Evaluation of the Effect of the Intensity and Occurrence of Postoperative Pain of Resin-Based and Bioceramic Root Canal Sealers: A Systematic Review and Meta-Analysis of Randomized Controlled Trial Studies

Jamali, Samira; Darvish, Maryam; Nasrabadi, Navid; Jafarizadeh, Sara

doi:10.1590/pboci.2021.082

Cited by 4 publications

(5 citation statements)

References 29 publications

(28 reference statements)

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“…A recent meta-analysis also found that the postoperative pain (POP) was not significantly different when comparing retreatment cases obturated with bioceramic sealer versus traditional gutta percha and sealer, although numerically the bioceramic group showed a higher POP value in the 24 and 48 hours period (31) . Another meta-analysis also concluded that there was no difference between the postoperative pain in resin-based and bioceramic root canal sealers at 24 and 48 hours (32) . In the current study both the age and gender did not have a significant effect on the intensity of postoperative pain.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Pain evaluation after single visit nonsurgical retreatment using a Bio ceramic sealer

Ghobashy

Fakhr

2022

Egyptian Dental Journal

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Introduction/Objectives the aim of this study was to compare the difference in the postoperative pain when resin cements are used in comparison to bio ceramic cements in the obturation of root canals.Methods One hundred patients with permanent molar teeth requiring endodontic non-surgical retreatment were treated in this study. Preoperative assessment of the degree of the patient's pain was done using the visual analog scale. Fifty teeth were obturated with gutta percha using the epoxy resin-based sealer as the control group, and in the other fifty bio ceramic based cement was used. All teeth were prepared by the protaper next rotary files under copious irrigation with 30ml of 2.6 % sodium hypochlorite throughout the procedure. Obturation was done using the cold lateral compaction technique in the resin group and single cone technique in the bioceramic group. Postoperative pain assessment was done for each patient after six hours, twenty-four hours, four days and one week. ResultsThere was no statistically significant difference between pain scores regarding the postoperative pain between single cone bioceramic based obturation retreatments in comparison to the lateral compaction epoxy resin based obturation retreatments after 6, 24, 48 hours as well as one week. It was also found that There was no statistically significant difference between them in relation to age values and gender in the two groups.Conclusion with in the limitation of this study Single cone obturation with bioceramics can be used safely in single visit retreatment cases, when postoperative pain is being considered.

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Section: Discussionmentioning

confidence: 99%

Postoperative Pain evaluation after single visit nonsurgical retreatment using a Bio ceramic sealer

Ghobashy

Fakhr

2022

Egyptian Dental Journal

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“…Previously published systematic reviews and meta-analysis [ 29 , 30 , 31 ] evaluated the postoperative pain at different time intervals, with a maximum of only seven days. Junior et al [ 29 ] were unable to perform meta-analysis for sealer extrusion and doses of medications i.e., Ibuprofen.…”

Section: Discussionmentioning

confidence: 99%

“…Junior et al [ 29 ] were unable to perform meta-analysis for sealer extrusion and doses of medications i.e., Ibuprofen. Jamali et al [ 30 ] included articles published in English only, which could lead to selection and selective outcome reporting biases. In addition, Mekhdieva et al [ 31 ] failed to provide a clear description of the inclusion and exclusion criteria used for their study.…”

Section: Discussionmentioning

confidence: 99%

“…Junior et al [ 29 ] and Jamali et al [ 30 ] published systematic reviews comparing the effect of CSBSs and RBS on clinical outcomes, which included five and four controlled randomised clinical trials, respectively. In addition, Mekhdieva et al [ 31 ] evaluated the postoperative pain following warm vertical compaction technique using bioceramic sealer in comparison to cold lateral condensation.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and Radiographic Outcome of Non-Surgical Endodontic Treatment Using Calcium Silicate-Based Versus Resin-Based Sealers—A Systematic Review and Meta-Analysis of Clinical Studies

