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Effect of Integrated Apex Locator Motor Modes on Postoperative Pain in Endodontic Retreatment
Sponsor: Recep Tayyip Erdogan University
Summary
This randomized controlled clinical trial aimed to evaluate the effect of different integrated electronic apex locator (EAL) modes on postoperative pain following nonsurgical endodontic retreatment. A total of 144 patients requiring retreatment of mandibular premolar teeth with periapical lesions were randomly assigned to four groups. In the control group, working length was determined using a conventional electronic apex locator. In the experimental groups, an integrated EAL motor was used with three different modes: apical reverse, apical slow down, and apical stop. All procedures were performed under standardized conditions. Postoperative pain was assessed using a numeric rating scale (NRS) at 6 and 12 hours and on days 1, 2, 3, 5, and 7 after treatment. The study aimed to determine whether simultaneous working length control using integrated EAL modes influences postoperative pain compared with conventional working length determination.
Official title: Effect of Integrated Electronic Apex Locator Modes on Postoperative Pain After Root Canal Retreatment: A Randomized Controlled Clinical Trial
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
144
Start Date
2025-08-13
Completion Date
2025-10-17
Last Updated
2026-04-14
Healthy Volunteers
No
Interventions
Electronic Apex Locator
Working length was determined using a conventional electronic apex locator (Root ZX Mini). The measurement was confirmed radiographically, and endodontic retreatment procedures were completed under standardized clinical conditions.
Integrated Apex Locator Motor
Working length determination and canal instrumentation were performed simultaneously using an integrated electronic apex locator motor (Ai Motor, Motopex, Woodpecker). The device operates with different apical control modes, including apical reverse, apical slow down, and apical stop, which automatically respond when the file reaches the predefined working length.
Locations (1)
Recep Tayyip Erdogan University Faculty of Dentistry
Rize, Rize Province, Turkey (Türkiye)