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CTRI Number  CTRI/2025/12/099755 [Registered on: 23/12/2025] Trial Registered Prospectively
Last Modified On: 22/12/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To test whether New Cleaning Methods can Reduce Pain After a Second Root Canal Treatment? 
Scientific Title of Study   Influence of Irrigant Activation Techniques on Post-Operative Pain Following Root Canal Retreatment 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Saee Anawalikar 
Designation  Post Graduate Student  
Affiliation  Saveetha Dental College and Hospital 
Address  Department of Conservative Dentistry and Endodontics, Clinic 21, Saveetha Dental College and Hospital Chennai

Chennai
TAMIL NADU
600077
India 
Phone  09922956700  
Fax    
Email  drsaeeanawalikar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Pradeep Solete 
Designation  Professor 
Affiliation  Saveetha Dental College and Hospital 
Address  Department of Conservative Dentistry and Endodontics, Clinic 21, Saveetha Dental College and Hospital Chennai

Chennai
TAMIL NADU
600077
India 
Phone  9710404482  
Fax    
Email  pradeeps@saveetha.com  
 
Details of Contact Person
Public Query
 
Name  Pradeep Solete 
Designation  Professor 
Affiliation  Saveetha Dental College and Hospital 
Address  Department of Conservative Dentistry and Endodontics, Clinic 21, Saveetha Dental College and Hospital Chennai

Chennai
TAMIL NADU
600077
India 
Phone  9710404482  
Fax    
Email  pradeeps@saveetha.com  
 
Source of Monetary or Material Support  
Saveetha Dental College and Hospital, 162, Poonamallee High Road, Chennai 600077,Tamil Nadu, India  
 
Primary Sponsor  
Name  Saee Anawalikar  
Address  Department of Conservative Dentistry and Endodontics, Clinic 21, Saveetha Dental College and Hospital, 162 Poonamallee High Rd, Chennai 
Type of Sponsor  Private medical college 
 
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 Saee Anawalikar  Saveetha Dental Hospital   Department of Conservative Dentistry and Endodontics, Clinic 21, Chennai 600077
Chennai
TAMIL NADU 
09922956700

drsaeeanawalikar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Saveetha Dental College - Institutional Human Ethical Committee (SDC-IHEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K044||Acute apical periodontitis of pulpal origin, (2) ICD-10 Condition: K045||Chronic apical periodontitis, (3) ICD-10 Condition: K047||Periapical abscess without sinus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Hyflex Remover retreatment with conventional needle irrigation or sonic activation   Hyflex Remover retreatment file will be used for removing the old root canal filling material and disinfection will be done using conventional needle irrigation for one subgroup and for the other subgroup sonic activation will be used for one of the subgroup 
Intervention  Solite RE Black retreatment file with conventional irrigation or sonic activation   Solite RE Black retreatment file will be used for removing the root canal filling material and disinfection will be done using conventional needle irrigation for one subgroup and for the other subgroup sonic activation will be done using sonic activatior  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Individuals having pain and requiring re root canal treatment.
Individuals without any systemic illness 
 
ExclusionCriteria 
Details  Individuals with systemic diseases.
Teeth indicated for extraction where re root canal treatment is not possible  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Post operative pain reduction  Post operative pain reduction preoparitvely at 6hrs, 24hrs, 48hrs, 7 days  
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   02/01/2026 
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="2"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   Post operative pain is a common challenge following root canal retreatment and maybe influenced by both various irrigant activation techniques used and various preoperative factors. This study aims to evaluate the impact of different irrigant activation techniques (sonic and ultrasonic irrigation techniques) used with 2 different file systems on postoperative pain and to determine how preoperative periapical lesions, missed canals, root canal filling density, root canal filling length, coronal restoration quality will modify pain outcomes. Patients undergoing non surgical retreatment will be assigned to various irrigant activation techniques and pain will be  assesed preoperatively at 6 hrs, 24hrs, 48hrs and 7 days.  
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