NCT03990584

Effects of Irrigation Activation on Clinical Outcomes of Root Canal Treatment

Effects of Irrigation Activation on Clinical Outcomes of Root Canal Treatment in Posterior Teeth With Chronic Apical Periodontitis

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 150 (actual)
• Sponsor: Istanbul Medipol University Hospital · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

This study evaluates postoperative pain and radiographic healing of asymptomatic posterior teeth with chronic apical periodontitis following root-canal treatment performed using different methods of irrigation activation.

Detailed description

Aim: To evaluate postoperative pain and radiographic healing of asymptomatic posterior teeth with chronic apical periodontitis following root-canal treatment performed using different methods of irrigation activation. Methodology: In this prospective clinical trial, root-canal treatment was performed on 162 posterior teeth with chronic apical periodontitis. After routine canal preparation, patients were assigned to either a control group treated using conventional needle irrigation (CNI) without activation or to one of 3 treatment groups, each of which was treated using a different activation protocol during the final irrigation \[manual dynamic irrigation (MDI), passive ultrasonic irrigation (PUI), sonic irrigation (SI)\]. All treatment was completed in a single visit. Patients provided self-assessments of the severity of postoperative pain at 24h, 48h and 7 days using a modified 4-step visual analogue scale (VAS). Patients were recalled at 12 months for clinical and radiographic examinations. Periodontal healing was evaluated using a periapical index (PAI), with scores of 1 or 2 considered to represent treatment success and scores of 3, 4, or 5 to represent treatment failure. Data were analyzed using one-way ANOVA and Kruskal-Wallis tests, with differences of P \< 0.05 considered statistically significant.

Conditions

• Periapical Periodontitis
• Root Canal Infection

Interventions

Type	Name	Description
PROCEDURE	three irrigation activation methods	passive ultrasonic irrigation, sonic irrigation, manual dynamic irrigation
PROCEDURE	conventional needle irrigation	conventional needle irrigation

Timeline

• Start date: 2018-02-01
• Primary completion: 2018-05-01
• Completion: 2019-05-01
• First posted: 2019-06-19
• Last updated: 2019-06-19

Locations

1 site across 1 country: Turkey (Türkiye)