Evaluation of Postoperative Pain and Success Rate Between Lateral Condensation and Warm Vertical Obturation Techniques
Trial Parameters
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Brief Summary
Brief Summary Postoperative pain is a common complication following root canal treatment, particularly in necrotic teeth with asymptomatic apical periodontitis. Although obturation technique has been suggested as a contributing factor to postoperative discomfort, direct clinical comparisons between commonly used methods remain limited. Cold lateral condensation has traditionally been considered the standard obturation technique, while warm vertical obturation systems such as Obtura II have gained popularity due to their potential for improved adaptation of gutta-percha. This randomized controlled clinical trial aims to compare postoperative pain experience and treatment outcomes following cold lateral condensation and warm vertical obturation in single-rooted necrotic teeth. Postoperative pain will be assessed during the early healing period, along with patient-reported outcomes and short-term clinical and radiographic healing. The results of this study are expected to provide clinically relevant evidence to support evidence-based obturation technique selection and improve patient comfort in endodontic practice.
Eligibility Criteria
Inclusion Criteria: * Adults aged 18 years or older. * Patients requiring endodontic treatment for single-rooted necrotic teeth. * Radiographic and clinical diagnosis of asymptomatic apical periodontitis. * Ability to understand the study and provide written informed consent. Exclusion Criteria: * Teeth diagnosed with symptomatic apical periodontitis. * Pregnant or lactating women. * Patients with systemic diseases affecting pain perception (e.g., uncontrolled diabetes, chronic pain conditions). * Teeth that have been previously endodontically treated. * Patients taking medications that may influence pain perception (e.g., chronic analgesic or anti-inflammatory drug use). * Periodontally compromised teeth with significant bone loss or mobility.