anesthetic agents and/or histrory of intolerance to nonsteroidal anti-inflammatory drugs;
- Requirement for antibiotic prophylaxis
- Open tooth apex
- Pacemaker use
- Women were pregnant or breastfeeding status
Sites / Locations
- Cukurova University
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Control
MTAD irrigation
Root canal instrumentation was performed using the Reciproc Blue (VDW, Munich) #50/0.5 file. During instrumentation of the root canals, irrigation was applied with 10 mL 2.5% NaOCl using side-vented needles. The final irrigation in Control group was applied with 5 ml of 17% EDTA solution and 5 ml of distilled water. The root canals were dried with sterile paper points and were filled with cold lateral condensation technique using AH Plus root canal sealer and gutta percha. Then the cavity entry was restored with composite (Solarex, GC Corparation, Tokyo, Japan) and radiography was taken. The pre-treatment and 24-month follow-up radiographs of teeth, were prepared as a Power Point presentation and the change in periapical radiolucency was assessed according to PAI scores Teeth with a PAI≤ 2 score and clinically asymptomatic were considered 'healthy' in the radiographic evaluation, while teeth with a PAI≥ 3 and/or clinically symptomatic were considered 'failure'.
Root canal instrumentation was performed using the Reciproc Blue (VDW, Munich) #50/0.5 file. During instrumentation of the root canals, irrigation was applied with 10 mL 2.5% NaOCl using side-vented needles. The final irrigation in MTAD group was applied 5 ml MTAD (n=50) and 5 ml of distilled water. The root canals were dried with sterile paper points and were filled with cold lateral condensation technique using AH Plus root canal sealer and gutta percha. Then the cavity entry was restored with composite (Solarex, GC Corparation, Tokyo, Japan) and radiography was taken. The pre-treatment and 24-month follow-up radiographs of teeth, were prepared as a Power Point presentation and the change in periapical radiolucency was assessed according to PAI scores Teeth with a PAI≤ 2 score and clinically asymptomatic were considered 'healthy' in the radiographic evaluation, while teeth with a PAI≥ 3 and/or clinically symptomatic were considered 'failure'.