The goal of this clinical trial is to compare the post-operative pain occurrence aftersingle visit root canal treatment using Two NiTi Rotary Files. The main question it aimsto answer is:• Does an instrument design and instrumentation technique could affect postoperative painincidence and intensity? Researchers will use ProTaper Universal rotary system or M-Prorotary system for root canal preparation and compared postoperative pain intensity.Participants will receive single visit endodontic treatment using either ProTaper or MProsystems for root canal preparation.Participants will record Pain intensity at 24 hours and 7 days post-operative. Analgesicswill be prescribed for the patients in need.
The main cause of patient fear is expecting pain during root canal treatment. It is
considered a major concern for dentists as well. During root canal preparation,
periapical extrusion of pulpal tissue remnants, microorganisms or dentin chips may be one
of the causes of postoperative pain. Depending on the fact that, instrument design and
instrumentation techniques have an impact on the amount of extruded debris apically, many
studies proved the ability of some rotary systems to reduce debris extrusion, permitting
to achieve less pain sensation.
Therefore, the present clinical study aims to compare the postoperative pain intensity in
molars with symptomatic irreversible pulpitis after single endodontic treatment visit
using a full-sequence rotary Ni-Ti system either ProTaper or MPro systems Eighty patients
with symptomatic irreversible pulpitis in mandibular first molars will be assigned into
two groups. In group A (n=40): root canal preparation will be performed in single visit
using ProTaper Universal system and in group B (n=40): root canal preparation will be
performed in single visit using M-Pro rotary system. Pain intensity will be recorded by
the patient using Numerical Rating Scale (NRS) at 24 hours and 7 days postoperative.
Analgesics will be prescribed for the patients in case of need.
Procedure: single visit root canal treatment using ProTaper Universal rotary system
single visit endodontic treatment will be performed using ProTaper Universal rotary
system for root canal preparation.
Procedure: single visit root canal treatment using M-Pro rotary system
single visit endodontic treatment will be performed using MPro rotary systems for root
canal preparation.
Inclusion Criteria:
- Patient's diagnosis is symptomatic irreversible pulpitis in mandibular first molar.
- Males and females patients in a good health.
- Aged from 25 to 45 years old.
- Pulp vitality is confirmed with cold pulp test and an electric pulp test.
Exclusion Criteria:
- Pregnant females.
- Patients complaining from pain in more than one molar on the same side.
- Patients whose teeth react positively to percussion test.
- Patients who receive analgesics 12 hours before the start of the root canal
treatment.
- Teeth having grade 2 or 3 mobility.
- Presence of periapical radiolucency or teeth with extra oral or intraoral sinus
tract or fistula.
Dental Clinic at Medical Research Centre of Excellence, National Research Centre
Cairo, Egypt
Not Provided