Comparison of Endodontic Postoperative Pain Using Different Irrigation Systems

Summary: After a root canal procedure, it is common to experience postoperative pain. Cleaning the root canal thoroughly is crucial for pain relief, but removing all debris with standard methods is difficult. Irrigation, using either traditional endodontic needles or newer methods like endodontic activation, helps clean the canal. This study aims to compare pain levels after using conventional needles versus an Endo1 Ultrasonic Endo Activate Device for irrigation. Patients will undergo standard root canal preparation and then be randomly assigned to one of two groups for final irrigation: the Endo1 device (EA) and the conventional endodontic needles (EN). The study will provide insights into which method is more effective in reducing postoperative pain.

Inclusion Criteria: * Adult patients (\>18 years of age) visiting the College of Dentistry and undergoing root canal treatment in posterior teeth (molars and premolars). * Teeth having fully formed roots with mature apices. * Patients willing to collaborate in the study must sign a written consent form. * Diagnosis of irreversible pulpitis in posterior tooth/teeth requiring root canal treatment. * No history of allergy to the anesthesia solution. * Classified as class I, II in the American Society of Anesthesiologists Physical Status Classification System. Exclusion Criteria: * Patients diagnosed with pulp necrosis in the tooth require root canal treatment. * Mentally or medically compromised patients. * Pregnant women. * Patients on any medications for the past two weeks * Patients who refuse to participate in the study. * Patients with a history of allergy from any of the contents of local anesthesia or rubber dam material. * Non-restorable teeth