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NOT YET RECRUITING
NCT07526844
NA

Effect of Instrumentation Systems and Sealers on Postoperative Pain

Sponsor: European University of Lefke

View on ClinicalTrials.gov

Summary

The goal of this randomized clinical trial is to evaluate whether different root canal preparation systems and sealer types affect postoperative pain after root canal treatment in adult patients (18-60 years) with asymptomatic irreversible pulpitis in mandibular premolars. The main questions it aims to answer are: Do different instrumentation systems (TruNatomy vs ProTaper Gold) influence postoperative pain levels? Do different sealer types (AH Plus vs TotalFill BC) affect postoperative pain and analgesic consumption? Researchers will compare TruNatomy and ProTaper Gold systems combined with AH Plus or TotalFill BC sealers to determine their effect on postoperative pain. Participants will: Undergo single-visit root canal treatment using one of the assigned file system and sealer combinations Record their pain levels using a Numerical Rating Scale (NRS) at specific time intervals (6, 12, 24, 48, 72 hours, and 7 days) Take ibuprofen only if needed and record analgesic intake Attend a follow-up visit on the 7th day

Official title: Impact of TruNatomy and ProTaper Gold Ni-Ti Systems Using Resin-based or Bioceramic Sealers on Postoperative Pain After Root Canal Treatment: a Randomized Clinical Trial

Key Details

Gender

All

Age Range

18 Years - 60 Years

Study Type

INTERVENTIONAL

Enrollment

144

Start Date

2026-07-01

Completion Date

2027-10-30

Last Updated

2026-04-21

Healthy Volunteers

No

Interventions

DEVICE

TruNatomy

Rotary nickel-titanium (NiTi) endodontic file system used for root canal shaping with minimally invasive design. Instrumentation performed according to manufacturer instructions.

DEVICE

ProTaper Gold

Heat-treated rotary nickel-titanium (NiTi) endodontic file system used for root canal shaping following manufacturer-recommended protocol.

OTHER

AH Plus

Epoxy resin-based root canal sealer used for obturation with gutta-percha using a single-cone technique.

OTHER

TotalFill BC

Calcium silicate-based bioceramic root canal sealer used for obturation with gutta-percha using a single-cone technique.