The aim of endodontic therapy for an inflamed tooth is to eliminate the source of inflammation. Relieving pain depends on the effectiveness of root canal therapy.3
Postoperative pain in endodontic treatments, affecting 3-58% of patients, is often caused by peri-radicular tissue injuries. Understanding these factors helps professionals select methods and supplies to minimize discomfort.
30 patients will be divided into 3 groups according to the method of activation (10 par ticipants/each). participants will be recruited from the postgrad clinic of the endodontic department faculty of oral and dental medicine, Future University in Egypt Patients with mature mandibular first permanent molar with irreversible pulpitis with apical periodontitis Intervention 1: bio-ceramic sealer activation with Eddy sonic Intervention 2: bio-ceramic sealer activation with AF max Control/Comparator: bio-ceramic sealer without activation The study aims to evaluate the effect of Eddy Sonic and AF max activation of bio-ceramic sealer on postoperative pain in mandibular first molars with symptomatic irreversible pulpitis with apical periodontitis
Age range is from 18 to 40 years old.
No sex predilection
Patients seeking root canal treatment.
restorable teeth.
Patients with American Association of Anesthesiologists (ASA) classifications other than ASA 1 & Il
Patients who have already ingested preoperative medication, such as analgesics, non-steroidal, or steroidal anti-inflammatory drugs, within 12 hours of the start of treatment.
This was done to prevent any misinterpretation of the diagnosis or post-treatment pain severity, as these drugs substantially lower post-endodontic pain (Jorge-Arajo et al.,2018).
Patients with NSAID allergy.
Parallel
sealer activation with Eddy sonic and AF max
Deviceactivation of sealer after cleaning and shaping, before the obturation
without AF max or Eddy sonic sealer activation
Other interventionsealer without activation
post-operative pain after root canal treatment with sealer activation by AF max and Eddy sonic activation in comparison to without sealer activation
measuring post-operative pain by Numerical rate scale and pain level will be assigned to one of 4 categorical scores: None (0); Mild (1-3); Moderate (4-6); Severe (7-10).
Number of analgesic tablets taken after endodontic treatment
measuring number of analgesic tablets taken after endodontic treatment by counting
radiographic presence or absence of sealer extrusion
detecting lateral and periapical sealer extrusion through postoperative periapical radiograph
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