[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100615252":3},{"organization":4,"armGroups":7,"interventions":18,"overallOfficials":24,"centralContacts":25,"locations":35,"responsibleParty":52,"collaborators":24,"id":55,"slug":56,"hasResults":57,"nctId":58,"briefTitle":59,"officialTitle":60,"acronym":24,"eligibilityCriteria":61,"healthyVolunteers":57,"sex":62,"minAge":63,"maxAge":64,"enrollmentInfo":65,"targetDuration":24,"studyType":68,"phases":69,"briefSummary":71,"conditions":72,"keywords":74,"overallStatus":78,"whyStopped":24,"lastUpdateSubmitDate":79,"lastUpdatePostDateStruct":80,"startDateStruct":83,"completionDateStruct":85,"leadSponsor":87,"locationsCount":88},{"fullName":5,"class":6},"Armed Forces Post Graduate Medical Institute (AFPGMI), Rawalpindi","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Step back technique of root canal Vs step down technique of root canal","EXPERIMENTAL","Arm 1: Step-Down Technique\n\nArm Type: Experimental Arm Title: Step-Down Root Canal Preparation\n\nArm Description:\n\nParticipants in this arm will receive root canal preparation using the step-down technique, where shaping begins in the coronal portion of the canal and progresses toward the apex. This method is designed to improve irrigation and reduce debris extrusion.\n\n\\---\n\nArm 2: Step-Back Technique\n\nArm Type: Experimental Arm Title: Step-Back Root Canal Preparation\n\nArm Description:\n\nParticipants in this arm will receive root canal preparation using the step-back technique, where shaping starts at the apical portion and moves step-by-step backward toward the coronal area using progressively larger files. This conventional method serves as the comparison technique.",[13],"Procedure: Step down technique",{"label":15,"type":10,"description":16,"interventionNames":17},"Arm 1 Arm Type: Experimental Arm Title: Step-Down Preparation Technique Detailed Description: Pa","Participants in arm 1 will receive root canal preparation using the step-down technique, where shaping begins at the coronal portion of the canal and gradually progresses toward the apex. This method is intended to improve irrigation, reduce debris extrusion, and potentially lower postoperative pain.\n\nParticipants arm 2 will receive root canal preparation using the step-back technique, where shaping starts at the apical portion and moves stepwise toward the coronal area using progressively larger files. This conventional method serves as the comparator to evaluate differences in postoperative pain and treatment outcomes.",[13],[19],{"type":20,"name":21,"description":22,"armGroupLabels":23,"otherNames":24},"PROCEDURE","Step down technique","Step-Down Root Canal Preparation Experimental Step-Down Technique Procedure Root canal preparation starts at the coronal portion of the canal and progresses toward the apex using endodontic files of decreasing size. Aims to improve irrigation, reduce debris extrusion, and minimize postoperative pain.\n\nStep-Back Root Canal Preparation Active Comparator Step-Back Technique Procedure Root canal preparation starts at the apical portion of the canal and progresses stepwise toward the coronal portion using progressively larger files. Serves as the conventional comparator technique to evaluate postoperative pain",[15,9],null,[26,31],{"name":27,"role":28,"phone":29,"phoneExt":24,"email":30},"Kokab Naeem","CONTACT","03340053288","kokabnaeem472@gmail.com",{"name":32,"role":28,"phone":33,"phoneExt":24,"email":34},"AFPGMI Rawalpindi","05156131187","admin@afpgmi.edu.pk",[36],{"facility":37,"status":24,"city":38,"state":39,"zip":40,"country":41,"countryCode":42,"cosmosGeoPoint":43,"geoPoint":48,"contacts":49},"Armed forces post graduate medical institute Rawalpindi ,Punjab Pakistan 46000","Rawalpindi","Punjab Province","46000","Pakistan","PK",{"type":44,"coordinates":45},"Point",[46,47],73.0479,33.59733,{"lat":47,"lon":46},[50],{"name":51,"role":28,"phone":33,"phoneExt":24,"email":34},"G1 Training Training",{"type":53,"investigatorFullName":27,"investigatorTitle":54,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"PRINCIPAL_INVESTIGATOR","Dentist","100615252","this-study-compares-two-different-ways-of-cleaning-and-shaping-root-canals-during-root-canal-treatment-the-step-down-technique-and-the-step-back-technique-iu-want-to-find-out-which-method-causes-less-pain-after-the-procedure-patients-will-be-randomly-placed-into-one-of-the-two-groups-treated-wit-100615252",false,"NCT07290192","This Study Compares Two Different Ways of Cleaning and Shaping Root Canals During Root-canal Treatment: the Step-down Technique and the Step-back Technique. Iu Want to Find Out Which Method Causes Less Pain After the Procedure. Patients Will be Randomly Placed Into One of the Two Groups, Treated Wit","Comparison of Impact of Step Down Verses Step Back Preparation Technique of Root Canals on Post Operative Pain in Patients Having Pulp Necrosis","Inclusion Criteria:\n\n* patients age between 18 to 65 years Healthy patients with ASA classification 1 and 2 Patients of both genders Patients who agreed to attend recall appointments Patients having single rooted tooth with pulp necrosis without pre-existing periapical pathosis and apical periodontitis\n\nExclusion Criteria:\n\n* Patients with history of chronic pain Previously RCT treated tooth Teeth with apical pathosis ,with irreversible pulpitis Patients having systemic illness Multirooted teeth Patients consumed analgesics between appointments Teeth with calcified canals Cases of root fracture Children Pregnant and lactating mothers Smokers","ALL","18 Years","65 Years",{"count":66,"type":67},110,"ESTIMATED","INTERVENTIONAL",[70],"NA","This randomized clinical trial aims to compare the step-back and step-down root canal preparation techniques in patients with pulp necrosis. The study will evaluate which technique results in less postoperative pain. Participants will be randomly assigned to one of the two groups. Pain intensity will be recorded at specific time points after the procedure using a standardized pain scale. The goal is to identify the technique that provides better patient comfort after root canal treatment.This study is a randomized clinical trial designed to compare the effects of two root canal preparation techniques-step-back and step-down-on postoperative pain in patients diagnosed with pulp necrosis. Participants will be randomly assigned to one of the two groups.",[73],"Pulp Necrosis",[75,76,77,21],"Post operative pain","Pulp necrosis","Step back technique","NOT_YET_RECRUITING","2025-12-06",{"date":81,"type":82},"2025-12-18","ACTUAL",{"date":84,"type":67},"2026-02-01",{"date":86,"type":67},"2027-02-01",{"name":5,"class":6},1]