Effect of Different Treatment Regimen and Types of Endodontic Sealers on Pain and Periapical Radiographic Changes

INTRODUCTION: The study aims as a pilot study to evaluate the effect of different treatment regimen and different types of endodontic sealers on pain and periapical radiographic changes was studied. MATERIALS AND METHODS: Forty patients in need of an endodontic root canal treatment on anterior teeth were selected and divided into two groups (20 patients each), according to the endodontic treatment protocol (single or multiple visits). Then, each group was subdivided into two subgroups according to sealer used 10 each (AH Plus Jet resin sealer, Total Fill Bioceramic Sealer). To record pain intensity of the patients at different intervals: 1, 2, 3, 7 days, a visual analog scale was used. Furthermore, patients were recalled after 1, 3, 6, 9 months to evaluate periapical radiographic changes. RESULTS: Showed that as regard pain assessment both tested endodontic sealers, as well as single or multiple visits have no statistically significant difference between pain values of patients during all the observation period from immediately post-operative, after 4, 12, 24, 48, 72 h as well as after 7 days (p > 0.05). As regard lamina dura thickness, results showed that with both tested endodontic sealers as well as single or multiple visits, there was no statistically significant difference between lamina dura thickness of patients after 1 month, 3, 6 as well as after 9 months. CONCLUSIONS: Neither number of visits of endodontic treatment nor type of sealer used for obturation affects post-operative pain and thickness of lamina dura.

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Comparison of the Effects of a Bioceramic and Conventional Resin-Based Sealers on Postoperative Pain after Nonsurgical Root Canal Treatment: A Randomized Controlled Clinical Study

Materials ◽

10.3390/ma14102661 ◽

2021 ◽

Vol 14 (10) ◽

pp. 2661

Author(s):

Kiche Shim ◽

Young-Eun Jang ◽

Yemi Kim

Keyword(s):

Postoperative Pain ◽

Postoperative Period ◽

Root Canal ◽

Continuous Wave ◽

Root Canal Treatment ◽

Root Canals ◽

Anterior Teeth ◽

Significant Difference ◽

Ah Plus ◽

Group 2

Background: This clinical trial aimed to compare the effects of bioceramic sealer and resin-based sealer on the incidence and intensity of postoperative pain. Methods: Patients with anterior teeth or premolars requiring root canal treatment were assigned to group 1 (n = 51). Those with molars requiring treatment were assigned to group 2 (n = 57). In groups 1En and 2En, root canals were obturated with Endoseal MTA using the single-cone technique. In groups 1AH and 2AH, the sealer used was AH Plus with the continuous wave technique. On the day of canal filling, each patient was instructed to indicate their pain intensity over the 7 day postoperative period, at rest and, while biting, using a visual analog scale. Results: There was no significant difference in the incidence or intensity of postoperative pain between the Endoseal MTA and AH Plus groups during the 7 day postoperative period (p > 0.05). Less time was needed to seal the root canals with Endoseal MTA, especially in group 2 (p < 0.05). Conclusions: Endoseal MTA and AH Plus had similar effects on the incidence and intensity of postoperative pain. The obturation time was shorter when using Endoseal MTA compared to AH Plus.

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In vitro evaluation of the antimicrobial activity of five root canal sealers

Brazilian Dental Journal ◽

10.1590/s0103-64402004000100006 ◽

2004 ◽

Vol 15 (1) ◽

pp. 30-35 ◽

Cited By ~ 23

Author(s):

Brenda Paula Figueiredo de Almeida Gomes ◽

José Assis Pedroso ◽

Rogério Castilho Jacinto ◽

Morgana Eli Vianna ◽

Caio Cezar Randi Ferraz ◽

...

