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Effect of Diode Laser Activated Irrigation Versus Ultrasonic on Post-Operative Pain in Single Visit of Necrotic Teeth

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ClinicalTrials.gov Identifier: NCT03015987
Recruitment Status : Unknown
Verified January 2017 by zeinab mostafa omar, Cairo University.
Recruitment status was:  Not yet recruiting
First Posted : January 10, 2017
Last Update Posted : January 11, 2017
Sponsor:
Information provided by (Responsible Party):
zeinab mostafa omar, Cairo University

Brief Summary:
the investigator intended to study the effect of laser versus ultrasonic in activation of irrigation in post operative pain of patients have a symptomatic necrotic teeth

Condition or disease Intervention/treatment Phase
Necrosis Other: diode laser activated irrigation Not Applicable

Detailed Description:

the investigator will choose from patients entering clinic of endodontics in faculty of oral and dental medicine Cairo university who are eligible to the criteria.

After the patients is found eligible,the patients will be randomly assigned to either the control (ultrasonic activated irrigation )or to the intervention ( diode laser activated irrigation) treatment done in both in single visit.

At the end of treatment, patients will be asked to record post operative pain by NRS .

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 44 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: The Effect of Diode Laser Activated Irrigation Versus Ultrasonic Activated Irrigation on Post-Operative Pain in Single Visit Endodontic Treatment of Asymptomatic Necrotic Teeth: A Randomized Controlled Trial
Study Start Date : February 2017
Estimated Primary Completion Date : January 2018
Estimated Study Completion Date : February 2018

Arm Intervention/treatment
Experimental: diode laser activated irrigation
Laser-activated irrigation (LAI) has been introduced as a powerful method enhancing irrigant action; The laser radiation produces transient cavitation in the liquid through optical breakdown by strong absorption of the laser energy. The high-power diode laser has been tested in several areas of dentistry such as bleaching, depigmentation and gingivectomy, with promising results in dentinal disinfection. The diode laser has proved to be a resource worth testing, because of the it's properties and its low cost and availability in comparison to most lasers used in endodontics.
Other: diode laser activated irrigation
diode laser became the most common and affordable type of laser used in endodontics for many uses , its disinfection effect is an important issue which not discussed in clinical trial before , So this study is assigned to study that
Other Name: diode laser

Active Comparator: ultrasonic activated irrigation

ultrasonics have been developed to improve the penetration and effectiveness of irrigation in peripheral areas of the root canal space. The efficiency of sonic and ultrasonic devices is based on the creation of hydrodynamic phenomenon in well-shaped canals filled with an irrigant.

Such active root canal irrigation has been shown to facilitate the disruption of biofilms and make the cell membrane of bacteria more permeable to NaOCl.

Other: diode laser activated irrigation
diode laser became the most common and affordable type of laser used in endodontics for many uses , its disinfection effect is an important issue which not discussed in clinical trial before , So this study is assigned to study that
Other Name: diode laser




Primary Outcome Measures :
  1. post operative pain [ Time Frame: up to 1 week ]
    intensity of post operative pain will be measured using a numerical rating (NRS)scale



Information from the National Library of Medicine

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Ages Eligible for Study:   20 Years to 45 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Asymptomatic necrotic single rooted single canal teeth with or without chronic periradicular lesion.
  • Teeth with mature root
  • Teeth without calcified root canals
  • Teeth without root caries
  • Teeth without internal or external root resorption
  • Teeth with no sign of crack formation
  • Teeth without anatomic abnormalities

Exclusion Criteria:

  • Pregnant or lactating females
  • Teeth with vital pulp
  • Non- restorable teeth
  • Medically compromised patients
  • Patients with facial swelling or acute infection.
  • Previously endodontically treated teeth
  • periodontally affected teeth

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03015987


Contacts
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Contact: Zeinab M Omar, student 01017111154 dentistonline89@yahoo.com
Contact: Ghada A Eid, Professor 01001266608 ghada.eid@dentistry.cu.edu.eg

Sponsors and Collaborators
Cairo University
Investigators
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Study Chair: Ghada A Eid, Professor Department of endodontics -Faculty of Oral and Dental Medicine-Cairo university
Study Director: Hanaa M El shinawy, Researcher professor Surgery &oral medicine department -National Research Institute-Cairo University
Principal Investigator: Zeinab M Omar, Student Department of endodontics -Faculty of Oral and Dental Medicine-Cairo university
Publications:
1-Sathorn C, Parashos P, Messer H. The prevalence of postoperative pain and flare-up in single- and multiple-visit endodontic treatment: a systematic review. Int Endod J 2008; 41:91-9. 2-.Ng YL, Glennon JP, Setchell DJ. Prevalence of and factors affecting post. obturation pain in patients undergoing root canal treatment. Int Endod J 2004;37:381-91. 3-Peters OA. Current challenges and concepts in the preparation of root canal systems a review. J Endod 2004; 30:559-67. 4- Gu L, Kim JR, Ling J. Review of contemporary irrigant agitation techniques and devices. J Endod 2009; 35:791-804.

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Responsible Party: zeinab mostafa omar, principal investigator, Cairo University
ClinicalTrials.gov Identifier: NCT03015987    
Other Study ID Numbers: laser_ultrasonic
First Posted: January 10, 2017    Key Record Dates
Last Update Posted: January 11, 2017
Last Verified: January 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by zeinab mostafa omar, Cairo University:
Diode laser
asymptomatic pulp
Laser activated irrigation
continuous ultrasonic activation
post obturation pain
Additional relevant MeSH terms:
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Necrosis
Pain, Postoperative
Pathologic Processes
Postoperative Complications
Pain
Neurologic Manifestations