The Incidence of Postoperative Pain After Using Different Types of Sealers

British University In Egypt

Status: Enrolling

Conditions: Resin Based Sealers; Root Canal Sealers; Sillicon Based Sealers; Post Operative Pain

Treatments: Procedure: Glide path; Diagnostic Test: Visual Analogue Scale (VAS); Drug: application of resin based sealer inside the canal in the resin based sealer group; Procedure: Working Length Determination (W.L); Procedure: Master cone check; Procedure: Obturation; Procedure: Irrigation; Procedure: Supplemental local anesthesia; Procedure: Primary local anesthesia; Procedure: Canal negotiation; Procedure: Activation of the irrigant; Diagnostic Test: application of the sillicon based sealer inside the canal in the sillicon based group; Procedure: Apical gauging; Procedure: Second w.l determination; Procedure: Cleaning and shaping using rotary system; Procedure: Coronal flaring; Procedure: Removal Of Caries and Access Cavity; Procedure: Bleeding control; Procedure: Rubber dam isolation of tooth

Study type: Interventional

Funder types: Other

Identifiers

NCT05841290

22-017

Details and patient eligibility

About

The aim of this randomized clinical trial is to evaluate and compare the incidence and intensity of post-operative pain after obturation using resin and silicon-based sealers.

Full description

The main objectives of root canal therapy are to achieve long-term comfort, function, and aesthetics for the patients and prevention of reinfection of tooth. These objectives are provided through complete cleaning, shaping, and obturation of canals of affected teeth .

Some patients may report moderate-to-severe pain and/or swelling following root canal treatment .

This is detrimental for both patient and dentist and may entail an unscheduled emergency visit by patients to relieve their symptoms.

Postoperative pain is considered a clinical outcome that exhibits the multifactorial nature of patients' responses to variables among treatment procedures such as maintaining the working length to the apical constriction, finishing the endodontic treatment in single visit or multiple visit, instrumentation technique and the type of endodontic sealer used for obturation .

Such pain occurrence is mainly due to mechanical, chemical or microbial injury to the periapical tissues .

Trauma of periapical tissue or bacterial extrusion and root canal sealer specifically, extrusion of root canal sealer can disrupt periodontal tissues and cause inflammatory reactions. The intensity of this reaction depends on the composition of the sealer .

Root canal sealers can play a crucial role in this regard by coming in contact with the periapical tissues through apical foramen and lateral canals causing a localized inflammation with a direct influence on the degree of inflammation based on the composition of the sealer in turn influencing postoperative pain levels .

Silicone is inert and biocompatible and has been widely used in medicine as an implant material Silicone-based root-canal sealers are also available. However, there are no data on the clinical performance of this type of material in endodontic treatment .

Enrollment: 50 estimated patients

Sex: All

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• • Patient's age ranges from 18-50 years old.

  • Patients with teeth diagnosed with symptomatic irreversible pulpitis.
  • Normal periapical condition confirmed by normal periapical radiograph
  • The teeth are restorable
  • Teeth are periodontally free, with no mobility and negative to percussion and palpation test.

Exclusion criteria

• • Teeth with immature roots

  • Non restorable teeth
  • Medically compromised patients with systemic complication that would alter the treatment.
  • Necrotic teeth
  • Teeth with apical periodontitis or periapical lesions
  • necrotic Teeth.

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Group (1) Resin Based Sealer intervention

Experimental group

Description:

evaluate the incidence and intensity of post-operative pain after obturation using resin based sealers.

Treatment:

Procedure: Rubber dam isolation of tooth

Procedure: Bleeding control

Procedure: Removal Of Caries and Access Cavity

Procedure: Coronal flaring

Procedure: Cleaning and shaping using rotary system

Procedure: Apical gauging

Procedure: Second w.l determination

Diagnostic Test: application of the sillicon based sealer inside the canal in the sillicon based group

Procedure: Activation of the irrigant

Procedure: Canal negotiation

Procedure: Primary local anesthesia

Procedure: Supplemental local anesthesia

Procedure: Obturation

Procedure: Irrigation

Procedure: Master cone check

Procedure: Working Length Determination (W.L)

Diagnostic Test: Visual Analogue Scale (VAS)

Drug: application of resin based sealer inside the canal in the resin based sealer group

Procedure: Glide path

Group (2) Silicone Based Sealer intervention

Experimental group

Description:

evaluate the incidence and intensity of post-operative pain after obturation using sillicon based sealers.

Treatment:

Procedure: Rubber dam isolation of tooth

Procedure: Bleeding control

Procedure: Removal Of Caries and Access Cavity

Procedure: Coronal flaring

Procedure: Cleaning and shaping using rotary system

Procedure: Apical gauging

Procedure: Second w.l determination

Diagnostic Test: application of the sillicon based sealer inside the canal in the sillicon based group

Procedure: Activation of the irrigant

Procedure: Canal negotiation

Procedure: Primary local anesthesia

Procedure: Supplemental local anesthesia

Procedure: Obturation

Procedure: Irrigation

Procedure: Master cone check

Procedure: Working Length Determination (W.L)

Diagnostic Test: Visual Analogue Scale (VAS)

Drug: application of resin based sealer inside the canal in the resin based sealer group

Procedure: Glide path