Comparison of Calcium Silicate-based Sealer and Epoxy Resin-based Sealer

University of Medicine and Pharmacy at Ho Chi Minh City

Status and phase: Completed; Phase 3

Conditions: Pain, Postoperative; Pulpitis - Irreversible

Treatments: Drug: Calcium silicate-based sealers (CSS); Drug: Epoxy resin-based sealers (ERS)

Study type: Interventional

Funder types: Other

Identifiers

NCT05904184

452/HD-DHYD

Details and patient eligibility

About

Background: Sealers have been concerned with obturation. However, studies for assessing the effectiveness of endodontic treatment of sealer based on Calcium Silicate have been not much.

Objective: This study aimed to assess the effectiveness of endodontic treatment of sealer based on Calcium Silicate Methods: A prospective, single-blind, clinical trial was conducted from June 2020 to December 2020 with 42 irreversible pulpitis teeth by one clinician. The postoperative pain was assessed after root canal treatment using sealer based on Calcium Silicate and sealer based on Epoxy resin after 6 hours, 12 hours, 24 hours, 48 hours, 72 hours and 7 days and inconvenient symptoms were assessed after 7 days, 3 months and 6 months. t-test, Mann-Whitney and Wilcoxon analysis were applied.

Key words: obturation, sealer based on Calcium Silicate and sealer based on Epoxy resin

Enrollment: 42 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• aged 18 years or older
• teeth diagnosed with irreversible pulpitis by electrical and thermal tests (+)
• had clinical symptoms like continuous or spontaneous pain, teeth exposed to sudden temperature changes, especially cold stimuli, causing sharp pain and persisting after stimulus removal
• these teeth must have healthy periodontal tissue and sufficient clinical teeth crown for isolation with a rubber dam

Exclusion criteria

Patients with:

• Pregnant
• Have a systemic disease requiring antibiotics or have an allergic reaction
• Have maxillofacial pathology, cellulitis, occlusal trauma, and temporomandibular disorders, have endodontic periodontal lesions, periodontal abscesses
• Have taken a previous pain reliever within 24 hours

Tooth:

• Roots internally or externally resorbed, cracked or broken
• Have had failed endodontic treatment, or the root canal cannot be controlled for leakage
• No opposing teeth

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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42 participants in 2 patient groups

Epoxy resin-based sealers (ERS)

Active Comparator group

Description:

After root canal preparation, canal obturation was performed with Epoxy resin-based sealers (ERS)

Treatment:

Drug: Calcium silicate-based sealers (CSS)

calcium silicate-based sealers (CSS)

Active Comparator group

Description:

After root canal preparation, canal obturation was performed with Calcium silicate-based sealers (CSS)

Treatment:

Drug: Epoxy resin-based sealers (ERS)