CompletedNot Applicable

The Effect of Using Reciprocal Files Alone and With Different Files on Postoperative Pain

Turkey (Türkiye)168 participantsStarted 2025-03-15

Plain-language summary

This study aims to investigate the effects of using the Wave One Gold file alone and in combination with different files on postoperative pain in patients with asymptomatic apical periodontitis. The results of the study may provide important insights into the impact of these file systems on postoperative pain. . The main questions it aims to answer are: It will also reveal whether reciprocating files can be used alone or not. Participants will: Go under treatment with different shaping protocols The researchers will shape using only the Wave One gold file in the first group. In the second group, they will first perform coronal shaping with the One Flare file and then complete the final shaping with the Wave One Gold file In the third group, coronal shaping will first be performed with the One Flare, followed by working length shaping with the Wave One Gold glider file, and the final shaping will again be completed with the Wave One file. For sham group Using a #10K-type stainless-steel file, the operator will establish the working length 0.5 mm short of the apex indicated by the apex locator and will confirm it on periapical radiograph. The operator will prepare the glide path using a #15K-type stainless-steel hand file with push-pull motion.On sensing resistance, the file will withdraw. recapitulation was performed with a #10K-type operator then will irrigate the root canals with 2 mL of 5%NaOCl . Then, they will be shaped using WaveOne Gold Glider and WaveOne in reciprocal mode. After the treatment, the patient's pain score will be recorded. They will Visit the clinic three days later Keep avisual analogue scala of their symptoms and than compare different shaping protocols

Who can participate

Age range18 Years – 65 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Adult, systemically healthy patients aged18-65years(category:AmericanSocietyof Anesthesiologists class 1. * Patients diagnosed with symptomatic reversible pulpitis and having mandibular first and second premolar teeth without percussion pain. * Teeth with prolonged response to the coldpulp test (Endo-Frost, Coltene-Whaledent, Allstetten, Switzerland) (teeth where pain persists for a long time after stimulus removal) * Teeth with normal periapical appearance(periapical index 2), a single root canal andaroot canal inclination less than 20° on a parallel periapical radiograph * Teeth with moderately sharp spontaneous pain (preoperative visual analog scale \[VAS\] score 4-6) * Teeth where number 10 K files can reach and fit the working lenght * Patients who were able to understand the informed consent form and pain recording scales used in the study were included Exclusion Criteria: * Patients who are pregnant and lactating * Patients who received analgesics or anti inflammatory drugs in the last 12 hours and antibiotics for the last 1 month * Patients with severe periodontal defect or deep periodontal pocket (probing depth.3 mm)and poor oral hygiene * Teeth too broken down, difficult to isolate with rubber dam * Teeth without occlusal contact * Presence of multiple teeth requiring treatment, a previous treatment history and an open apex * Teeth with calcified root canal, root resorption, crown and/or root fracture, multiple root canals, post, and sinus t…

What they're measuring

visual analoge scala

Timeframe: 24-48-72 hours

Trial details

NCT IDNCT06833515

SponsorHarran University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2026-03-01