Post-Obturation Pain Following the Use of the AH Plus and iRoot SP Sealers

Çukurova University

Status: Completed

Conditions: Endodontically-Treated Teeth

Treatments: Other: Root canal obturation with iRoot SP sealer; Other: Root canal obturation with AH Plus Sealer

Study type: Interventional

Funder types: Other

Identifiers

NCT03029520

BAPKOM 4949

Details and patient eligibility

About

The aim of this study was to evaluate and compare postoperative pain and overextension of root canal filling after root canal treatment using a carrier-based obturation system and two different sealers.

In this prospective randomized clinical trial, 160 mandibular premolars and molars in 160 patients were treated. Patients with vital and devital teeth were assigned to four groups using a randomized block design with block sizes of 10 patients each. The groups were composed of devital teeth with periapical lesions treated with iRoot SP sealer, vital teeth treated with iRoot SP sealer, devital teeth with periapical lesions treated with AH Plus sealer, and vital teeth treated with AH Plus sealer. In single visits, a single operator prepared root canals and filled them with sealer using the carrier-based obturation technique. Radiographs were taken and obturation length was recorded. Patients recorded pain scores use of Visual Analogue Scale and frequency of analgesic intake at baseline and 0-6, 6-12, 12-24, and 24-72 h..

Full description

This randomized controlled clinical study was conducted to compare the incidence and intensity of post-obturation pain, evaluate the overextension of filling material radiographically, and assess the relationship between pain and analgesic intake in patients with vital and devital teeth undergoing carrier-based obturation with two different sealers (iRoot SP, AH Plus)

Enrollment: 160 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• no systemic diseases
• women were not pregnant or breastfeeding status
• no history of taking analgesics in the previous seven days or other drugs prior to presenting for treatment.
• all selected teeth were mandibular molar or mandibular premolar.

Exclusion criteria

• systemic and/or periodontal disease;
• allergy to local anesthetic agents and/or history of intolerance to nonsteroidal anti-inflammatory drugs;
• requirement for antibiotic prophylaxis
• open tooth apex
• pacemaker use

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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160 participants in 4 patient groups

pain iRoot SP sealer Vital Pulp

Active Comparator group

Description:

Evaluation of Postoperative pain after root canal obturation with iRoot SP sealer (Innovative BioCeramix Inc., Vancouver, Canada) with patients who has (mandibular premolar/molar) vital pulp.

Treatment:

Other: Root canal obturation with iRoot SP sealer

pain iRoot SP sealer Devital pulp

Active Comparator group

Description:

Evaluation of Postoperative pain after root canal obturation with iRoot SP sealer (Innovative BioCeramix Inc., Vancouver, Canada) with patients who has (mandibular premolar/molar) devital pulp.

Treatment:

Other: Root canal obturation with iRoot SP sealer

pain AHPlus Vital pulp

Active Comparator group

Description:

Evaluation of Postoperative pain after root canal obturation with AH Plus sealer (Dentsply Maillefer, Ballaigues, Switzerland) with patients who has (mandibular premolar/molar) vital pulp.

Treatment:

Other: Root canal obturation with AH Plus Sealer

pain AHPlus Devital Pulp

Active Comparator group

Description:

Evaluation of Postoperative pain after root canal obturation with AH Plus sealer (Dentsply Maillefer, Ballaigues, Switzerland) with patients who has (mandibular premolar/molar) devital pulp.

Treatment:

Other: Root canal obturation with AH Plus Sealer