Evaluation of mineral trioxide aggregate as root canal sealer: A clinical study

Thakur, Sophia; Emil, Jonathan; Paulaian, Benin

doi:10.4103/0972-0707.120944

Cited by 22 publications

(21 citation statements)

References 25 publications

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“…A priori sample size calculation was done using G*Power 3.1.2 software based on a previously published study (12). Using a one-way ANOVA xed effects omnibus model (α = 0.05, 1-ß = 0.95, f = 0.05), the minimum sample size calculated was 18 per group.…”

Section: Sample Size Calculationmentioning

confidence: 99%

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

Khandelwal¹,

Jose²,

Palanivelu³

et al. 2021

Preprint

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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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Section: Sample Size Calculationmentioning

confidence: 99%

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

Khandelwal¹,

Jose²,

Palanivelu³

et al. 2021

Preprint

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“…MTA has been reported to possess good biocompatibility and bioactivity, for which it popular used in pulp capping, pulpotomy, apexification, and as root end filling material. [ 12 ] Moreover, it can promote the formation of alveolar bone and cementum and the reconstruction of periodontal ligament for its osteogenic induction. Furthermore, recent studies proved that MTA exhibited antibacterial activity, which have a crucial influence on the success of root canal treatment.…”

Section: Discussionmentioning

confidence: 99%

A maxillary center incisor with three independent roots and three root canals

Wang¹,

Zhang²,

Zhou

2020

Medicine

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Rationale: Three root canals (mesiobuccal, distobuccal and palatal) are rarely found (frequency <1%) in the maxillary central incisor even though root canal morphology in maxillary premolars is highly variable. Therefore, research papers showed that dentists can easily miss the root canals in diagnosis and inflammatory diffusion; which could cause unsuccessful root canal treatment leading to various possible infections and no change in original inflammations. In this report, the diagnose and clinical management of an unusual case of a maxillary center incisor with three independent roots and three root canals is presented, along with a demonstration of using CBCT (Cone Beam Computed Tomography) and collaborate with other departments to successfully accomplish an accurate diagnosis of the morphology and quantity of the root canal system. Patient concerns: The patient was referred to clinic for his repeatedly abscessed in the gums of the left upper central incisor. Diagnoses: Based on clinical and radiographic evidences, the patient was tentatively diagnosed with a chronic periapical periodontitis for #21 tooth. Interventions: The patient was performed with the conventional root canal treatment and then clinical observed. Outcomes: At the second visit after 7 days, the patient was not sensitive to percussion. After operation for 3 months, and found that the sinus opening had not healed. Then, the patient was undergone with the periodontal flap surgery to remove root infection for 2 weeks. Lessons: From this clinical case, the lesson learned is that the previous clinical experiences cannot be used to make judgments or decisions; it requires specific analysis from the information gathered through CBCT(Cone Beam Computed Tomography)and the cooperation between different departments to come up with a responsible decision. In any stomatological hospitals, due to the large number of departments and the strong specialized focuses for each department; it is very important to encourage and support the cooperation between the departments, to limit any judgment bias due to lack of knowledge and maximize each department's strengths.

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“…Postoperative pain is considered to be another significant clinical outcome exhibiting a multifactorial response to treatment related factors such as maintaining the working length to the apical constriction, finishing the endodontic treatment in single visit or multiple visit, instrumentation technique and the type of endodontic sealer used for obturation ( 7 ). Postoperative pain usually ranges from 3% to 58% based on the individual’s pain perseverance and stimulus ( 9 ). Such pain occurrence is mainly due to mechanical, chemical or microbial injury to the periapical tissues.…”

Section: Introductionmentioning

confidence: 99%

Comparative evaluation of postoperative pain and periapical healing after root canal treatment using three different base endodontic sealers – A randomized control clinical trial

Khandelwal¹,

Jose²,

Teja³

et al. 2022

J Clin Exp Dent

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Background The aim of the present study was to evaluate and compare the postoperative pain and periapical healing after root canal treatment using three different base endodontic sealers. Material and Methods Primary root canal treatment was initiated in 63 patients diagnosed with necrotic pulp and apical periodontitis, cleaning and shaping was completed in two visit and different base endodontic sealers were 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. Results The mean difference in the size of periapical lesions for Tubli-Seal (6.27, 13.41), AH Plus (3.86, 9.80) and BioRoot RCS (4.05, 10.22) at 3 months and 6 months respectively. The mean pain scores at 24 h for Tubli-Seal (17.94 ± 11.35), AH Plus (11.57 ± 11.18), BioRoot RCS (4.73 ± 7.72). At 48 h, Tubli-Seal (5.26 ± 9.04), AH Plus (1.57 ± 3.74) and BioRoot RCS (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 after 7 d of treatment. Conclusions BioRoot RCS showed less postoperative pain compared to AH Plus and Tubli-Seal and showed better periapical healing compared to AH Plus and Tubli-Seal at 3 and 6 months intervals respectively. Key words: BioRoot RCS, root canal obturation, root canal sealers, periapical periodontitis, Periapical healing, postoperative pain.

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Evaluation of mineral trioxide aggregate as root canal sealer: A clinical study

Cited by 22 publications

References 25 publications

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

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

A maxillary center incisor with three independent roots and three root canals

Comparative evaluation of postoperative pain and periapical healing after root canal treatment using three different base endodontic sealers – A randomized control clinical trial

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