Comparative Evaluation of Postoperative Pain after Root Canal Treatment using Three Different Sealers, Viz., Tubli-Seal EWT, Apexit Plus, AH Plus: An In-Vivo Study

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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An in vivo double-blind randomized controlled study comparing the postoperative pain in single sitting root canal treatment under bupivacaine versus lignocaine used as a local anesthetic agent

Endodontology ◽

10.4103/endo.endo_1_18 ◽

2019 ◽

Vol 31 (1) ◽

pp. 2

Author(s):

SumitaA Bhagwat ◽

Anacleta Heredia ◽

LeenaV Padhye

Keyword(s):

Postoperative Pain ◽

Local Anesthetic ◽

Root Canal ◽

Root Canal Treatment ◽

Anesthetic Agent ◽

Controlled Study ◽

Double Blind ◽

Local Anesthetic Agent ◽

Randomized Controlled

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Comparative Evaluation of Postoperative Pain and Periapical Healing After Root Canal Treatment Using Three Different Base Endodontic Sealers – A Randomized Control Clinical Trial

10.21203/rs.3.rs-622404/v1 ◽

2021 ◽

Author(s):

Akshay Khandelwal ◽

Jerry Jose ◽

Ajitha Palanivelu ◽

Kavalipurapu Venkata Teja

Keyword(s):

Postoperative Pain ◽

Root Canal ◽

Primary Root ◽

Root Canal Treatment ◽

Random Allocation ◽

Periapical Lesions ◽

Ah Plus ◽

Periapical Healing ◽

The Mean ◽

Endodontic Sealers

Abstract Backgroundː Endodontic Sealers come in direct contact with periapical tissue through the apical foramen and lateral canals, influencing the postoperative pain and periapical healing. The aim of the present study was to evaluate and compare postoperative pain and periapical healing after root canal treatment using different base endodontic sealers.Methodsː Primary root canal treatment was initiated in 63 patients diagnosed with necrotic pulp and apical periodontitis, followed by which the endodontic sealers used for obturation were selected based on the random allocation of the participants to the following groups; Tubli-Seal, AH Plus and BioRoot RCS. Postoperative pain was recorded by using 100 mm visual analog scale at 24 h, 48 h, 72 h and 7 d after obturation. Digital periapical radiographic evaluation was done to assess rate of periapical healing at baseline, 1, 3 and 6 months. Statistical analysis was done using Kruskal Wallis test and one-way ANOVA and p-value of less than 0.05 was considered as significance level.Resultsː Significant reduction was seen in the size of periapical lesions in all the study groups at 3 and 6 months (p ˂ 0.05). The mean difference in the size of periapical lesions for BioRoot RCS was 4.05, 10.22, for AH Plus was 2 3.86, 9.80 and Tubli-Seal were 6.27, 13.41 at 3 months and 6 months respectively. The mean pain scores at 24 h for Tubli-Seal, AH Plus, BioRoot RCS were 17.94 ± 11.35, 11.57 ± 11.18 and 4.73 ± 7.72. At 48 h were 5.26 ± 9.04, 1.57 ± 3.74 and 1.57 ± 3.74 respectively. The mean pain score at 72 h for Tubli-Seal was 2.63 ± 7.33 whereas none of the patients had reported pain in AH Plus and BioRoot RCS group. None of the patients had pain 7 d after treatment.Conclusionsː BioRoot RCS showed less postoperative pain compared to AH Plus and Tubli-Seal. BioRoot RCS showed better periapical healing compared to AH Plus and Tubliseal at 3- and 6-months interval respectively.Trial Registration: Registration of this trial was done prospectively in Clinical trials registry – India (CTRI) with registration number (CTRI/2018/10/015919) dated 08/10/2018.

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A Comparative Evaluation of the Effectiveness of Saline, Chlorhexidine and Ozone Irrigating Solutions on Microorganisms in the Root Canal - An In Vivo Study

Acta Scientific Dental Scienecs ◽

10.31080/asds.2020.04.0944 ◽

2020 ◽

Vol 4 (10) ◽

pp. 76-81

Author(s):

Alan Winston David ◽

Sarvepalli Venkata Satish ◽

Sudhir Dole ◽

Suresh Kumar Kovvuru ◽

Basavana Gowda

Keyword(s):

Root Canal ◽

Comparative Evaluation ◽

In Vivo Study

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Preliminary in vivo Investigation into the Relationship between Canal Preparation Protocol and Incidence of Postoperative Pain in Single-visit and Two-visit Endodontic Therapy: A Randomized Controlled Clinical Trial

Journal of Contemporary Dentistry ◽

10.5005/jp-journals-10031-1184 ◽

2017 ◽

Vol 7 (1) ◽

pp. 48-52

Author(s):

Sumita Bhagwat ◽

Nehal Sheth

Keyword(s):

Postoperative Pain ◽

Root Canal ◽

Root Canal Treatment ◽

Controlled Clinical Trial ◽

Randomized Controlled Clinical Trial ◽

Root Canal Therapy ◽

Preparation Methods ◽

Randomized Controlled ◽

The Relationship

ABSTRACT Introduction Postoperative pain is a major concern for patients undergoing root canal treatment. Much research has gone into the alteration of several variables to determine the elusive technique that will result in no postoperative pain. Aim The aim of our study was to investigate the incidence, severity, and duration of postoperative pain in relation to technique of root canal preparation and compare the difference in incidence, severity, and duration of postoperative pain in single- and two-sitting root canal therapy when different instrumentation techniques are used. Materials and methods Sixty adult patients requiring root canal therapy were selected and divided into six groups. Singlesitting root canal treatment was carried out in three groups, with three different canal preparation methods (group I – Conventional hand files, group II – hand ProTaper files, and group III – rotary ProTaper files). Two-sitting root canal treatment was carried out in three groups, with the same canal preparation methods (group IV – conventional hand files, group V – hand ProTaper files, and group VI – rotary ProTaper files). Postoperatively, the subjects were instructed to fill out a series of self-report questionnaires for pain incidence after 1 day, 2 days, 3 days, 1 week, and 2 weeks. After 2 weeks, the patients were recalled and their responses were duly noted. Results Results were tabulated and statistically analyzed using Mann–Whitney U test. Conclusion There was a significant difference in incidence, character, and duration of postoperative pain in rotary-prepared canals as compared with hand-prepared canals in both singleand two-sitting endodontics. Clinical significance The purpose of this study was to search for a predictability in incidence, duration, and character of postoperative pain in canals instrumented with hand and rotary instruments. Knowing this will enable clinicians to make more prudent choices in instruments, techniques, and protocols for root canal therapy. How to cite this article Bhagwat S, Sheth N, Padhye L. Preliminary in vivo Investigation into the Relationship between Canal Preparation Protocol and Incidence of Postoperative Pain in Single-visit and Two-visit Endodontic Therapy: A Randomized Controlled Clinical Trial. J Contemp Dent 2017;7(1):48-52.

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