Effect of Apical Enlargement to Different Preparation Sizes and Tapers on Pain and Bacterial Reduction in Necrotic Pulp
Necrotic Pulp
About this trial
This is an interventional prevention trial for Necrotic Pulp focused on measuring Apical enlargement, Postoperative pain, Intra-canal bacterial reduction, Preparation taper, EdgeFile X7
Eligibility Criteria
Inclusion Criteria: Systemically healthy patients, American Society of Anesthesiologists (ASA) I and II. Patient's age ranges between 18 to 35 years with no sex predilection. Patients with single-rooted mandibular premolars with asymptomatic necrotic pulp. Patients who can understand the Numerical Rating Scale (NRS). Patients able to sign informed consent. Exclusion Criteria: Pregnant females. Mandibular premolars with periodontal pockets greater than 5 mm or greater than grade I mobility. Patients have a positive history of antibiotic use or analgesic use within the past week or required antibiotic premedication for dental treatment (such as prosthetic joint prophylaxis). Patients have teeth that have been previously accessed. Teeth with extensive crown destruction by caries that will not permit rubber dam placement. Teeth associated with acute periapical abscess, swelling or a fistulous tract. Radiographic evidence of external or internal root resorption vertical root fracture, perforation, calcification.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Active Comparator
Root canal instrumentation EdgeFile X7 to size #35/0.06
Root canal instrumentation EdgeFile X7 to size #45/0.04
Root canal instrumentation EdgeFile X7 to size #45/0.06
Root canal instrumentation EdgeFile X7 to size #35/0.04
The mechanical preparation will be continued using EdgeFile X7 #35 .04 and #35 .06
The mechanical preparation will be continued using EdgeFile X7 #35 .04, #40 .04 and #45 .04
The mechanical preparation will be continued using EdgeFile X7 #35 .04, #40 .04, #45 .04 and #45 .06
The mechanical preparation will be continued using EdgeFile X7 #35 .04