Two irrigation methods and activation techniques during a single-visit retreatment: does pain differ after root canal retreatment?
Official title: Effect of Two Different Irrigation Protocols and Activation Techniques on Postoperative Pain in Single-visit Endodontic Retreatment: Prospective Randomized Clinical Trial
Run by TC Erciyes University · NCT07599254 · Data updated 2026-11-12
This study tests whether two different irrigation approaches and activation methods change postoperative pain after a single-visit retreatment in adults with a prior root canal.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 60 Years |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | TC Erciyes University Academic / other |
| Locations | 1 site (Kayseri) |
| Status | Recruiting |
| Started | January 1, 2025 |
| Main results expected | June 5, 2026 |
| Study ends | July 15, 2026 |
| Registry record updated | May 20, 2026 |
| Trial ID | NCT07599254 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–60 who are medically healthy (ASA I–II) with a mature, single-rooted tooth that had retreatment and meets the specified radiographic and clinical criteria.
✕Probably not a fit
Patients whose tooth anatomy, disease status, or treatment response do not align with the study criteria may not experience a pain benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective randomized trial compares two root canal irrigation protocols and activation techniques used during retreatment of mature, single-rooted teeth with asymptomatic apical periodontitis. Eligible participants are adults 18–60 who are healthy, have had a prior root canal treatment at least four years ago, and meet specific radiographic and clinical criteria. Participants will undergo retreatment with one of the irrigation strategies, and postoperative pain will be assessed to determine if one method provides less pain than the other. The study is conducted at Erciyes University, led by TC Erciyes University, with no stated collaborators. Safety and eligibility are reviewed to exclude those with recent analgesic use, certain dental complications, or pregnancy.
Why it matters
Potential benefit: If successful, the preferred irrigation approach could reduce postoperative pain after root canal retreatment for suitable patients.
How similar studies have gone: Prior studies in endodontics have explored irrigation and activation methods, with mixed outcomes; this trial adds randomized comparative data for post-retreatment pain.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * o Patients aged 18-60 years who are classified as medically healthy (ASA I or II), * Mature, single-rooted and canal teeth that had root canal treatment at least four years ago, * Teeth with previous root canal obturation 2-4 mm short of the apex, * Teeth that do not need periodontal and prosthetic treatment and whose periapical index score (PAI) is between 2 and 4 , * Teeth with single root and canal diagnosed with asymptomatic apical periodontitis, * Teeth suitable for rubber dam isolation. Exclusion Criteria: * o Patients who had taken analgesics, antibiotics, or corticosteroids within two weeks before root canal retreatment, * Teeth exhibiting periodontal attachment loss, * Presence of vertical root fractures, external root resorption, or perforations, * Teeth with retained broken instruments, * Non-restorable teeth, * Patients in the pregnancy and breastfeeding period.
Where it's running
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Erciyes University
Kayseri, Turkey (Türkiye) Recruiting
Study contacts
- Study coordinator: İpek E Eraslan Akyüz
- Email: ipekemamak@hotmail.com
- Phone: +905385591409
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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.