About this trial
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 criteria
Qualifiers
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
Disqualifiers
Presence of symptomatic apical periodontitis or acute apical abscess
Retreatment cases (teeth previously treated endodontically)
Use of medications such as narcotics, antibiotics, sedatives, or antidepressants within one week prior to treatment
Presence of a sinus tract, periapical abscess, or facial cellulitis
Trial design
Treatments tested in this trial
- OneCurve Rotary File
- Perfect Minimally Invasive Kit
- VDW Rotate
- Perfect Advanced Kit
Treatment groups
Sponsors and collaborators
Mehmet Adıgüzel
Lead sponsor
Mustafa Kemal University
Sponsor institution