Postoperative pain and short-term success after two root canal filling methods: cold lateral condensation versus warm vertical obturation
Official title: Evaluation of Postoperative Pain and Success Rate Between Lateral Condensation and Warm Vertical Obturation Techniques - A Randomized Controlled Trial
Run by University of Jordan · NCT07310212 · Data updated 2026-11-12
This trial will test whether warm vertical obturation or cold lateral condensation causes less postoperative pain and better short-term healing in adults having root canal treatment for single-rooted necrotic teeth with asymptomatic apical periodontitis.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 80 (estimated) |
| Sponsor | University of Jordan Academic / other |
| Locations | 1 site (Amman, Amman Governate) |
| Status | Recruiting |
| Started | October 17, 2024 |
| Main results expected | June 1, 2026 |
| Study ends | December 1, 2026 |
| Registry record updated | April 2, 2026 |
| Trial ID | NCT07310212 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with single-rooted necrotic teeth diagnosed radiographically and clinically with asymptomatic apical periodontitis who can provide informed consent are ideal candidates.
✕Probably not a fit
Patients with symptomatic apical periodontitis, previously treated root canals, multi-rooted teeth, significant periodontal disease, pregnancy/lactation, or systemic conditions or medications that alter pain perception are unlikely to benefit from the findings.
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 randomized, parallel-group clinical trial comparing postoperative pain and short-term clinical and radiographic outcomes after two obturation techniques in single-rooted necrotic teeth. All treatments are performed by one experienced operator using standardized rotary instrumentation, irrigation, working length determination, and isolation to isolate the effect of obturation technique. Participants are randomly assigned to either cold lateral condensation with an epoxy resin sealer or warm vertical thermoplasticized gutta-percha (Obtura II). Postoperative pain will be recorded in the early healing period alongside patient-reported outcomes and short-term radiographic healing.
Why it matters
Potential benefit: If successful, the results could help clinicians choose an obturation method that reduces early postoperative pain and improves short-term healing after root canal treatment.
How similar studies have gone: Laboratory work and some small clinical studies suggest warm vertical techniques may improve gutta-percha adaptation, but direct clinical comparisons of postoperative pain are limited and results are mixed.
Who can join: the full rules
Show full inclusion / exclusion 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.
Where it's running
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University of Jordan Hospital
Amman, Amman Governate, Jordan Recruiting
Study contacts
- Study coordinator: Dalin Jihad AlSawaftah, Endodontic resident, DDs
- Email: dalin7495@gmail.com
- Phone: +962779420787
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Bioceramic versus resin-based root canal sealer and short-term pain
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This trial tests whether different methods of agitating methylene blue during antimicrobial photodynamic therapy can improve healing and reduce infection in teeth that prior root canals had treated for asymptomatic apical periodontitis.
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Conventional and nano-metronidazole irrigation with or without ultrasonic activation for necrotic single-rooted teeth with apical periodontitis
This study tests whether conventional metronidazole or a nano-formulated version, used as root canal irrigants with or without ultrasonic activation, can reduce post-operative pain and endotoxin levels in necrotic single-rooted teeth with apical periodontitis.
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Post-operative Pain and Healing After Root Canal Re-Treatment Using Laser-Activated Irrigation vs Sonic or No Activation
This study tests whether laser-activated irrigation or sonic activation helps reduce post-operative pain and improve healing after re-treating a tooth with persistent apical inflammation, compared to conventional needle irrigation.
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.