Combining ultrasonic cleaning and a 980 nm diode laser to reduce pain and bacteria after root canal treatment
Official title: A Randomized Controlled Trial Evaluating Postoperative Pain and Antibacterial Effect of Ultrasonic and 980 nm Diode Laser Combination
Run by Al-Azhar University · NCT07041736 · Data updated 2026-11-12
This trial will test whether adding ultrasonic activation plus a 980 nm diode laser during root canal treatment reduces post‑operative pain and bacterial load in adults aged 20–35 with single‑rooted necrotic teeth and small periapical lesions.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 20 Years to 35 Years |
| Sex | All |
| Enrollment | 120 (estimated) |
| Sponsor | Al-Azhar University Academic / other |
| Locations | 1 site (Cairo) |
| Status | Recruiting |
| Started | August 3, 2025 |
| Main results expected | April 15, 2026 |
| Study ends | May 1, 2026 |
| Registry record updated | March 17, 2026 |
| Trial ID | NCT07041736 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 20–35 with mature, single‑rooted, restorable teeth that have necrotic pulp and a periapical radiolucency up to 5 mm and who are asymptomatic.
✕Probably not a fit
Patients with symptomatic apical periodontitis, systemic disease, physical or mental disability, root fracture, or tooth mobility (and those who do not meet the age/tooth criteria) are excluded and likely would not benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a parallel randomized controlled trial following PRIRATE 2020 guidelines that enrolls adults (20–35 years) with single‑rooted necrotic teeth and periapical radiolucencies up to 5 mm. Participants are randomized into treatment groups receiving conventional irrigation, ultrasonic activation, 980 nm diode laser, or the combination of ultrasonic activation with the diode laser. The trial measures postoperative pain as the primary clinical outcome and quantifies antibacterial effect by bacterial sampling. Ethical approval and informed consent procedures were completed at the Faculty of Dental Medicine for Girls, Al‑Azhar University.
Why it matters
Potential benefit: If successful, the combination approach could lower pain after treatment and reduce bacterial levels, improving healing and patient comfort.
How similar studies have gone: Previous laboratory and clinical work show that diode lasers and ultrasonic activation can reduce bacterial counts, but clinical evidence for consistent reductions in postoperative pain is mixed and combination therapy remains less well established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients have mature teeth with closed apex. * Single-rooted teeth with root canal form type I. * Asymptomatic. * Have periapical radiolucency with a diameter of up to 5 mm. * Restorable teeth. Exclusion Criteria: * Patients with symptomatic apical periodontitis. * Systemic disease. * Physical or mental disability. * Root fracture and tooth mobility.
Where it's running
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from the outpatient clinic of Endodontic Department, Faculty of Dental Medicine for Girls, Al-Azhar University
Cairo, Egypt Recruiting
Study contacts
- Principal investigator: Sabah M. Sobhy, PHD — Endodontic Department, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egyp
- Study coordinator: Sabah M. Sobhy, PHD
- Email: sabamorad@yahoo.com
- Phone: +201096529143
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.