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CompletedNCT06286995Updated Feb 29, 2024

Postoperative Pain Assessment After Canal Preparation by Different NiTi File Systems

An interventional study of Chemomechanical preparation for root canals in Post Operative Pain and Inflammation, sponsored by Ain Shams University. Completed at 1 site in Egypt. Open to participants aged 20 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-02-29.

Sponsored by Ain Shams University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Oct 2023, registered Feb 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
20 Years to 50 Years
Sex
All
01

Study summary

The participants were divided into two groups : group one ( Trunatomy file group)(n=10) was mechanically prepared the canals by Trunatomy file and group two ( Edgeendo x7 file group) ( n=10) was prepared the canals by Edgeendo x7 file, the participants were assessed pain preoperatively and postoperatively by Visual Analog Scale(VAS)

Read the detailed description

Patients : 20 patients with symptomatic apical periodontitis related to mandibular premolars were selected.after proper anathesia, Access cavity was ppreformed.The working length measured using apex locator.chemomechanical preparation was done .for trunatomy file group ,using file sequence according to manufacture's instructions until medium one .for edgeendo group ,using file sequence also according to manufacture's instructions until file size 35 taper4.Apical fluid samples was collected by paper point from the both preoperatively and before obturation and also pain was assessed pre and post opertively.finally,the root canal were filled by gutta-percha and resin based sealer.the access cavity was restored by glass ionomer restoration.

02

Conditions studied

  • Post Operative Pain
  • Inflammation

Keywords

  • Post operative pain
  • Substance P
  • Apical periodontitis
  • Trunatomy file
  • Edgeendo x7 file
03

In context

Inflammation

3,439 studies on the registry are indexed under Inflammation; 629 are open to participants now.

This study's enrollment of 20 is below the median of 50 across 2,437 interventional studies indexed under Inflammation.

Browse Inflammation studies →

Lead sponsor

Ain Shams University is the lead sponsor of 1,876 studies on the registry; 423 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • clinical diagnoses of apical periodontitis related to single-rooted mandibular premolars
  • no evidence of excessive mobility

Exclusion criteria

Exclusion Criteria:

  • presence of any systemic disease or allergic reaction
  • Incompletely formed root
  • Previously Endodontically treated teeth
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
20 participants (actual)

Study arms

  • Active comparator
    Trunatomy file group

    Using trunatomy file for chemomechanical preparation for root canal of mandibular premolars

    Procedure: Chemomechanical preparation for root canals

  • Active comparator
    Edgeendo x7 file group

    Using edgeendo x7 file for chemomechanical preparation for root canal of mandibular premolars

    Procedure: Chemomechanical preparation for root canals

Interventions

  • ProcedureChemomechanical preparation for root canals

    After working length determination ,root canal preparation was made by two different NiTi File systems to both group ( the first group using Trunatomy file and the second one using edgeendo x7 file) and assessment of pain was made preoperatively and postoperatively and also apical fluid samples

    Also known as: Root canal treatment

06

What researchers measure

Primary outcomes

  1. Level of post operative pain using 10-cm visual analogue scale ( VAS)

    10-cm visual analogue scale (VAS) questionnaire.each patient reported their level of pain as follow: 0 no pain,1-3 mild pain,4-6 moderate pain,7-9 severe pain and 10 the worst pain

    Time frame: After 6 hours,24 hours, 48 hours and finally 72 hours

Secondary outcomes

  1. Level of inflammatory mediators substance P in apical fluid samples

    Sample were obtained by paper point size 25passing 2mm beyond the apex where they were soaked in the periapical interstitial fluid for 1minute .four mm from tip of paper point we're cut and dropped into 1,5ml Eppendorf tubes ( Swanscombe,UK) with 1ml of phosphate buffered saline,then restored at -80 to be measured by ELISA test

    Time frame: Preoperatively ( after working length determination) and before obturation after 3days

07

Study locations

1 site
  • Ain Shams university
    Cairo, Egypt
08

References and documents

Publications

  • Caviedes-Bucheli J, Azuero-Holguin MM, Gutierrez-Sanchez L, Higuerey-Bermudez F, Pereira-Nava V, Lombana N, Munoz HR. The effect of three different rotary instrumentation systems on substance P and calcitonin gene-related peptide expression in human periodontal ligament. J Endod. 2010 Dec;36(12):1938-42. doi: 10.1016/j.joen.2010.08.043. Epub 2010 Oct 15. PubMed 21092809 ↗
  • Valliappan CT, Rahul B, Gabriel EM, Sherwood IA, Gutmann JL, Amaechi BT, Burhanuddin Mohammed OF. Evaluation of postoperative pain with new heat-treated rotary and reciprocating nickel-titanium files: A randomized controlled clinical trial. J Conserv Dent. 2023 Mar-Apr;26(2):170-175. doi: 10.4103/jcd.jcd_566_22. Epub 2023 Mar 16. PubMed 37205884 ↗

Individual participant data

Plan to share: Yes — Detailed statistical analysis plan

Supporting information: Sap

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06286995
Lead sponsor
Ain Shams University
Responsible party
Fatma Essam Badr El-din, Bachelor (Bachelor degree in Dental Medicine and Surgery,May 2017, Ain Shams University) — Principal investigator
First posted
Feb 29, 2024
Start date
Oct 14, 2023
Primary completion
Jan 29, 2024
Completion
Feb 14, 2024
Last update
Feb 29, 2024

Study contacts

Maram F Obeid, Professor
study director · Faculty of dentistry, Ain shams university

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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