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CTRI Number  CTRI/2025/03/082539 [Registered on: 18/03/2025] Trial Registered Prospectively
Last Modified On: 18/03/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical trial to study the Reduction in Microbial Load after using three different Irrigation Activation techniques to disinfect the Root Canals of teeth. 
Scientific Title of Study   Comparative Evaluation of three different techniques on reduction in Microbial Load after endodontic treatment A Randomized Controlled 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  Sayali Ukey 
Designation  Post Graduate Student 
Affiliation  Ranjeet Deshmukh Dental College and Research Centre 
Address  Ranjeet Deshmukh Dental College and Research Centre, Hingna
Ranjeet Deshmukh Dental College and Research Centre, Hingna
Nagpur
MAHARASHTRA
440019
India 
Phone  9552514958  
Fax    
Email  sayali.ukey@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Pratima Shenoi 
Designation  Head of the Department 
Affiliation  Department of Conservative Dentistry and Endodontics 
Address  Ranjeet Deshmukh Dental College and Research Centre, Hingna

Nagpur
MAHARASHTRA
440019
India 
Phone  9822220506  
Fax    
Email  prshenoi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sayali Ukey 
Designation  Post Graduate Student 
Affiliation  Department of Conservatiove Dentistry and Endodontics 
Address  Ranjeet Deshmukh Dental College and Research Centre, Hingna

Nagpur
MAHARASHTRA
440019
India 
Phone  9552514958  
Fax    
Email  sayali.ukey@gmail.com  
 
Source of Monetary or Material Support  
Department of Conservative Dentistry and Endodontics, Ranjeet Deshmukh Dental College and Research Centre,Hingna, Nagpur, India - 440016 
 
Primary Sponsor  
Name  NIL 
Address  NIL 
Type of Sponsor  Other [0] 
 
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 Sayali Ukey  Ranjeet Deshmukh Dental College and Research Centre  Room no. 311, Department of Conservative Dentistry and Endodontics
Nagpur
MAHARASHTRA 
9552514958

sayali.ukey@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ranjeet Deshmukh Dental College and Research Center, Nagpur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K045||Chronic apical periodontitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional irrigation technique  Irrigation activation using syringle 
Intervention  Randomised Controlled Trial  The aim of the study is to assess the reduction in microbial load after irrigation activation with XP Endo Finisher files and Er:Cr:YSGG laser for 60 seconds 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1. Systemically healthy patients under the age group of 18-50 years with preoperative pain
2. Teeth with single root and single canal
3. Periodontal ligament region widening or peri-apical region radiolucency with a periapical index (PAI) score of 1
 
 
ExclusionCriteria 
Details  1. Patients with any systemic diseases
2. Presence of sinus tract or periapical abscess
3. Teeth with calcified canals, root resorption, immature/open apex, or previous root canal treatment
4. Patients who had previously taken any medication for pain
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1. To evaluate the reduction in microbial load after irrigation activation with XP Endo Finisher files.
2. To evaluate the reduction in microbial load after irrigation activation with Er:Cr:YSGG laser.
3. To compare the reduction in microbial load after irrigation with XP Endo Finisher files and Er:Cr:YSGG laser.
 
The no of CFU will be assessed as before and after the procedure. 24 hours.
 
 
Secondary Outcome  
Outcome  TimePoints 
-Reduction in pain  - 24 hours, 48 hours 
 
Target Sample Size   Total Sample Size="27"
Sample Size from India="27" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   29/03/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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  

The patients will be pooled from the OPD at the Department of Conservative Dentistry and Endodontics. 27 systemically healthy patients aged 18-50 with preoperative pain, single-rooted teeth, and radiographic evidence of periapical lesion will be enrolled and randomly divided into three groups of nine: Group I (Conventional Needle Irrigation), Group II (XP-Endo Finisher), Group III (Er:Cr:YSGG laser). Samples will be collected before and after irrigation.

The procedure will begin with informed consent, pre-operative radiographs, and local anesthesia. After accessing the root canal, the working length will be determined and confirmed using digital radiographs. Sample (S1) will be collected after working length determination using absorbent points placed up to the full working length. Canals will then be prepared biomechanically using rotary files. 3 ml NaOCl will be activated with the three different irrigant activation systems with physiological saline and post-irrigation samples (S2) will be taken. The teeth will be temporized, and patients will be recalled after three days for obturation. The samples will be processed and colony-forming units (CFUs) will be determined.

 
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