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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Fanta AF F one rotary files 20 taper 4
DeviceFanta AF F one rotary files 20 taper 4 single rotary file system
Manual files (k files ,Mani, Inc., Japan).
Devicemanual files (k files, Mani, Inc., Japan) size 15,20,25,30
Treatment groups
Trial outcomes
Primary outcomes
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
Secondary outcomes
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
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)
Instrumentation time
will be recorded using a stopwatch
The obturation quality
will be assessed using a radiograph(Using Coll and Sadrian criteria)
Sponsors and contacts
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