The Effect of Sealer Type and Obturation Technique on Postoperative Pain

Jordan University of Science and Technology120 enrolled

Overview

Postoperative pain is an important consideration in endodontic treatment, and its incidence may be influenced by both obturation technique and sealer type. This study focused on molars to minimize anatomical variability and provide a consistent assessment of pain associated with different endodontic protocols. This study aimed to evaluate the incidence and level of postoperative pain in molars treated with root canal therapy, in relation to the type of sealer and obturation technique used.

One hundred and twenty patients (aged 18-60 years; 63 males, 57 females) requiring root canal treatment of mandibular or maxillary molars will be included. Only teeth with necrotic pulp and asymptomatic apical periodontitis or previously extirpated pulp are considered. Patients will be randomly assigned to one of four groups (30 patients each): Group A-AH Plus resin sealer with cold lateral compaction (AH-CLC); Group B-AH Plus with warm vertical compaction (AH-WVC); Group C-TotalFill bioceramic sealer with single-cone technique (TF-SC); Group D-TotalFill HiFlow with warm vertical compaction (TF-WVC). Postoperative pain will be self-recorded using the Visual Analog Scale (VAS) and Verbal Rating Scale (VRS) at 6 hours, 1 day, 2 days, 3 days, and 1 week after treatment. Completed forms will be collected when patients returned for permanent coronal restoration. Analgesic use was also recorded. Data will analyzed using one way ANOVA and Chi square tests.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

120

Conditions

Dental Pulp Necrosis

Interventions

Obturation of root canalsPROCEDURE

filling of root canal using different materials of resin based or bioceramic based and cold lateral condensation or warm vertical condenstion techniques

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. both male and female patients within 2. The age of 18-60 years old who required root canal treatment 3. Either mandibular or maxillary molars with the diagnosis of either; necrotic pulp with asymptomatic apical periodontitis, 4. Teeth with pulp extirpated ( previously initiated root canal treatment) regardless of the periapical status Exclusion Criteria: 1. Teeth diagnosed with irreversible pulpitis; 2. Teeth with intracanal abberations or mishaps such as perforations, transportation, severe ledging , broken instruments, apical resorption or open apices; 3. Teeth requiring posts; 4. Any patient on long term steroid or any other medical condition that requires long term analgesic.

Locations (1)

Jordan university of Science and Technology

Irbid, Jordan

Outcomes

Primary Outcomes

Pain level after obturation of root canals

The level of pain the patient will experience after obturation of the teeth using a visual analogue scale and a numerical scale from 0-10. Zero is the minimum and 10 is the maximum. The higher the score the worse it is, the best technique will have low scores of pain

Time frame: 6 hours, 1 day, 2 days, 3 days and 1 week

Data from ClinicalTrials.gov

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