TY - MANSCPT AU - Elsaka,Sherief Mamdouh TI - The effect of passive ultrasonic irrigation or XP-endo finisher on post-operative pain in patients with necrotic teeth with apical periodontitis: Randomized Controlled Clinical Trial U1 - 617.6342 22 PY - 2021/// KW - Endodontics N1 - Supervisors Prof. Dr. Wael Hussein Kamel, Professor and Head of Endodontic Department, Faculty of Oral and Dental Medicine, Future University in Egypt, Prof. Dr. Ahmed Abdel Rahman Hashem, Professor and Head of Endodontic Department, Faculty of Dentistry, Ain Shams University, Dr. Amgad Hassan Soliman, Lecturer in Endodontics, Faculty of Oral and Dental Medicine, Future University in Egypt; Thesis (M.Sc.)-Future University, Faculty of Oral and Dental Medicine, Department of Endodontics, 2021; Includes bibliographical references N2 - This present study was conducted to shed a light on the importance of activation of irrigation during root canal therapy and it’s effect on reduction of postoperative pain. 78 patients were selected randomly with necrotic teeth with symptomatic apical periodontitis and they are divided into 3 groups according to the method of irrigation activation after root canal preparation with protaper Next. Group (A): irrigation by Navi-tip –side vented needle of 31-gauge, 27mm. Group (B): irrigtion activation was done by XP-Endo Finisher Group (C): irrigation activation was done using ultrasonic device (Ultra X) ? Each group received the root canal treatment in a single visit. ? Pain was evaluated at time intervals of 6-12-24-72 hours and 7 days by the help of visual analogue scale (VAS). ? At the first day (6-12-24 hours) there was a significant difference between the groups in pain incidence and intensity where group A showed more pain scores than group B and group C. ? At (48-72 hours and 7 days) there were no significant difference between the groups where pain scores declined among the groups till it reaches nearly score (0) at day 7. ? The amount of analgesics taken by the patients were higher at the first 48 hours among all groups. - Patient at group A recorded the highest amount of analgesics intake at the first 24 hours. - At (48-72 hours and 7 days) there were no significant difference between the groups where the number of analgesics intake decrease ER -