Keyword(s):

Antimicrobial Activity ◽

Antimicrobial Properties ◽

Contact Method ◽

Streptococcus Sanguis ◽

Actinomyces Naeslundii ◽

Agar Diffusion Test ◽

Significant Difference ◽

Ah Plus ◽

Endodontic Sealers

The aim of the present study was to analyze the antimicrobial properties of five endodontic sealers: Endo Fill, Endomethasone, Endomethasone N, Sealer 26 and AH-Plus, against the following microorganisms: Candida albicans, Staphylococcus aureus, Enterococcus faecalis, Streptococcus sanguis and Actinomyces naeslundii. The sealers were tested immediately, 24 h, 48 h and 7 days after manipulation.The direct contact method through the observation of the microbial growth in liquid medium and the agar diffusion test were used to evaluate the antimicrobial properties of the sealers. The results, in both methodologies used, showed that immediately after manipulation, Endo-Fill and Endomethasone demonstrated the highest antimicrobial activity, with no statistically significant difference between them. Sealer 26 demonstrated the lowest antimicrobial activity. At all other times after manipulation, there were no statistically significant differences among all the sealers tested. In conclusion, none of the sealers totally inhibited the growth of the microorganisms. Furthermore, the antimicrobial activity of each sealer decreased with time and was dependent upon the microbial susceptibility to them.

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Re-establishing apical patency after obturation with Gutta-percha and two novel calcium silicate-based sealers

European Journal of Dentistry ◽

10.4103/1305-7456.172625 ◽

2015 ◽

Vol 09 (04) ◽

pp. 457-461 ◽

Cited By ~ 7

Author(s):

Anastasia Agrafioti ◽

Anastasios D. Koursoumis ◽

Evangelos G. Kontakiotis

Keyword(s):

Calcium Silicate ◽

Continuous Wave ◽

Mineral Trioxide Aggregate ◽

Optical Microscope ◽

Gutta Percha ◽

Anterior Teeth ◽

Working Length ◽

Significant Difference ◽

Ah Plus ◽

Time Required

ABSTRACT Objective: Aim of the present study was to evaluate the retreatability and reestablishment of apical patency of two calcium silicate-based sealers, TotalFill BC Sealer (BCS) and mineral trioxide aggregate Fillapex (MTA F), versus AH Plus, when used in combination with Gutta-percha (GP). Materials and Methods: The canals of 54 single-rooted anterior teeth were instrumented and filled with GP/AH Plus (Group A), GP/MTA F (Group B), or GP/BCS (Group C) using continuous wave obturation technique. The groups were subdivided into subgroups with the master-GP cone placed to the working length (WL) or intentionally 2 mm short. The retreatment procedures were performed using ultrasonics, chloroform, rotary, and hand files. The ability to establish the patency and reach WL was determined as well as the time taken to reach WL was calculated in minutes. Furthermore, the samples were observed under a dental, optical microscope, after vertically splitting them. Results: The WL and patency were reestablished in 100% of specimens in all groups. The Mann–Whitney U-test indicated that there was a significant difference in the amount of time required to reach WL between the groups (P < 0.05) with group GP/BCS short of the WL showing the most amount of time to be retreated. Conclusion: The novel calcium silicate-based sealers are negotiable under simple root canal anatomy. However, the conventional retreatment techniques are not able to fully remove them.

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Evaluation of Apical Filling after Warm Vertical Compaction using Two Different Endodontic Materials: Resilon® and Gutta-Percha

World Journal of Dentistry ◽

10.5005/jp-journals-10015-1150 ◽

2012 ◽

Vol 3 (2) ◽

pp. 166-170

Author(s):

Carla Zogheib ◽

Etienne Medioni

Keyword(s):

Group 4 ◽

Gutta Percha ◽

Anterior Teeth ◽

Significant Difference ◽

Ah Plus ◽

Group 3 ◽

Group 5 ◽

Group 2 ◽

Warm Vertical Compaction ◽

Group 1

ABSTRACT Forty-eight extracted maxillary anterior teeth instrumented with ProTaper system to apical preparations 0.25, 0.40 and 0.60 mm (n = 16 each) were divided into six groups for filling as following: Group 1: Apical preparation 25/100 + gutta-percha/AH Plus sealer, group 2: Apical preparation 25/100 + Resilon/Real Seal, group 3: Apical preparation 40/100 + gutta-percha/AH plus sealer, group 4: Apical preparation 40/100 + Resilon/Real Seal, group 5: Apical preparation 60/100 + gutta-percha/AH plus, group 6: Apical preparation 60/100 + Resilon/Real Seal. All teeth were filled using the warm vertical technique. Horizontal sections at 1, 2 and 3 mm from the apex were observed by SEM under 200 × magnification. Sections were digitally photographed under a stereomicroscope and the images were transferred to a compatible PC for image analysis. The surface area of voids were calculated and compared at all levels; using the Kruskal-Wallis test with Sidak correction and Mann-Whitney U test (p > 0.05). Comparisons within each group (gutta-percha/AH plus and Resilon/Real Seal) showed the presence of voids but there was no significant difference between any level of sectioning for apical preparations of 25 and 40 (p > 0.05). The only difference was in the groups prepared to size 60 and filled with Resilon/ Real Seal which showed significantly more voids than the group filled with gutta-percha/AH plus and especially at the 3 mm level. Conclusion The system Resilon/Real Seal did not achieve better results in terms of sealing ability in the apical third when compared to the conventional gutta-percha/AH plus sealing system. How to cite this article Zogheib C, Naaman A, Medioni E. Evaluation of Apical Filling after Warm Vertical Compaction using Two Different Endodontic Materials: Resilon® and Gutta-Percha. World J Dent 2012;3(2):166-170.

