Could the way a dentist moves a tiny file ease root canal pain?
NCT ID NCT07714733
First seen Jul 20, 2026 · Last updated Jul 21, 2026 · Updated 1 time
Summary
This trial looks at whether changing how the dentist's tool moves during a root canal can reduce pain afterward. Adults with an infected lower premolar will get standard root canal treatment, but the file system will use either a continuous spin or a back-and-forth motion, with different stopping modes. Pain levels and painkiller use will be tracked for a week. The goal is to find a more comfortable way to do this common dental procedure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- root canal treatment with a single nickel-titanium file system using rotary or reciprocating motion and different apical modes
- What this could lead to
- If successful, this could help dentists choose settings that reduce pain after root canal treatment, making the procedure more comfortable.
- What could go wrong
- This is a small, early-stage trial focused on pain, not on curing the underlying infection. Results may not apply to all tooth types or patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 18-70 years * Systemically healthy individuals (ASA I) * Mandibular premolar teeth diagnosed with chronic apical periodontitis * Periapical Index (PAI) score ≥ 3 confirmed radiographically * Teeth indicated for single-visit root canal treatment * Patients able to understand and complete the Visual Analog Scale (VAS) * Written informed consent provided Exclusion Criteria: * Patients with systemic diseases or medically compromised conditions * Pregnant or breastfeeding women * Patients with uncontrolled diabetes mellitus * Use of analgesics or antibiotics within the previous 7 days * Teeth with root resorption * Teeth with immature apices * Previously endodontically treated teeth * Patients unable to provide informed consent
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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