Comparing the incidence of postoperative pain after root canal filling with warm vertical obturation with resin-based sealer and sealer-based obturation with calcium silicate-based sealer: a prospective clinical trial

Yu, Ya‐Hsin; Kushnir, Larisa; Kohli, Meetu R.; Karabucak, Bekir

doi:10.1007/s00784-021-03814-x

Cited by 23 publications

(37 citation statements)

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“…In the present study, only one clinical protocol was used for all the patients. However, some authors have already showed differences in terms of pain after using different shaping files, irrigation protocols or sealers [11,12,72,73]. Finally, it should be mentioned the possible bias in the present study due to 74% of the patients had undergone previous endodontic treatment.…”

Section: Discussionmentioning

confidence: 66%

Pain and Avoidance during and after Endodontic Therapy: The Role of Pain Anticipation and Self-Efficacy

Santos-Puerta

Peñacoba

2022

IJERPH

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Background: Pain anticipation has been identified as a predictor of pain and avoidance with respect to endodontic therapy. Self-efficacy is also key to the development and maintenance of health behaviors and achieve patient adherence to treatment. However, the role of self-efficacy has not been studied yet in endodontic treatment. Methods: This study was conducted on 101 patients who needed root canal therapy. They had to fill a questionnaire before treatment registered pain anticipation and self-efficacy; during and after treatment were registered pain intensity and avoidance. Results: Pain anticipation explained pain during (Beta = 0.51, t = 5.82, p ≤ 0.001, [0.34, 0.69]) and after treatment (Beta = 0.38, t = 4.35, p ≤ 0.001, [0.21, 0.55]). Self-efficacy did not have an influence in pain values. Pain anticipation explained avoidance during (Beta = 0.51, t = 3.60, p ≤ 0.001, [0.23, 0.80]) and after treatment (Beta = 0.62, t = 4.29, p ≤ 0.001, [0.33, 0.91]). Self-efficacy had a significant role in avoidance during treatment (Beta = 0.12, t = 2.19, p ≤ 0.03, [0.01, 0.23]) with a strong moderation relationship between pain anticipation and avoidance when self-efficacy was medium (Beta = 0.44, t = 3.24, p = 0.002, [0.17, 0.72]) or high (Beta = 0.84, t = 3.5, p ≤ 0.001, [0.37, 1.33]). Self-efficacy was not significant respect to avoidance after treatment. Conclusions: Self-efficacy is an important variable in endodontic therapy due to their moderating effect between pain anticipation and avoidance behavior during the procedure. It is necessary to improve the results of root canal therapy and reduce patient’s avoidance in order to take into account this variable.

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Section: Discussionmentioning

confidence: 66%

Pain and Avoidance during and after Endodontic Therapy: The Role of Pain Anticipation and Self-Efficacy

Santos-Puerta

Peñacoba

2022

IJERPH

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“…This meta-analysis of nine pooled RCTs indicates that POP was significantly lower after RCF with BCS compared with RBS. However, none of the RCTs individually reported any significant effect of BSC vs. RBS on POP [28][29][30][31][32][33][34][35][36].…”

Section: Discussionmentioning

confidence: 99%

“…All the selected studies included teeth with pulp or periapical pathologies, without signs of radiolucency, requiring a primary endodontic treatment. However, only three studies included teeth that needed retreatment [28][29][30]. Four studies included teeth that were asymptomatic pre-operatively [30][31][32][33], two studies only included symptomatic teeth [28,34], and three studies examined asymptomatic and symptomatic teeth [29,35,36].…”

Section: Filling With Traditional Techniquementioning

confidence: 99%

“…However, only three studies included teeth that needed retreatment [28][29][30]. Four studies included teeth that were asymptomatic pre-operatively [30][31][32][33], two studies only included symptomatic teeth [28,34], and three studies examined asymptomatic and symptomatic teeth [29,35,36]. Only one study managed an endodontic treatment without local anesthesia [31].…”

Section: Filling With Traditional Techniquementioning

confidence: 99%

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Postoperative Pain following Root Canal Filling with Bioceramic vs. Traditional Filling Techniques: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Mekhdieva