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Adhesion of Epiphany and AH Plus sealers to human root dentin treated with different solutions

Brazilian Dental Journal ◽

10.1590/s0103-64402008000100008 ◽

2008 ◽

Vol 19 (1) ◽

pp. 46-50 ◽

Cited By ~ 51

Author(s):

Vinicius Humberto Nunes ◽

Ricardo Gariba Silva ◽

Edson Alfredo ◽

Manoel D. Sousa-Neto ◽

Yara T. C. Silva-Sousa

Keyword(s):

Bond Strength ◽

Root Canal ◽

Distilled Water ◽

Water Control ◽

Significant Difference ◽

Ah Plus ◽

Root Dentin ◽

Post Hoc ◽

Endodontic Sealers ◽

Push Out

This study evaluated comparatively the adhesion of Epiphany and AH Plus endodontic sealers to human root dentin treated with 1% NaOCl and 1% NaOCl+17% EDTA, using the push-out test. Sixty root cylinders obtained from maxillary canines had the canals prepared and were randomly assigned to 3 groups (n=20), according to root dentin treatment: GI - distilled water (control), GII - 1% NaOCl and GIII - 1% NaOCl+17% EDTA. Each group was divided into 2 subgroups (n=10) filled with either Epiphany or AH Plus. Bond strength push-out test data (kN) were obtained and analyzed statistically by ANOVA and Tukey's post-hoc test. There was statistically significant difference between sealers (AH Plus: 0.78 ± 0.13; Epiphany: 0.61 ± 0.19; p<0.01) and among root dentin treatments (distilled water: 0.58 ± 0.19; 1% NaOCl: 0.71 ± 0.12; 1% NaOCl+17% EDTA: 0.80 ± 0.17; p<0.05). In conclusion, AH Plus sealer presented greater adhesion to dentin than Epiphany, regardless of the treatment of root canal walls.

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Coronal bacterial leakage in root canals filled with single cone technique and different endodontic sealers

Brazilian Dental Science ◽

10.14295/bds.2014.v17i2.991 ◽

2014 ◽

Vol 17 (2) ◽

pp. 57

Author(s):

Flávia Martins Leal ◽

Carlos Henrique Ribeiro Camargo ◽

Marcia Carneiro Valera ◽

Gleyce Oliveira Silva ◽

Tatiana Rocha De Oliveira ◽

...

Keyword(s):

Setting Time ◽

Human Teeth ◽

Root Canals ◽

Gutta Percha ◽

Significant Difference ◽

Single Cone ◽

Lower Chamber ◽

Ah Plus ◽

Bacterial Leakage ◽

Endodontic Sealers

Objective: To evaluate coronal bacterial leakage comparing five endodontic sealers (AH Plus, Apexit Plus, Copaifera sp oil, EndoREZ and Polifil), and comparing root canals filled with EndoREZ sealer/EndoREZ® Points and EndoREZ sealer/conventional gutta-percha points.Material and Methods: 84 human teeth were prepared and filled with gutta-percha points using the single cone technique. Roots were randomly divided into 6 groups: Apexit Plus, AH Plus, Copaifera sp oil, Polifil, EndoREZ, and EndoREZ/EndoREZ Points. After setting time, the roots were incorporated in a leakage model, which upper chamber contained a suspension of Streptococcus mutans, and lower chamber a broth. Leakage was assessed for turbidity in lower chamber for 60 days. Statistic analysis was performed using the nonparametric Kaplan-Meier method (p<0.05).Results: All experimental groups presented leakage during the study’s period. The medium time of leakage was: Apexit Plus and AH Plus 6,3 days, Polifil 5,1 days, Copaifera 1,2 days, and both EndoREZ groups infiltrated in the first day.Conclusions: There was no statistically significant difference between the sealers Apexit Plus, AH Plus and Polifil, but they prevented leakage better than Copaifera sp oil and both EndoREZ groups. However, none of the tested sealers was capable of resisting coronal bacterial leakage for more than 22 days.

