Evaluation of the Impact of Different Final Irrigation Activation Modes on Healing of Periapical Lesions Related to Permanent Mandibular First Molars Using CBCT.
NCT07589556 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 52
Last updated 2026-05-15
Summary
The goal of this clinical trial is to learn how different ways of activating the cleaning liquid (irrigation) during endodontic treatment affect healing of infections at the root tip (periapical lesions) in adults aged 20 to 40 with a lower first molar tooth.
The main question it aims to answer is:
Does the way the cleaning liquid is moved inside the tooth during endodontic treatment change how well the infection at the root tip heals after 12 months?
Researchers will compare four irrigation methods to see which one helps the infection heal best:
A regular needle and syringe (the standard endodontic method) Ultra X, which uses sound waves to push the liquid through the tooth Endo Vac, which uses gentle suction to pull the liquid through the tooth I Vac, which combines suction and sound waves
Participants will:
Have their endodontic treatment done in one visit by the same dentist Be randomly placed into one of the four groups Return for check-ups at 3, 6, and 9 months after endodontic treatment Come back at 12 months for a final check-up and a 3D dental scan (CBCT) to measure how much the infection has healed
Conditions
- Necrotic Pulp With Symptomatic Apical Periodontitis
Interventions
- PROCEDURE
-
root canal treatment
single visit root canal treatment with final irrigation protocol according to arm
Sponsors & Collaborators
-
Future University in Egypt
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 40 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2025-01-15
- Primary Completion
- 2026-05-03
- Completion
- 2026-10-01
Countries
- Egypt
Study Locations
More Related Trials
-
Effects of Irrigation Activation on Clinical Outcomes of Root Canal Treatment
NCT03990584 ·Status: COMPLETED ·Phase: NA
-
Effect of Apical Negative Pressure Irrigation System at Cleaning Lateral Canals and Reduction of Periapical Lesions After Endodontic Therapy
NCT03384004 ·Status: UNKNOWN ·Phase: NA
-
The Effect of Canal Dryness on the Quality of Obturation
NCT05808062 ·Status: COMPLETED ·Phase: NA
-
The Effects of EndoActivator on Postoperative Pain and Root Canal Treatment Success
NCT06339905 ·Status: COMPLETED ·Phase: NA
-
Postoperative Pain and Periapical Tissue Healing
NCT06771570 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Different Root Canal Obturation Techniques
NCT07106307 ·Status: COMPLETED ·Phase: NA
-
Assessment of Postoperative Pain and Bacterial Load Reduction After Using TruNatomy and ProTaper Next Rotary Systems in Patients With Necrotic Mandibular Molars: A Randomized Clinical Trial
NCT04862702 ·Status: UNKNOWN ·Phase: NA
-
Antimicrobial Impact of Various RC Final Irrigation Activation Techniques
NCT07056127 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effect of Different Apical Actions on Local Inflammatory Mediators and Pain
NCT06760312 ·Status: COMPLETED ·Phase: NA
-
Antibacterial Efficacy and Outcomes of Root Canal Irrigation Methods
NCT06959602 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Clinical And Radiographic Evaluation Of Premixed Bio-ceramic MTA In Indirect Pulp Capping Of Young Permanent Molars
NCT05928858 ·Status: UNKNOWN ·Phase: PHASE3
-
Efficacy of Lasers in Root Canal Treatment, Part II: Postoperative Pain
NCT06129643 ·Status: COMPLETED ·Phase: PHASE2
-
Evaluation Of Different Pulpotomy Agents Used For Treatment Of Immature Molars
NCT05347160 ·Status: UNKNOWN ·Phase: NA
-
Effect of Passive Ultrasonic Irrigation Versus Needle Irrigation on Postoperative Pain and Periapical Healing
NCT02913937 ·Status: UNKNOWN ·Phase: NA
-
Pain and Microbial Reduction of Antimicrobial Corticosteroid Mixture Versus Cryotherapy in Necrotic Teeth
NCT05739682 ·Status: COMPLETED ·Phase: NA
-
Clinical Assessment of 3 Differant Obturation Sealers on Postoprative Pain and Swelling
NCT05419752 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Evaluation of Postoperative Pain and Success Rate Between Lateral Condensation and Warm Vertical Obturation Techniques
NCT07310212 ·Status: RECRUITING ·Phase: NA
-
Clinical Investigation of Chemomechanical Parameters for an Efficient Disinfection of the Root Canal
NCT06949176 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Selective Curettage and Tissue Adhesive in Endodontic Microsurgery
NCT07353580 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Comparing Between XP Endo Finisher and Conventional Irrigation Method On Post-Operative Flare Ups In Necrotic Teeth
NCT02952326 ·Status: UNKNOWN ·Phase: NA
-
Effect of Smear Layer on Endodontic Outcome
NCT03277404 ·Status: COMPLETED ·Phase: NA
-
Digitized Assessment for the Survival of Mature Anterior Teeth With Periapical Lesion After One Step Regenerative Approach Using Different Asepsis Maneuvers
NCT03652129 ·Status: COMPLETED ·Phase: NA
-
Post Operative Pain of Partial Pulpotomy Using a Bioceramic Material in Patients With Symptomatic Irreversible Pulpitis
NCT05956613 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Effect of Passive Ultrasonic Irrigation on Bacteria That Persist After Root Canal Preparation
NCT05100433 ·Status: COMPLETED ·Phase: NA
-
The Success of Root Canal Treatments Performed Using Two Different Intracanal Medicaments
NCT07210177 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA