Comparison of Calcium Silicate-based Sealer and Epoxy Resin-based Sealer

University of Medicine and Pharmacy at Ho Chi Minh City42 enrolled

Overview

Background: Sealers have been concerned with obturation. However, studies for assessing the effectiveness of endodontic treatment of sealer based on Calcium Silicate have been not much. Objective: This study aimed to assess the effectiveness of endodontic treatment of sealer based on Calcium Silicate Methods: A prospective, single-blind, clinical trial was conducted from June 2020 to December 2020 with 42 irreversible pulpitis teeth by one clinician. The postoperative pain was assessed after root canal treatment using sealer based on Calcium Silicate and sealer based on Epoxy resin after 6 hours, 12 hours, 24 hours, 48 hours, 72 hours and 7 days and inconvenient symptoms were assessed after 7 days, 3 months and 6 months. t-test, Mann-Whitney and Wilcoxon analysis were applied. Key words: obturation, sealer based on Calcium Silicate and sealer based on Epoxy resin

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Pulpitis - Irreversible Pain, Postoperative

Interventions

Calcium silicate-based sealers (CSS)DRUG

All teeth received one-visit endodontic treatment according to the treatment protocol of the Vietnamese Ministry of Health with the support of three-dimensional imaging equipment and an endodontic machine. After root canal preparation, obturation was performed using Calcium silicate-based sealers.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * aged 18 years or older * teeth diagnosed with irreversible pulpitis by electrical and thermal tests (+) * had clinical symptoms like continuous or spontaneous pain, teeth exposed to sudden temperature changes, especially cold stimuli, causing sharp pain and persisting after stimulus removal * these teeth must have healthy periodontal tissue and sufficient clinical teeth crown for isolation with a rubber dam Exclusion criteria: Patients with: * Pregnant * Have a systemic disease requiring antibiotics or have an allergic reaction * Have maxillofacial pathology, cellulitis, occlusal trauma, and temporomandibular disorders, have endodontic periodontal lesions, periodontal abscesses * Have taken a previous pain reliever within 24 hours Tooth: * Roots internally or externally resorbed, cracked or broken * Have had failed endodontic treatment, or the root canal cannot be controlled for leakage * No opposing teeth

Outcomes

Primary Outcomes

Change in pain intensity over time

The investigator instructed patients on how to use the 170-mm Heft-Parker self-assessment scale to evaluate their pain intensity. Swelling, fistula, and sensitivity under biting pressure were classified as binary variables.

Time frame: after 6 hours, 12 hours, 24 hours, 48 hours, 72 hours and 7 days after treatment

Change in pain relief over time

Time frame: after 6 hours, 12 hours, 24 hours, 48 hours, 72 hours and 7 days after treatment

Change in treatment outcome evaluation over time

Based on Strindberg's criteria of clinical symptoms, the treatment outcome evaluation was then expressed as success, failure, or uncertain depending on the presence of symptoms

Time frame: 1 week, 3 months and 6 months after treatment