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Evaluation of Post-operative Pain by using Calcium Hydroxide Based Root Canal Sealer: A Clinical Study

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i42a32418 ◽

2021 ◽

pp. 397-401

Author(s):

Sadaf Ujjan ◽

Nourain Saeed ◽

Saba Parveen Soomro ◽

Faryal Manzoor ◽

Permanand Malhi ◽

...

Keyword(s):

Clinical Study ◽

Visual Analogue Scale ◽

Calcium Hydroxide ◽

Root Canal ◽

Analogue Scale ◽

Endodontic Treatment ◽

Care Hospital ◽

Root Canal Sealer ◽

Anterior Teeth ◽

Post Operative Pain

Objective: To assess the post-operative pain by using calcium hydroxide Ca(OH)2 based root canal sealer, a clinical study at tertiary care Hospital Materials and Methods: This cross-sectional study was performed at operative dentistry department of Liaquat University of Medical and health Sciences Jamshoro Pakistan. Study duration was 6 months from March 2020 August 2020. Total 60 patients, those having permanent anterior teeth with irreversible pulpitis, teeth restoration after root canal treatment and either of gender were included. Multiple visits of endodontic treatment were performed by obturating the canals using calcium hydroxide Ca(OH)2 (sealapex, Sybron endo). Patients were recalled next day, after 3rd day and after one week of obturation to assess the severity of post-operative pain (POP) via visual analogue scale (VAS). All the information was recorded via study proforma. Data analysis was done by using SPSS version 20. Results: Mean age of the study participants was 26.77+8.72 years. males were in majority 36(60.0%). On the next day as per severity of pain, mostly patients were presented with severe pain as mean visual analogue scale was 8.7+0.3. On third day pain was markedly decrease among almost all of the cases as average of visual analogue scale was found 2.6+0.2. However after one all the patients were seen without pain as average of visual analogue scale was 0.65+0.7. Pain was statistically insignificant according to gender. Conclusion: Calcium hydroxide based root canal sealer found to be feasible and effective for endodontic treatment in terms of lower postoperative pain.

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Endodontic Management of Maxillary Second Molar with Two Palatal Roots: A Report of Two Cases

Case Reports in Dentistry ◽

10.1155/2012/590406 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4

Author(s):

Surbhi Patel ◽

Pawan Patel

Keyword(s):

Clinical Examination ◽

Root Canal ◽

Treatment Protocol ◽

Morphological Features ◽

Endodontic Treatment ◽

Second Molar ◽

Ah Plus

Endodontic treatment may sometimes fail because morphological features of the tooth adversely affect the treatment protocol. Maxillary second molars are recognized as usually having a single palatal root with a single palatal canal. The incidence of second palatal root in the maxillary second molar is very rare. Two cases are presented in this paper describing the endodontic management of a four-rooted maxillary second molar with two distinct palatal roots and canals and two distinct buccal roots and canals. Clinical examination and radiographs showed the presence of two palatal roots during the root canal procedure. The canals were biomechanically prepared with crown-down technique and obturated using lateral condensation technique with AH-Plus sealer.

