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CTRI Number  CTRI/2024/05/067948 [Registered on: 27/05/2024] Trial Registered Prospectively
Last Modified On: 11/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Post operative pain comparison using continuous and reciprocating file systems. 
Scientific Title of Study   Comparative Evaluation of Post-Operative Pain using Continuous and Reciprocating Motion Rotary File Systems - A Clinical Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sonal Mukhraiya 
Designation  MDS (Postgraduate)  
Affiliation  ITS Dental College Hospital and Research Centre 
Address  Room NO 7 Department of Conservative Dentistry and Endodontics ITS Dental College Hospital and Research Centre Gautam Buddha Nagar Uttar Pradesh 201310 India

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  9149378269  
Fax    
Email  mukhraiyasonal01@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manju Kumari 
Designation  Professor 
Affiliation  ITS Dental College Hospital and Research Centre 
Address  Room no 7 Department of Conservative Dentistry and Endodontics ITS Dental College, Greater Noida

Gautam Buddha Nagar
UTTAR PRADESH
201308
India 
Phone  9811056881  
Fax    
Email  dr.manjukumari.dntl.gn@its.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Manju Kumari 
Designation  Professor 
Affiliation  ITS Dental College Hospital and Research Centre 
Address  Room no 7 Department of Conservative Dentistry and Endodontics ITS Dental College, Greater Noida

Gautam Buddha Nagar
UTTAR PRADESH
201308
India 
Phone  9811056881  
Fax    
Email  dr.manjukumari.dntl.gn@its.edu.in  
 
Source of Monetary or Material Support  
ITS Dental College Hospital and Research Centre, Knowledge Park III, Greater Noida, Uttar Pradesh- 201310, India 
 
Primary Sponsor  
Name  ITS Dental College Hospital and Research Centre 
Address  Room No 7 Department of Conservative Dentistry and Endodontics ITS Dental College Greater Noida Uttar Pradesh-201310 India 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sonal Mukhraiya  ITS Dental College Hospital and Research Centre, Greater Noida  Room No 7 Department of Conservative Dentistry and Endodontics I.T.S Dental College Hospital and Research Centre Greater Noida 201310
Gautam Buddha Nagar
UTTAR PRADESH 
09149378269

mukhraiyasonal01@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ITS Dental College Hospital and Research Centre Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  People Requiring Intentional Root Canal Treatment for the fabrication of Crown and Bridge 
Patients  (1) ICD-10 Condition: K038||Other specified diseases of hard tissues of teeth,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Hand ProTaper Files  Dentsply hand ProTaper Files will be used for the intentional root canal treatment. 
Intervention  Neo- endo reciprocation file.  These files will be used in reciprocating motion 150 degrees counter-clockwise and 30 degrees in clockwise direction. It has S shaped cross section. Speed is 350 rpm and torque is 1.5-2 Ncm 
Intervention  ONE Reci reciprocation rotary files.  These files will be used in reciprocating motion. They have a patented asymmetric cross section. They are made by C- wire heat treatment. It is used in 170 degrees counter- clockwise and 60 degrees clockwise direction. The speed is 300-400 rpm and maximum torque is 4 Ncm.  
Intervention  ProTaper Next rotary files  These files will be used in continuous motion. THey have off-centered cross section. The speed is 300 rpm and torque is between 4-5.2 Ncm. 
Intervention  TruNatomy rotary files.  These files will be used in continuous motion. They have off-centered cross section. Speed is 500 rpm and torque is 1.5 Ncm.  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1. Vital teeth indicated for intentional RCT.
2. Age group- 20-50 years.
1. Single or multi rooted teeth (radiographically and clinically assessed).
2. Patients with completely formed roots(mature apex).
3. Teeth with only Vertucci Type 1 root canal morphology. Patients consenting to be a part of this study:
5. Medically fit patients (i.e no general
disease or pregnancy). 
 
ExclusionCriteria 
Details  1. Teeth with wide or open apex
2. Non vital teeth.
3. Endodontic retreatment cases.
4. Third molars
5. Patients using analgesics, NSAIDs oranxiolytics during 7 days before the procedure.
6. Teeth with poor prognosis.
7. Teeth with complex root canal morphology.
8. Patients unwilling to participate in the study
9. Patients with active pain in any tooth.
10. Pregnant patients and nursing mothers. Presence of systemic diseases such as cardiovascular disease, renal disease and any bleeding disorders.
11. Patients with sinus tract, periapical abscess or facial cellulitis, known allergies or any contraindication to opioid or non-opioid analgesics including aspirin or NSAIDs.
12. Patients with known allergy to local anesthesia, sodium hypochlorite and chlorhexidine.
13. Presence of systemic diseases such as cardiovascular
disease,diabetes mellitus, renal disease and any bleeding disorders. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare and evaluate continuous and reciprocating motion rotary file systems for the incidence of post operative pain.  Patients will be asked to record the pain at 8 hrs, 24 hrs, 48 hrs and 72 hrs using NRS Scale. 
 
Secondary Outcome  
Outcome  TimePoints 
To identify a rotary fie system that minimizes the incidence of post operative pain.  Pain will be recorded at 8 hrs, 24 hrs, 48 hrs and 72 hrs using NRS Scale. 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "100"
Final Enrollment numbers achieved (India)="100" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   03/06/2024 
Date of Study Completion (India) 31/12/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="5"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
This study is being done to comparatively evaluate post operative pain using ProTaper Next and TruNatomy rotary files in continuous motion and One RECI and Neo-endo reciprocation files in reciprocating motion. This clinical study will be conducted in the Department of Conservative Dentistry and Endodontics, I.T.S. Dental College, Hospital and Research Centre, Greater Noida (U.P). A total number of 100 patients reporting to the O.P.D. of Department of Conservative Dentistry and Endodontics will be selected according to the inclusion and exclusion criteria. Included patients will be informed about the study and explained in detail about the procedure of the study and requirement for the same. 100 patients will be randomly allocated into 5 groups of 20 patients each :- Group 1(n=20): Control group (Hand ProTaper), Group 2(n=20): ProTaper Next rotary file, Group 3(n=20): TruNatomy rotary file, Group 4(n= 20): One RECI reciprocating rotary file, Group 5(n=20): Neo-endo reciprocation file. No intracanal medicament will be placed in all the patients. Post operative pain will be recorded after biomechanical preparation at baseline 8 hours, 24hours, 48 hours and 72 hours telephonically using NRS scale. Thereafter, the patients will be recalled for oburation. 
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