Effect of Rotary File Number on MB2 Canal Negotiation and Postoperative Pain

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-65
SponsorMehmet Adıgüzel

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

152 Participants
are divided into 4 treatment groups

Sponsors and collaborators

Mehmet Adıgüzel

Lead sponsor

Mustafa Kemal University

Sponsor institution