The Effect of Three Different Bioceramic-Based Root Canal Sealers on Post-Operative Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Postoperative Pain, Acute
- Sponsor
- Kırıkkale University
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Change in pain from 6 th hours to 30 days between root canal sealers
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
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.
Detailed 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.
Investigators
Ali Turkyilmaz
Asisstant Professor
Kırıkkale University
Eligibility Criteria
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,
- •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
Outcomes
Primary Outcomes
Change in pain from 6 th hours to 30 days between root canal sealers
Time Frame: 6, 24, and 72 hours and at 7 and 30 days
All participants were asked to rate their perceived pain on the scale, with 0 indicating no pain and 10 indicating the highest possible pain. Pain levels were classified as none, mild (1 to 3), moderate (4 to 7), or severe (8 to 10).
Secondary Outcomes
- Change in pain from 6 th hours to 30 days between diffrernt pulp status(6, 24, and 72 hours and at 7 and 30 days,)