Effect of Different Apical Motion Algorithms on Postoperative Pain After Root Canal Treatment

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorAlanya Alaaddin Keykubat University

About this trial

Brief Summary

This prospective, randomized clinical trial aims to evaluate the effect of different endodontic motor settings used during root canal treatment on postoperative pain.

During root canal treatment, the inner part of the tooth is cleaned and shaped using specialized rotating instruments. These instruments can operate with different motion patterns, and the motor may respond differently as the instrument approaches the tip of the root. The influence of these technical variations on postoperative pain has not been clearly established.

Adult participants requiring root canal treatment for mandibular premolar teeth will be enrolled in the study. Participants will be randomly assigned to different groups. In each group, root canal treatment will be performed using different motor motion settings. All procedures applied in this study are routine and safe treatment methods commonly used in clinical endodontic practice.

After treatment, participants' pain levels will be monitored through telephone follow-ups. Pain intensity will be assessed using the Visual Analog Scale (VAS). In addition, analgesic intake will be recorded.

The purpose of this study is to determine whether different endodontic motor settings influence postoperative pain and patient comfort following root canal treatment. The findings are expected to contribute to safer and more comfortable root canal treatment protocols.

Eligibility criteria

Qualifiers

Adults aged 18-70 years

Systemically healthy individuals (ASA I)

Mandibular premolar teeth diagnosed with chronic apical periodontitis

Periapical Index (PAI) score ≥ 3 confirmed radiographically

Disqualifiers

Patients with systemic diseases or medically compromised conditions

Pregnant or breastfeeding women

Patients with uncontrolled diabetes mellitus

Use of analgesics or antibiotics within the previous 7 days

Trial design

Treatments tested in this trial

  • Root Canal Treatment
  • Rotary Instrumentation
  • Reciprocating Instrumentation
  • Auto Apical Stop Mode
  • Auto Apical Reverse Mode
  • Apical Off Mode

Treatment groups

120 Participants
are divided into 6 treatment groups

6

Treatment groups

See each treatment group below.

Locations

This trial has no locations