Comparison Between Reciproc and Oneshape Systems
Study Details
Study Description
Brief Summary
A randomized clinical trial to assess postoperative pain in patients with symptomatic irreversible pulpitis after using Reciproc versus One Shape rotary NiTi Systems.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
The study aims at comparing postoperative pain after using two single-file NiTi systems, Reciproc reciprocating system and One Shape rotary system, for root canal instrumentation in patients with symptomatic irreversible pulpitis.
After the patient is found eligible, he/she will be randomly assigned to either the control (One Shape) or experimental group (Reciproc) and will be treated in a single visit.
Sequence of Procedural Steps:
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Assessment of preoperative pain by NRS before administration of anesthesia.
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Administration of local anesthesia using 2% lidocaine (1:100,000 adrenaline).
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An access cavity will be done using a round bur and Endo-Z bur.
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Isolation of the affected tooth with rubber dam.
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Determination of the working length using an electronic apex locator, and confirmed by a radiograph using K-file. Then, the working length will be established at 0.5 mm up to the radiographic apex.
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Canals will be explored with hand K-file ISO sizes 10, 15, 20.
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Mechanical preparation for both groups will be as follows:
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Experimental group:
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Canals will be instrumented using Reciproc reciprocating system set on an electric motor, with adjusted torque and speed according to the manufacturer's instructions.
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There is no need for coronal preflaring with a Gates Glidden drill or an orifice opener since the design of the Reciproc instrument allows any obstructions in the coronal third to be removed, as claimed by the manufacturer.
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Reciproc file selection: R40 (40/0.06)
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Control group:
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Coronal preflaring will be performed using Gates Glidden drill.
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Canals will be instrumented using One Shape single-file (25/0.06) set on an electric motor with adjusted torque and speed according to the manufacturer's instructions.
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For wide canals, One Shape Apical (30/0.06, 37/0.06) will be used.
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The rotary files will be introduced inside the canal using EDTA gel.
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Canals will be irrigated with 2.6% sodium hypochlorite solution between every subsequent instrument. It is prepared by adding 10 ml of sterile distilled water to 10 ml of 5.25% sodium hypochlorite solution using a 27 gauge needle fit to 5ml disposable plastic syringe placed in the canal space without binding.
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Canals will be dried with sterile paper points and obturated using lateral condensation technique. A spreader will be used to allow space for auxiliary cones, with resin-based root canal sealer.
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The tooth will be sealed by temporary restoration, and postoperative pain will be assessed immediately after the end of treatment.
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The patient will be phone called for follow up after 6, 12, 24, 48 and 72 hours.
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The patient will be instructed to return to complete the treatment procedures until placing a full-coverage restoration.
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The patient will be instructed to take one tablet 600 mg Ibuprofen if he/she experiences severe pain.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Reciproc single file system It is a reciprocating NiTi file used for instrumentation of root canals in endodontic treatment |
Procedure: Reciproc single file system
A reciprocating Nickel Titanium single file system used for instrumentation of root canals in endodontic treatment.
Device: X-smart Plus, Dentsply Maillefer, Ballaigues, Switzerland
It is a micro-motor designed for performing root canal treatments with the reciprocating, single file technique or traditional continuous rotation file system.
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Active Comparator: One Shape single file system It is a rotary NiTi file used for instrumentation of root canals in endodontic treatment |
Procedure: One Shape single file system
A rotary Nickel Titanium single file system used for instrumentation of root canals in endodontic treatment.
Device: X-smart Plus, Dentsply Maillefer, Ballaigues, Switzerland
It is a micro-motor designed for performing root canal treatments with the reciprocating, single file technique or traditional continuous rotation file system.
|
Outcome Measures
Primary Outcome Measures
- Assessment of the change in postoperative pain measured by the Numerical Rating Scale (0-10) [Immediately after treatment, then 6 hours, 12 hours, 24 hours and 72 hours after treatment.]
Pain intensity after root canal treatment will be measured using Numerical Rating Scale (0-10)
Secondary Outcome Measures
- Number of analgesics taken by the patient [72 hours from the end of the endodontic treatment]
It will be recorded by the patient with time intervals
Eligibility Criteria
Criteria
Inclusion Criteria:
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Mandibular premolar teeth with:
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Single canal
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Preoperative sharp pain.
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Vital response of pulp tissue.
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Normal periapical radiographic appearance or slight widening in lamina dura.
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Final diagnosis for an eligible patient will take place by radiograph and pulp testing.
Exclusion Criteria:
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Patients who have already consumed preoperative medication, such as analgesic, non-steroidal or steroidal anti-inflammatory drugs, within 12 hours before treatment.
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Patients who have more than one tooth in the same quadrant and/or opposite quadrant that require an endodontic treatment.
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Pregnant females.
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Patients having significant systemic disorder.
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If antibiotics have been administrated during the past two weeks preoperatively.
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Patients having bruxism or clenching.
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Teeth that have:
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Non-vital pulp tissues.
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Association with swelling or fistulous tract.
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A pocket depth greater than 5 mm.
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Previous endodontic treatment.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Cairo University
Investigators
- Principal Investigator: Ahmed A Soliman, B.D.S, Faculty of Oral and Dental Medicine, Cairo University
- Study Director: Angie G Ghoneim, Faculty of Oral and Dental Medicine, Cairo University
- Study Chair: Shaimaa I Gawdat, Faculty of Oral and Dental Medicine, Cairo University
Study Documents (Full-Text)
None provided.More Information
Publications
- Kherlakian D, Cunha RS, Ehrhardt IC, Zuolo ML, Kishen A, da Silveira Bueno CE. Comparison of the Incidence of Postoperative Pain after Using 2 Reciprocating Systems and a Continuous Rotary System: A Prospective Randomized Clinical Trial. J Endod. 2016 Feb;42(2):171-6. doi: 10.1016/j.joen.2015.10.011. Epub 2015 Nov 29.
- Neelakantan P, Sharma S. Pain after single-visit root canal treatment with two single-file systems based on different kinematics--a prospective randomized multicenter clinical study. Clin Oral Investig. 2015 Dec;19(9):2211-7. doi: 10.1007/s00784-015-1448-x. Epub 2015 Mar 15.
- reciproc_oneshape