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

Abstract

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.

Understanding and application of restoring endodontically treated teeth among dentists of Islamabad and Rawalpindi - a twin city survey

“…This finding contradicts previous studies, which surprisingly declare that after root canal treatment, delay in post placement will lead to an increase in endodontically treated teeth (ETT) failures and fractures [25]. Literature has also reported that periapical lesions might take healing months to years to heal completely [26]. However recent clinical studies also showed that placement of posts with or without apical lesions had no effect on the outcome of endodontically treated teeth [27].…”

The efficacy of premixed bioceramic sealers versus standard sealers on root canal treatment outcome, extrusion rate and post‐obturation pain: A systematic review and meta‐analysis

“…In the next stage, a total of 27 full‐text articles were assessed for eligibility. After manuscript evaluation, a total of 10 papers were not included because they focused on non‐premixed CaSi sealers, namely BioRoot RCS ( n = 4) (Bardini et al., 2021; Khandelwal et al., 2022; Bel Haj Salah et al., 2021; Zavattini et al., 2022), MTA Fillapex ( n = 2) (Coşar et al., 2023; Ferreira et al., 2020), Pro Root MTA ( n = 1) (Thakur et al., 2013), Neo MTA ( n = 1) (Walsh et al., 2023) or Nishika BG ( n = 1) a Bioglass‐containing paste to paste sealer (Supreet et al., 2023). One study was excluded due to the presence of a premixed sealer with no specified composition (no SDS was reported) associated with a polymer based obturation system (polyamide core with an outer bonded hydrophilic polymer) (Nagar et al., 2018).…”