Chopra¹,

Davis

Baysan

2022

JFB

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The aim of this paper is to systematically analyse the effect of calcium silicate-based sealers in comparison to resin-based sealers on clinical and radiographic outcomes of non-surgical endodontic treatment in permanent teeth. Methods: The study was conducted according to the guidelines of the Cochrane Handbook for Systematic Reviews of Interventions and Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) statement. The literature search was performed using PubMed/MEDLINE, Cochrane Central Register of Controlled Trials, Web of Science, DOAJ and OpenGrey with no language restrictions. Two reviewers critically assessed the studies for eligibility. Grading of Recommendations, Assessment, Development and Evaluations (GRADE) was carried out to assess the evidence. Meta-analysis of the pooled data with subgroups was carried out using the RevMan software (p < 0.05). Results: Results from the included studies showed that there were no significant differences between the groups in the 24 h post-obturation pain levels (mean difference (MD), −0.19, 95% CI = −0.43–0.06, p = 0.14, I2 = 0%), but at 48 h (MD, −0.35, 95% CI = −0.64–0.05, p = 0.02, I2 = 0%), a significant difference was observed in favour of calcium silicate sealers. Furthermore, there were no significant differences between the two sealers due to risk of onset or intensity of postoperative pain, need for analgesic and extrusion of the sealer. The heterogeneity assessed using Q test between the included studies was 97% (I2). Conclusions: Within the limitations of this review, the paper shows that calcium silicate-based sealers exhibited optimal performance with similar results to resin-based sealers in terms of average level of post-obturation pain, risk of onset and pain intensity at 24 and 48 h. The observations from the included studies are informative in the clinical evaluation of calcium silicate-based sealers and provide evidence for the conduction of well-designed, controlled randomised clinical trials for a period of at least four years in the future.

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“…In a randomized controlled clinical trial with vital and non-vital mandibular premolars and molars, Ates et al [15], found that 68 % and 59 % of patients had discomfort in teeth filled with AH Plus and I Root, respectively. In both vital and non-vital teeth, Shashirekha et al [16] evaluation of pain in apically extruded sealers did not specify the proportion of patients who had postoperative discomfort.After root canal therapy, some discomfort known as sensitivity is normal and is brought on by clamp insertion, physical stress brought on by instruments, and chemical treatments [17].To properly determine the apical constriction in the current investigation and prevent over-instrumentation and over-filling, an electronic apex finder was employed. In none of the cases was intentional sealer extrusion done.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the effect of three different base endodontic sealers on the periapical region's discomfort and healing after root canal therapy

Hussaen¹,

Abbas²,

Rahoomi³

2022

ijhs

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Seventy-five single-rooted teeth diagnosed with asymptomatic necrosis and apical periodontitis were randomly assigned to 3 experimental groups (n=25), according to the root canal sealer: MTA Fillapex, CPM Sealer, and AH Plus. Calcium hydroxide was employed as intracanal dressing throughout used during endodontic procedure. Classify each patient's discomfort as none, slight, moderate, or severe. Pain was rated between 1 and 4 after 24 hours, 48 hours, and 7 days. Also, analgesic use was monitored. The chi-square test contrasted postoperative pain and painkiller use. The ordinal (linear) chi-square test measured pain following therapy. There were no differences between groups in postoperative pain frequency, severity, or analgesic intake (p>0.05). After 7 days, no pain. Postoperative discomfort and the requirement for analgesics were the same for AH Plus, CPM Sealer, and MTA Fillapex. Aim of study: This clinical study was created to evaluate the frequency and intensity of pain with analgesic intake following root canal therapy utilizing various root canal sealers (MTA Fillapex, CPM Sealer, AH Plus).

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Evaluation of the Effect of the Intensity and Occurrence of Postoperative Pain of Resin-Based and Bioceramic Root Canal Sealers: A Systematic Review and Meta-Analysis of Randomized Controlled Trial Studies

Cited by 4 publications

References 29 publications

Postoperative Pain evaluation after single visit nonsurgical retreatment using a Bio ceramic sealer

Postoperative Pain evaluation after single visit nonsurgical retreatment using a Bio ceramic sealer

Clinical and Radiographic Outcome of Non-Surgical Endodontic Treatment Using Calcium Silicate-Based Versus Resin-Based Sealers—A Systematic Review and Meta-Analysis of Clinical Studies

Evaluation of the effect of three different base endodontic sealers on the periapical region's discomfort and healing after root canal therapy

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