Postoperative Pain After Pulpectomy in Primary Molars

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age4-6
SponsorCairo University

About this trial

To compare the post operative pain in pulpectomy of primary molars using a single rotary file system versus conventional manual instrumentation, through a Randomized Clinical Trial.

The main question it aims to answer is:

Is there a difference in post operative pain when using single rotary file system versus manual instrumentation in pulpectomy of primary molars?

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Aged 4-6years, Medically free and Cooperative.

Restorable mandibular second primary molars with clinical signs or symptoms of irreversible pulpitis.

Absence of internal or external root resorption.

Absence of periapical or inter-radicular radiolucencies.

Disqualifiers

Uncooperative children.

Children with systemic disease.

Physical or mental disabilities.

Refusal of participation.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Fanta AF F one rotary files 20 taper 4

    Device

    Fanta AF F one rotary files 20 taper 4 single rotary file system

  • Manual files (k files ,Mani, Inc., Japan).

    Device

    manual files (k files, Mani, Inc., Japan) size 15,20,25,30

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Group I pulpectomy using single rotary file systemExperimental treatment 1 intervention
Group B: Group II pulpectomy using manual files systemActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Post-operative pain

: will be recorded by Asking the patient and/or guardian using a 4-point pain scale at 6, 12, 24, 48 and 72 hours And 1 week after treatment. The parent of each participant will receive 6 flashcards that include four faces and a word describing each face. 0 - None: No pain present. 1. \- Mild: Pain is present but not distracting; easily ignored. 2. \- Moderate: Pain is distracting; manageable but limits activities. 3. \- Severe: Intense pain; unable to concentrate, requires immediate action or medication

Time frame
At 6, 12, 24, 48 and 72 hours and 1 week after Treatment

Secondary outcomes

1

child's behavior level

child's behavior level: will be recorded by using FRANKEL behavior rating Scale: rate 1 means definitely negative "refusal of treatment , fearfulness" rate 2 means negative "reluctance to accept treatment , uncooperative" rate 3 means positive "acceptance of treatment , patient follows the dentist's directions" rate 4 means definitely positive " good rapport with the dentist , laughter and enjoyment

Time frame
(Immediately after treatment)
2

Clinical Success

1. Absence of swelling will be recorded by visual examination 2. Absence of sinus or fistula: will be recorded by visual examination. 3. Pathologic mobility: will be recorded by mobility test (pressure using the end of two dental mirrors)

Time frame
( At 3, 6, 12 months)
3

Instrumentation time

will be recorded using a stopwatch

Time frame
(During procedure start from anathesia till end of procedure)
4

The obturation quality

will be assessed using a radiograph(Using Coll and Sadrian criteria)

Time frame
(Immediately after treatment)

Other outcomes

Sponsors and contacts

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