Effect of Number of Rotary Instruments on Negotiating Second Mesiobuccal Canals to Working Length and on Postoperative Pain: A Randomized Clinical Trial

Status: Recruiting
Location: See location...
Intervention Type: Device
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

This randomized controlled clinical trial aims to evaluate the effect of the number of rotary files on working length negotiation and postoperative pain in the second mesiobuccal (MB2) canals of maxillary first molars. Patients are assigned to one of four groups according to the number of rotary files used: single-, two-, three-, or four-file systems. Postoperative pain is assessed on each of the seven consecutive postoperative days (Days 1-7) using a visual analog scale (VAS), and working length negotiation success is recorded during canal instrumentation.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 20
Maximum Age: 65
Healthy Volunteers: f
View:

• Systemically healthy individuals aged between 20 and 65 years

• Requiring primary endodontic treatment of maxillary first molars

• Diagnosis of asymptomatic apical periodontitis and pulp necrosis based on clinical and radiographic findings

• Presence of a second mesiobuccal (MB2) canal in the maxillary first molar

• Absence of or only minimal preoperative pain or symptoms

• Periapical lesions smaller than 5 mm in diameter

• Ability to comply with follow-up visits and effectively communicate during the treatment process

Locations
Other Locations
Turkey
Hatay Mustafa Kemal University Faculty of Dentistry
RECRUITING
Antakya
Contact Information
Primary
Mehmet A. Adıgüzel, DDS, PhD
dt.mehmetadiguzel@gmail.com
+90 5447608920
Time Frame
Start Date: 2025-06-18
Estimated Completion Date: 2025-09-05
Participants
Target number of participants: 152
Treatments
Experimental: Single-file rotary instrumentation (One Curve)
Patients received root canal treatment using a single-file rotary system (OneCurve) in the MB2 canals of maxillary first molars. OneCurve 25/.04 rotary file was used at 300 rpm and 2.5 Ncm torque.
Experimental: Two-file rotary instrumentation (Perfect Minimally Invasive)
Root canal treatment was performed using a two-file system (Perfect Minimally Invasive; Perfect Medical Instruments Co. Ltd, China). A 10/.06 Shaper file was used with brushing motion in the coronal and middle thirds, followed by a 25/.04 Finisher file in the apical third. Files operated at 300 rpm and 2.0-2.5 Ncm torque under continuous irrigation.
Experimental: Three-file rotary instrumentation (VDW Rotate)
Root canal instrumentation was performed using a three-file system (VDW Rotate; VDW GmbH, Germany). Instrumentation was performed sequentially using 15/.04, 20/.05, and 25/.04 files for the coronal, middle, and apical thirds, respectively, with brushing-pecking motions in 2-3 mm increments under continuous irrigation. Files were operated at 300 rpm and 1.8 Ncm torque in the MB2 canal of maxillary first molars.
Experimental: Four-file rotary instrumentation (Perfect Advanced Kit)
Root canal instrumentation was performed using a four-file rotary system (Perfect Advanced Kit; Perfect Medical Instruments Co. Ltd, China). Coronal enlargement was initiated with a 10/.07 Opener file at 300 rpm and 2.5 Ncm torque. A 10/.04 file was then used at 250 rpm and 2.0 Ncm torque to reach the apical third. Final shaping was completed with 17/.05 and 25/.04 files at 300 rpm and 2.5 Ncm torque. A crown-down technique was applied using brushing-pecking motions in 2-3 mm increments. After each file, the canal was irrigated thoroughly and file flutes were cleaned to prevent debris accumulation.
Related Therapeutic Areas
Sponsors
Leads: Mehmet Adıgüzel

This content was sourced from clinicaltrials.gov

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