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Postoperative Pain After the Use of Different Last Irrigation Method During Root Canal Treatment in Primary Teeth

Primary Purpose

Post Operative Pain

Status
Completed
Phase
Not Applicable
Locations
Turkey
Study Type
Interventional
Intervention
Irrigation Method
Sponsored by
TC Erciyes University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Post Operative Pain focused on measuring EndoActivator, Irrigation, Postoperative pain, Primary teeth

Eligibility Criteria

5 Years - 9 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Patients exhibiting positive or definitely positive behavior on the Frankl's behavior rating scale (rating 3 or 4 on the Frankl's scale)
  • American Society of Anesthesiologists class 1 patients aged 5-9 years
  • Patients with symptomatic irreversible pulpitis of maxillary primary molars confirmed using periapical radiographs, percussion, and cold test
  • Patients having teeth with two-thirds of each root remaining
  • Absence of periapical lesions and interradicular radiolucency
  • Moderate to very severe (2-4) five-face scale pain scores in the 24-hour period before the procedure.

Exclusion Criteria:

  • Patients who had taken analgesics and antibiotics within the last 12 hours before root canal treatment
  • Teeth with pathologic root resorption
  • Teeth with excessive mobility.

Sites / Locations

  • Erciyes University, Faculty of Dentistry

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

EndoActivator

Conventional Endodontic Syringe

Arm Description

Outcomes

Primary Outcome Measures

Pain level comparison after root canal treatment with two different irrigation methods:The five-face pain scale chart at 8th hours
Pain levels according to the five-face scale were recorded numerically as no pain (0), mild pain (1), moderate pain (2), severe pain (3), or very severe pain (4). All participants and their parents were informed by a blind researcher about filling out the five-face pain scale chart. To achieve standardization, pain levels were recorded by the participants under the same parent's guidance at each time interval.
Pain level comparison after root canal treatment with two different irrigation methods:The five-face pain scale chart at 24th hours
Pain levels according to the five-face scale were recorded numerically as no pain (0), mild pain (1), moderate pain (2), severe pain (3), or very severe pain (4). All participants and their parents were informed by a blind researcher about filling out the five-face pain scale chart. To achieve standardization, pain levels were recorded by the participants under the same parent's guidance at each time interval.
Pain level comparison after root canal treatment with two different irrigation methods:The five-face pain scale chart at 48th hours
Pain levels according to the five-face scale were recorded numerically as no pain (0), mild pain (1), moderate pain (2), severe pain (3), or very severe pain (4). All participants and their parents were informed by a blind researcher about filling out the five-face pain scale chart. To achieve standardization, pain levels were recorded by the participants under the same parent's guidance at each time interval.
Pain level comparison after root canal treatment with two different irrigation methods:The five-face pain scale chart at 72th hours
Pain levels according to the five-face scale were recorded numerically as no pain (0), mild pain (1), moderate pain (2), severe pain (3), or very severe pain (4). All participants and their parents were informed by a blind researcher about filling out the five-face pain scale chart. To achieve standardization, pain levels were recorded by the participants under the same parent's guidance at each time interval.

Secondary Outcome Measures

Analgesic intake comparison after root canal treatment with two different irrigation methods at 0-8 hours.
The patients were asked to choose one of the two options: "0: No pain, or no pain which does not require the use of analgesics", "1: Moderate pain which can be controlled very well by the use of analgesics and does not affect daily activities or sleep".
Analgesic intake comparison after root canal treatment with two different irrigation methods at 8-24 hours.
The patients were asked to choose one of the two options: "0: No pain, or no pain which does not require the use of analgesics", "1: Moderate pain which can be controlled very well by the use of analgesics and does not affect daily activities or sleep".
Analgesic intake comparison after root canal treatment with two different irrigation methods at 24-48 hours.
The patients were asked to choose one of the two options: "0: No pain, or no pain which does not require the use of analgesics", "1: Moderate pain which can be controlled very well by the use of analgesics and does not affect daily activities or sleep".
Analgesic intake comparison after root canal treatment with two different irrigation methods at 48-72 hours.
The patients were asked to choose one of the two options: "0: No pain, or no pain which does not require the use of analgesics", "1: Moderate pain which can be controlled very well by the use of analgesics and does not affect daily activities or sleep".

Full Information

First Posted
December 11, 2019
Last Updated
December 13, 2019
Sponsor
TC Erciyes University
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1. Study Identification

Unique Protocol Identification Number
NCT04197531
Brief Title
Postoperative Pain After the Use of Different Last Irrigation Method During Root Canal Treatment in Primary Teeth
Official Title
A Comparative Evaluation of the Effect of EndoActivator and Endodontic Syringe Usage on Postoperative Pain in Root Canal Irrigations in Primary Molar Teeth: A Randomized Clinical Study
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
April 1, 2018 (Actual)
Primary Completion Date
April 1, 2019 (Actual)
Study Completion Date
April 30, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
TC Erciyes University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This study was to evaluate and compare the postoperative pain levels after using EndoActivator and conventional endodontic syringe irrigation in root canal therapy of primary molars.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Post Operative Pain
Keywords
EndoActivator, Irrigation, Postoperative pain, Primary teeth

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
110 (Actual)

8. Arms, Groups, and Interventions

Arm Title
EndoActivator
Arm Type
Experimental
Arm Title
Conventional Endodontic Syringe
Arm Type
Experimental
Intervention Type
Other
Intervention Name(s)
Irrigation Method
Intervention Description
Irrigation Method
Primary Outcome Measure Information:
Title
Pain level comparison after root canal treatment with two different irrigation methods:The five-face pain scale chart at 8th hours
Description
Pain levels according to the five-face scale were recorded numerically as no pain (0), mild pain (1), moderate pain (2), severe pain (3), or very severe pain (4). All participants and their parents were informed by a blind researcher about filling out the five-face pain scale chart. To achieve standardization, pain levels were recorded by the participants under the same parent's guidance at each time interval.
Time Frame
8th hours
Title
Pain level comparison after root canal treatment with two different irrigation methods:The five-face pain scale chart at 24th hours
Description
Pain levels according to the five-face scale were recorded numerically as no pain (0), mild pain (1), moderate pain (2), severe pain (3), or very severe pain (4). All participants and their parents were informed by a blind researcher about filling out the five-face pain scale chart. To achieve standardization, pain levels were recorded by the participants under the same parent's guidance at each time interval.
Time Frame
24th hours
Title
Pain level comparison after root canal treatment with two different irrigation methods:The five-face pain scale chart at 48th hours
Description
Pain levels according to the five-face scale were recorded numerically as no pain (0), mild pain (1), moderate pain (2), severe pain (3), or very severe pain (4). All participants and their parents were informed by a blind researcher about filling out the five-face pain scale chart. To achieve standardization, pain levels were recorded by the participants under the same parent's guidance at each time interval.
Time Frame
48th hours
Title
Pain level comparison after root canal treatment with two different irrigation methods:The five-face pain scale chart at 72th hours
Description
Pain levels according to the five-face scale were recorded numerically as no pain (0), mild pain (1), moderate pain (2), severe pain (3), or very severe pain (4). All participants and their parents were informed by a blind researcher about filling out the five-face pain scale chart. To achieve standardization, pain levels were recorded by the participants under the same parent's guidance at each time interval.
Time Frame
72th hours
Secondary Outcome Measure Information:
Title
Analgesic intake comparison after root canal treatment with two different irrigation methods at 0-8 hours.
Description
The patients were asked to choose one of the two options: "0: No pain, or no pain which does not require the use of analgesics", "1: Moderate pain which can be controlled very well by the use of analgesics and does not affect daily activities or sleep".
Time Frame
0-8 hours
Title
Analgesic intake comparison after root canal treatment with two different irrigation methods at 8-24 hours.
Description
The patients were asked to choose one of the two options: "0: No pain, or no pain which does not require the use of analgesics", "1: Moderate pain which can be controlled very well by the use of analgesics and does not affect daily activities or sleep".
Time Frame
8-24 hours
Title
Analgesic intake comparison after root canal treatment with two different irrigation methods at 24-48 hours.
Description
The patients were asked to choose one of the two options: "0: No pain, or no pain which does not require the use of analgesics", "1: Moderate pain which can be controlled very well by the use of analgesics and does not affect daily activities or sleep".
Time Frame
24-48 hours
Title
Analgesic intake comparison after root canal treatment with two different irrigation methods at 48-72 hours.
Description
The patients were asked to choose one of the two options: "0: No pain, or no pain which does not require the use of analgesics", "1: Moderate pain which can be controlled very well by the use of analgesics and does not affect daily activities or sleep".
Time Frame
48-72 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
5 Years
Maximum Age & Unit of Time
9 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Patients exhibiting positive or definitely positive behavior on the Frankl's behavior rating scale (rating 3 or 4 on the Frankl's scale) American Society of Anesthesiologists class 1 patients aged 5-9 years Patients with symptomatic irreversible pulpitis of maxillary primary molars confirmed using periapical radiographs, percussion, and cold test Patients having teeth with two-thirds of each root remaining Absence of periapical lesions and interradicular radiolucency Moderate to very severe (2-4) five-face scale pain scores in the 24-hour period before the procedure. Exclusion Criteria: Patients who had taken analgesics and antibiotics within the last 12 hours before root canal treatment Teeth with pathologic root resorption Teeth with excessive mobility.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hüsniye Gümüş, PHD., Dr.
Organizational Affiliation
Erciyes University, Faculty of Dentistry
Official's Role
Study Director
Facility Information:
Facility Name
Erciyes University, Faculty of Dentistry
City
Kayseri
ZIP/Postal Code
38039
Country
Turkey

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
25195661
Citation
Ramamoorthi S, Nivedhitha MS, Divyanand MJ. Comparative evaluation of postoperative pain after using endodontic needle and EndoActivator during root canal irrigation: A randomised controlled trial. Aust Endod J. 2015 Aug;41(2):78-87. doi: 10.1111/aej.12076. Epub 2014 Sep 4.
Results Reference
background
PubMed Identifier
30815731
Citation
Yilmaz K, Tufenkci P, Adiguzel M. The effects of QMix and EndoActivator on postoperative pain in mandibular molars with nonvital pulps: a randomized clinical trial. Clin Oral Investig. 2019 Nov;23(11):4173-4180. doi: 10.1007/s00784-019-02856-6. Epub 2019 Feb 27.
Results Reference
background
PubMed Identifier
33184717
Citation
Gumus H, Delikan E. The effect of sonic activation of irrigant on postoperative pain after root canal treatment in primary molar teeth: a randomized, clinical study. Clin Oral Investig. 2021 Jan;25(1):363-370. doi: 10.1007/s00784-020-03687-6. Epub 2020 Nov 12.
Results Reference
derived

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Postoperative Pain After the Use of Different Last Irrigation Method During Root Canal Treatment in Primary Teeth

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