NCT07427420

Postoperative Pain After Pulpectomy in Primary Molars

Evaluation of Post Operative Pain Using Single Rotary File System Versus Manual Instrumentation in Pulpectomy of Primary Molars

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 50 (estimated)
• Sponsor: Cairo University · Academic / Other
• Sex: All
• Age: 4 Years – 6 Years
• Healthy volunteers: Accepted

Summary

To compare the post operative pain in pulpectomy of primary molars using a single rotary file system versus conventional manual instrumentation, through a Randomized Clinical Trial. The main question it aims to answer is: Is there a difference in post operative pain when using single rotary file system versus manual instrumentation in pulpectomy of primary molars?

Detailed description

Endodontic procedures remain among the most commonly performed treatments following the diagnosis of pulpal inflammation or pathology. However, in primary teeth, endodontic treatment poses substantial difficulties owing to its complex anatomy and canal systems * Maintaining a primary tooth after successful root canal treatment is highly beneficial, as the preserved tooth serves as the most effective natural spacemaintainer * In cases of irreversible pulpitis, endodontic therapy remains the most common and frequently performed procedure to alleviate pain * Pulpectomy in primary molars is a critical treatment modality in pediatric dentistry when the pulp is irreversibly inflamed. Traditional instrumentation for pulpectomy often relies on manual files (e.g., stainless steel K-files), which can be time-consuming, technique sensitive, and may pose challenges due to the complex and delicate root anatomy of primary teeth * Rotary nickel-titanium (NiTi) systems have potential advantages: more efficient preparation, reduced chair-time, and possibly better patient cooperation. Indeed, study has found that rotary instrumentation significantly reduces both the instrumentation and obturation time and is associated with lower postoperative pain * Postoperative pain is one way to measure the success of endodontic treatment

Conditions

• Irreversible Pulpitis

Interventions

Type	Name	Description
DEVICE	Fanta AF F one rotary files 20 taper 4	Fanta AF F one rotary files 20 taper 4 single rotary file system
DEVICE	Manual files (k files ,Mani, Inc., Japan).	manual files (k files, Mani, Inc., Japan) size 15,20,25,30

Timeline

• Start date: 2026-04-10
• Primary completion: 2026-10-01
• Completion: 2027-10-01
• First posted: 2026-02-23
• Last updated: 2026-02-23

Locations

1 site across 1 country: Egypt