Postoperative Pain, Acute
Conditions
Keywords
Calcium-silicate,, Pain, Postobturation, Root canal sealer, Visual analog scale
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.
Interventions
OTHERPost operative pain assessment after root canal treatment
the sealer was administered to the root canal using the initial paper point and then uniformly distributed using a second paper point before removing any excess sealer with a third paper point. Once the sealer was applied, a single tapered gutta-percha cone was adjusted to fit the root canal. The coronal access cavities were restored with a composite resin material
Sponsors
Kırıkkale University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
SINGLE (Subject)
Masking description
Patients were blinded and were unaware of the specific treatment protocol. Participants were then randomly assigned to the four groups in a 1:1 ratio using a computer algorithm program (http:// randomizer.org)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in pain from 6 th hours to 30 days between root canal sealers | 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
| Measure | Time frame | Description |
|---|---|---|
| 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, | 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). |
Countries
Turkey (Türkiye)
Outcome results
None listed