Fabbro

Alovisi

et al. 2021

JCM

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This meta-analysis aimed to evaluate postoperative pain (POP) following root canal filling (RCF) with gutta-percha/bioceramic sealer (BCS) vs. gutta-percha/traditional sealer (TS) techniques. Electronic databases were searched for randomized trials. Subgroup analyses were performed for analgesic intake, flare-ups, postoperative time (24/48 h), pulp status, and retreatment. The search yielded 682 records, and nine studies were selected. BCS was associated with significantly lower POP vs. TS at 24 h (P = 0.04) and 48 h (P = 0.0005). In addition, non-significant trends favoring BCS for analgesic intake at 24 h (P = 0.14), flare-ups (P = 0.24) and obturation techniques at 24 h (P = 0.41) and 48 h (P = 0.33), non-significant trends for lower POP with TS vs. BCS 24 h and 48 h in vital teeth (P = 0.50, P = 0.18, respectively), and for lower POP with BCS vs. TS in non-vital teeth at 24 h and 48 h (P = 0.16, P = 0.84, respectively). POP was numerically lower with TS vs. BCS at 24 h (P = 0.65) and 48 h after retreatment (P = 0.59). Moreover, POP did not vary between fillers when the treatment was over single (P = 0.28) or multiple visits (P = 0.50). BCS was associated with significantly lower short-term POP, and with a trend for lower analgesic intake and flare-up incidence, as compared to TS.

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“…An obturation method has been established and promising clinical results have been reported (33). However, the single-point root canal lling method using a bioceramic sealer capable of root canal preparation and hard tissue formation (34), which reduces the risk of root canal fracture caused by the minimally invasive cutting type TN, will follow the ow of endodontic treatment in the future. The possibility of accelerating MI Endo was shown in this study.…”

Section: Discussionmentioning

confidence: 99%

Effect of Root Canal Transportation by Minimally Invasive Endodontic Access on Canal Orifice Dentin

Tsubaki

Utsunomiya

Shimojima

et al. 2021

Preprint

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Background: Minimally invasive endodontics (MI Endo) with minimal dentin shaping prevents root canal fracture in endodontically treated teeth. Alternatively, reduction of the surgical field and limitation of the visual field by MI Endo make root canal shaping difficult. The purpose of this study is to analyze the effect of minimally invasive (MI) shaping of canal orifice dentin by evaluating the shaping characteristics of TruNatomy (TN), a Ni–Ti file developed for MI Endo.Methods: A J-shaped canal model was used to compare the final canal morphology formed using a MI shaping TN or conventional shaping ProTaper NEXT (PTN) file. The TN files were used in two experimental groups: no straight-line access (A) and straight-line access (B). The PTN files of the control were similarly classified: no straight-line access (C) and straight-line access (D). The increase in canal width and the median displacement (transportation) among the groups were compared.Results: The analysis of the canal width prepared with the TN file showed that the displacement of the inner canal curve increased at the point 5 mm from the apex in Groups A and B; however, the displacement of the outer width increased at the other measurement sites. In Groups C and D using PTN, the displacement of the inner canal curve increased at points 3–5 mm from the apex. Alternatively, the displacement on the outer width increased at 8 mm, and the displacement in Group D increased significantly. The canal transportation in the case with a TN file was 0.1 mm or smaller for Groups A and B, although the PTN preparation showed significant transport 3–5 mm from the apex on the inner curve of Group D compared with Groups A and B.Conclusions: TN shaping preserves the tooth structure and canal geometry without straight-line access. The TN file developed based on the concept of MI Endo facilitates accurate root canal shaping and reduces transportation.

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Comparing the incidence of postoperative pain after root canal filling with warm vertical obturation with resin-based sealer and sealer-based obturation with calcium silicate-based sealer: a prospective clinical trial

Cited by 23 publications

References 50 publications

Pain and Avoidance during and after Endodontic Therapy: The Role of Pain Anticipation and Self-Efficacy

Pain and Avoidance during and after Endodontic Therapy: The Role of Pain Anticipation and Self-Efficacy

Postoperative Pain following Root Canal Filling with Bioceramic vs. Traditional Filling Techniques: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Effect of Root Canal Transportation by Minimally Invasive Endodontic Access on Canal Orifice Dentin

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