RecruitingNot ApplicableNCT07310212

Evaluation of Postoperative Pain and Success Rate Between Lateral Condensation and Warm Vertical Obturation Techniques

Evaluation of Postoperative Pain and Success Rate Between Lateral Condensation and Warm Vertical Obturation Techniques - A Randomized Controlled Trial


Sponsor

University of Jordan

Enrollment

80 participants

Start Date

Oct 17, 2024

Study Type

INTERVENTIONAL

Summary

Brief Summary Postoperative pain is a common complication following root canal treatment, particularly in necrotic teeth with asymptomatic apical periodontitis. Although obturation technique has been suggested as a contributing factor to postoperative discomfort, direct clinical comparisons between commonly used methods remain limited. Cold lateral condensation has traditionally been considered the standard obturation technique, while warm vertical obturation systems such as Obtura II have gained popularity due to their potential for improved adaptation of gutta-percha. This randomized controlled clinical trial aims to compare postoperative pain experience and treatment outcomes following cold lateral condensation and warm vertical obturation in single-rooted necrotic teeth. Postoperative pain will be assessed during the early healing period, along with patient-reported outcomes and short-term clinical and radiographic healing. The results of this study are expected to provide clinically relevant evidence to support evidence-based obturation technique selection and improve patient comfort in endodontic practice.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Adults aged 18 years or older.
  • Patients requiring endodontic treatment for single-rooted necrotic teeth.
  • Radiographic and clinical diagnosis of asymptomatic apical periodontitis.
  • Ability to understand the study and provide written informed consent.

Exclusion Criteria6

  • Teeth diagnosed with symptomatic apical periodontitis.
  • Pregnant or lactating women.
  • Patients with systemic diseases affecting pain perception (e.g., uncontrolled diabetes, chronic pain conditions).
  • Teeth that have been previously endodontically treated.
  • Patients taking medications that may influence pain perception (e.g., chronic analgesic or anti-inflammatory drug use).
  • Periodontally compromised teeth with significant bone loss or mobility.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

PROCEDUREWarm Vertical Condensation (WVO)

Following standard endodontic cleaning and shaping with rotary instrumentation and irrigation, canals will be obturated using the warm vertical condensation technique. After placement of a master cone coated with AH Plus sealer, heat is applied to soften and vertically compact the gutta-percha within the canal. The Obtura II system will be used to backfill the canal with thermoplasticized gutta-percha, ensuring three-dimensional adaptation and dense filling of the root canal space.

PROCEDURECold Lateral Condensation (CLC)

Following standard endodontic cleaning and shaping with rotary instrumentation and irrigation, canals will be obturated using the cold lateral condensation technique. A master gutta-percha cone coated with sealer (AH Plus) will be inserted, and accessory cones will be compacted laterally using spreaders until the canal is fully obturated. This technique is widely regarded as the traditional standard method for root canal obturation.


Locations(1)

University of Jordan Hospital

Amman, Amman Governate, Jordan

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT07310212