Post-obturation pain following the use of carrier-based system with AH Plus or iRoot SP sealers: a randomized controlled clinical trial

Ateş, Ayfer Atav; Dumani, Ayşin; Yoldaş, Oğuz; Ünal, İlker

doi:10.1007/s00784-018-2721-6

Cited by 38 publications

(85 citation statements)

References 34 publications

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“…In a clinical study (Atav Ates et al . 2019), analgesic intake was higher up to 24h postoperatively, which is consistent with the present study, which can be attributed to procedural factors such as the injection of local anaesthetics, pressure of the rubber dam clamp or discomfort due to prolonged mouth opening.…”

Section: Discussionsupporting

confidence: 92%

The effect of two calcium silicate‐based and one epoxy resin‐based root canal sealer on postoperative pain: a randomized controlled trial

Aslan

Özkan

2020

Int Endodontic J

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AimTo compare the effect of two calcium silicate‐based (Endoseal MTA and EndoSequence BC Sealer) and an epoxy resin‐based (AH Plus) root canal sealer on postoperative pain following single‐visit root canal treatment on molar teeth.MethodologyPatients (n = 90) having one first or second molar tooth diagnosed with asymptomatic irreversible pulpitis were randomly divided into three groups according to the sealer used (n = 30) and were treated by two endodontists having at least 10 years of experience. All patients received a single‐visit root canal treatment. After the treatments, postoperative pain scores and analgesic intake were recorded at 6, 12, 24 and 48 h, and 3, 4, 5, 6 and 7 days. The data were analysed statistically using non‐parametric Kruskal–Wallis tests (for the comparisons of the age and VAS scores), Friedman tests (for the assessments of the changes in pain scores over time), chi‐squared tests (for the comparisons of categorical variables) and Spearman’s correlation test (for the correlation assessments of the age and gender factors with postoperative pain; α = 0.05).ResultsThere were no significant differences amongst the groups in terms of postoperative pain at any time‐points assessed (P > 0.05) nor for analgesic intake of patients amongst the groups (P > 0.05). Analgesic intake decreased significantly after 12 h in all groups (P < 0.05).ConclusionsThe sealers tested in this study were associated with similar levels of postoperative pain and were associated with a similar intake of analgesics.

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Section: Discussionsupporting

confidence: 92%

The effect of two calcium silicate‐based and one epoxy resin‐based root canal sealer on postoperative pain: a randomized controlled trial

Aslan

Özkan

2020

Int Endodontic J

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“…In addition, it has dimensional stability during an experimental time of 30 days, while several other bioceramic sealers tend to expand [17]. In vitro and in vivo animal studies have shown that bioceramic sealers have favorable physiobiological properties [18][19][20]; however, although of great interest, there have been few clinical studies on the effects of bioceramic sealers on postoperative pain [8,21,22]. To the best of our knowledge, no clinical study has reported the effect of Endoseal MTA on post-obturation pain.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, pain is multifactorial, so it is very difficult to consider every factor potentially involved in its aggravation or diminution. Thus, a randomized controlled clinical trial is preferable to investigate postoperative pain [4,7,8,21].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Effects of a Bioceramic and Conventional Resin-Based Sealers on Postoperative Pain after Nonsurgical Root Canal Treatment: A Randomized Controlled Clinical Study

Shim¹,

Jang²,

Kim³

2021

Materials

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Background: This clinical trial aimed to compare the effects of bioceramic sealer and resin-based sealer on the incidence and intensity of postoperative pain. Methods: Patients with anterior teeth or premolars requiring root canal treatment were assigned to group 1 (n = 51). Those with molars requiring treatment were assigned to group 2 (n = 57). In groups 1En and 2En, root canals were obturated with Endoseal MTA using the single-cone technique. In groups 1AH and 2AH, the sealer used was AH Plus with the continuous wave technique. On the day of canal filling, each patient was instructed to indicate their pain intensity over the 7 day postoperative period, at rest and, while biting, using a visual analog scale. Results: There was no significant difference in the incidence or intensity of postoperative pain between the Endoseal MTA and AH Plus groups during the 7 day postoperative period (p > 0.05). Less time was needed to seal the root canals with Endoseal MTA, especially in group 2 (p < 0.05). Conclusions: Endoseal MTA and AH Plus had similar effects on the incidence and intensity of postoperative pain. The obturation time was shorter when using Endoseal MTA compared to AH Plus.

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“…After analyzing the titles and abstracts, nine publications were selected for full-text reading. After reading the articles in full, five studies were finally included in this qualitative analysis 31 32 33 34 35 ( Fig. 1 ).…”

Section: Resultsmentioning

confidence: 99%

Calcium Silicate-Based Sealers Do Not Reduce the Risk and Intensity of Postoperative Pain after Root Canal Treatment when Compared with Epoxy Resin-Based Sealers: A Systematic Review and Meta-Analysis

et al. 2021

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This review aims to evaluate whether root canal obturation with calcium silicate-based (CSB) sealers reduces the risk and intensity of endodontic postoperative pain when compared to epoxy resin-based (ERB) sealers. The review was registered at PROSPERO (CRD42020169255). Two independent reviewers conducted an electronic search in PubMed, Scopus, EMBASE, Web of Science, Cochrane Library and LILACS until November 2020 and included only randomized clinical trials with adult health participants undergoing root canal treatment. After selection, the JBI Critical Appraisal tool was used to assess the risk of bias. A fixed-effect meta-analysis was performed to summarize the results of pain risk and pain intensity at time intervals of 24 and 48 hours. Finally, the certainty of evidence was assessed using the GRADE approach. The search resulted in 1,206 records, of which five studies (n = 421 patients) met the eligibility criteria and presented moderate to low risk of bias. There was no significant difference between groups in the risk of pain in the first 24 hours (relative risk or RR = 0.83, 95% confidence interval or CI: 0.60, 1.16, I 2 =) or 48 hours (RR = 0.56, 95% CI: 0.26, 1.21, I 2 =). Silicate-based sealers led to lower pain intensity only at 48 hours (mean and standard deviation = 0.37, 95% CI: 0.69, 0.05). All analyses revealed low heterogeneity (I 2 < 25%). The evidence presented moderate level of certainty. Currently available evidence has shown that there is no difference between CSB and ERB sealers in the risk or intensity of postoperative pain.

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Post-obturation pain following the use of carrier-based system with AH Plus or iRoot SP sealers: a randomized controlled clinical trial

Cited by 38 publications

References 34 publications

The effect of two calcium silicate‐based and one epoxy resin‐based root canal sealer on postoperative pain: a randomized controlled trial

The effect of two calcium silicate‐based and one epoxy resin‐based root canal sealer on postoperative pain: a randomized controlled trial

Comparison of the Effects of a Bioceramic and Conventional Resin-Based Sealers on Postoperative Pain after Nonsurgical Root Canal Treatment: A Randomized Controlled Clinical Study

Calcium Silicate-Based Sealers Do Not Reduce the Risk and Intensity of Postoperative Pain after Root Canal Treatment when Compared with Epoxy Resin-Based Sealers: A Systematic Review and Meta-Analysis

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