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Postoperative pain and antibacterial effect of 980 nm diode laser versus conventional endodontic treatment in necrotic teeth with chronic periapical lesions: A randomized control trial

F1000Research ◽

10.12688/f1000research.16794.1 ◽

2018 ◽

Vol 7 ◽

pp. 1795 ◽

Cited By ~ 3

Author(s):

Dina A. Morsy ◽

Maged Negm ◽

Alaa Diab ◽

Geraldine Ahmed

Keyword(s):

Postoperative Pain ◽

Diode Laser ◽

Root Canal ◽

Bacterial Count ◽

Endodontic Treatment ◽

Control Group ◽

Periapical Lesions ◽

Anterior Teeth ◽

Significant Difference ◽

Aerobic And Anaerobic

Background: Many challenges encounter the endodontist, especially when dealing with necrotic teeth with chronic periapical lesions. Postoperative pain may be induced following conventional endodontic therapy and total eradication of the bacteria is almost unachievable even with recently available techniques. In recent years, diode laser usage in the endodontic field has gained acceptance. Thus, this study aimed to investigate the ability of the diode laser (DL) to decrease postoperative pain and achieve root canal sterility. Methods: 56 patients with anterior teeth with chronic periapical lesions in upper anterior teeth were randomly divided into two groups (n = 28). All patients were treated with two visits of conventional root canal treatment with ProTaper Universal. The DL group: root canals were irradiated with 200 µm fiber optic at both visits; the control group (Endo): the DL fiber was placed in root canal with no activation. Bacterial samples were collected from all the cases at each step of the treatment. Pain levels were evaluated using a numerical rating scale preoperatively, and after 6, 12, 24, 48 hours and 7 days. Bacterial count was used to detect both aerobic and anaerobic bacterial load. Results: The qualitative pain scores revealed statistically significant lower pain levels in the DL group compared with the Endo group at all time intervals (P<0.001), except preoperatively where there was no significant difference. There was a statistically significant lower bacterial count for both aerobic and anaerobic bacteria in the DL group compared with the Endo group in both S3 samples (after laser application) and S4 samples (bacterial colonization) (P<0.001). Conclusion: The 980 nm diode laser may be a successful adjunct to conventional endodontic treatment of necrotic cases with chronic periapical lesions in terms of postoperative pain and root canal disinfection. Trail registration: PACTR201511001275414 (date: 23rd September 2015)

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Comparison of Obturation Quality between Calcium Silicate-Based Sealers and Resin-Based Sealers for Endodontic Re-treatment

Materials ◽

10.3390/ma15010072 ◽

2021 ◽

Vol 15 (1) ◽

pp. 72

Author(s):

Hye-Ryeon Jin ◽

Young-Eun Jang ◽

Yemi Kim

Keyword(s):

Calcium Silicate ◽

Continuous Wave ◽

Calculated Data ◽

Endodontic Treatment ◽

Void Volume ◽

Lower Percentage ◽

Micro Ct ◽

Micro Computed Tomography ◽

Significant Difference ◽

Ah Plus

Background: The objective of this micro-computed tomography (micro-CT)-based study was to compare the filling quality of endodontic treatment and endodontic Re-treatment between two sealers with matched obturation techniques: calcium silicate-based sealer (Endoseal TCS) with a single-cone technique (SCT) and resin-based sealer (AH Plus) with a continuous wave technique (CWT). Methods: Forty maxillary premolars were selected and assigned into four groups, according to the obturation methods of the first endodontic treatment and Re-treatment (n = 10). The AP/AP group was first treated with AH Plus/CWT, then re-treated with AH Plus/CWT. The AP/ET group was first treated with AH Plus/CWT, then re-treated with Endoseal TCS/SCT. The ET/AP group was first treated with Endoseal TCS/SCT, then re-treated with AH Plus/CWT, and the ET/ET group was first treated with Endoseal TCS/SCT, then re-treated with Endoseal TCS/SCT. The specimens were scanned using micro-CT at three time points: after the first endodontic treatment, after gutta-percha (GP) cone removal, and after Re-treatment. The void volume of root canal obturation and the volume of the remaining filling materials were calculated. Data were analyzed using Student’s t-tests and ANOVA. Results: The Endoseal TCS groups (ET/AP and ET/ET) showed a lower percentage of voids than the AH plus groups (AP/AP and AP/ET) on the whole canal and the apical third, after first obturation (p < 0.05). The AH plus group showed significantly fewer remnants than the Endoseal TCS group after GP removal (p < 0.05). Re-treated canals and initially treated canals had similar void volumes (p > 0.05). There was no significant difference in void volume after Re-treatment, regardless of whether the same or different sealers were used for the first treatment and Re-treatment (p < 0.05). Conclusions: Endoseal TCS sealer and AH Plus sealer had a similar Re-treatment efficacy, regardless of which sealer was used in the previous treatment.

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