Postoperative Pain Evaluation Of Novel Bioceramic-Based Root Canal Sealers

Kırıkkale University

Status: Completed

Conditions: Postoperative Pain, Acute

Treatments: Other: Post operative pain assessment after root canal treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT06515756

01.06.2023-07/06

Details and patient eligibility

About

Brief Summary: The purpose of this study was to evaluate the effect of MTA-Bioseal, GuttaFlow bioseal, and NeoSealer Flo calcium-silicate based root canal sealers on postobturation pain in teeth with asymptomatic irreversible pulpitis or chronic apical periodontitis undergoing single-visit root canal treatment.

The study tried to answer whether the type of sealer used altered the incidence and intensity of postobturation endodontic pain, whether pulp status affected the incidence and intensity of postobturation endodontic pain and whether there was no difference in analgesic intake by patients after a single-visit root canal treatment between the experimental groups.

Full description

This prospective clinical study was reported pain levels experienced after obturation were similar for the different pulp statuses and root canal sealers tested. The participants with single-rooted teeth were included and divided into four groups according to the root canal sealer used. Then, the patients were divided into two subgroups according to pulp vitality. The postobturation pain scores were recorded after obturation on a visual analog scale (VAS) at 6, 12, 24, and 48 hours, and at 7 and 30 days. The level of pain experienced after obturation was similar for all root canal sealers in different pulp statuses. The results of the study showed that the bioceramic-based sealers tested can be used safely in clinical practice in terms of postobturation pain.

Enrollment: 120 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Good oral hygiene,
• Not reporting pain before the appointment
• Asymptomatic irreversible pulpitis caused by deep carious lesions (vital cases),
• Asymptomatic primary apical periodontitis (non-vital cases).

Exclusion criteria

• Pregnancy,
• Autoimmune diseases,
• Uncontrolled diabetes,
• Smokers,
• Advanced periodontal disease (with 5 mm or more probing depth),
• Patients requiring endodontic treatment for more than one tooth,
• Unrestorable coronal destruction,
• Incomplete root formation, systemic,
• Allergic sensitivity to local anesthetic or NSAIDs.
• ASA II patient
• An analgesic or antibiotic intake the 7 days before the beginning of treatment

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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120 participants in 2 patient groups

All participates were divided into four experimantal groups according to the root canal sealers

Experimental group

Description:

Participates were divided into four experimantal groups.

Treatment:

Other: Post operative pain assessment after root canal treatment

Groups were divided into two subgroups to be applied on teeth with pulpitis and apical periodontitis

Experimental group

Description:

Four different root canal sealer groups were divided into two subgroups to be applied on teeth with pulpitis and apical periodontitis. Although sealers were different, they was applied with the same technique.

Treatment:

Other: Post operative pain assessment after root canal treatment