Extrusion of root canal sealer in periapical tissues: Report of two cases with different treatment management and literature review

Dalopoulou, Athina; Economides, Nikolaos; Evangelidis, Vasilis

doi:10.1515/bjdm-2017-0002

Cited by 10 publications

(8 citation statements)

References 56 publications

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“…The rationale for the pain score of the revascularization group was statistically significantly lower after 12 h than the endodontic treatment group, which could be due to the forces exerted during obturation by lateral compaction technique or extrusion of sealer that may cause pain postoperatively (Dalopoulou et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of postoperative pain and healing following regenerative endodontics using platelet‐rich plasma versus conventional endodontic treatment in necrotic mature mandibular molars with chronic periapical periodontitis. A randomized clinical trial

Ahmed

Ghoneim

2023

Int Endodontic J

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Aim:To evaluate the post-operative pain and the healing of necrotic mature permanent mandibular molar teeth with peri-apical periodontitis after conventional endodontic treatment versus after platelet-rich plasma (PRP) revascularization. Methodology:The protocol of this randomized clinical trial was registered at www. clini caltr ials.gov with identification number NCT 03350841. Twenty-eight patients were included in the study after confirming the diagnosis clinically and radiographically. In the first visit, mandibular molar teeth of both groups were mechanically prepared. Double antibiotic paste was prepared and injected then the cavity that was sealed with glass ionomer. At the second visit, the patients were randomized either to control group where standard endodontic treatment was completed by lateral condensation technique or assigned to intervention group where PRP revascularization technique. The degree of spontaneous pain was assessed using numerical rating scale (NRS) pre-operatively, then post-operatively after 6, 12 h and daily for 5 days.Patients were given a placebo to be administrated in case of pain. An analgesic (ibuprofen 400mg) was prescribed in case of persistent pain. Clinical and radiographic healing was assessed after 6 and 12 months. All demographic, baseline and outcome data were collected and statistically analysed.Results: Regarding the post revascularization/obturation pain, there was no statistically significant difference between severity of pain in the two groups at all time intervals except after 12 h, revascularization group showed statistically significantly higher prevalence of no pain than endodontic treatment group. Regarding the healing; the periapical lesions decrease in size significantly from the pre-operative lesion size in both groups without significant difference between the both groups. Conclusion:Within the limitation of this study, PRP revascularization could be an alternative treatment to root canal treatment but further randomized clinical trials with standardized techniques and long follow up periods are recommended for more reliable results.

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Section: Discussionmentioning

confidence: 99%

Evaluation of postoperative pain and healing following regenerative endodontics using platelet‐rich plasma versus conventional endodontic treatment in necrotic mature mandibular molars with chronic periapical periodontitis. A randomized clinical trial

Ahmed

Ghoneim

2023

Int Endodontic J

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“…Several materials and techniques have been recommended for filling of root canals after chemomechanical debridman. Sealer composition and root canal filling methods may influence incidence of postoperative pain 13,23 . In meta-analysis Peng et al 24 investigated outcome of root canal filling with warm gutta-percha (thermomechanical compaction, thermoplasticized injectable gutta-percha obturation, ultrasonic condensation of gutta-percha, and solid-core carry insertion technique) in comparison to cold lateral condensation, and found that incidence of postoperative pain was similar between the two groups, although the overextension was seen more frequent in the former technique.…”

Section: Obturationmentioning

confidence: 99%

Influence of endodontic procedure on postoperative pain: Evidence from systematic reviews

Krunic¹,

Mladenović²,

Žuža³

et al. 2019

Balkan J Dent Med

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Summary Pain control, during and after root canal treatment is one of the important issues in endodontic practice. Occurrence of pain after intervention often presents considerable distress to both patient and dentist. In many studies influence of different endodontic treatment factors on incidence of postoperative pain has been investigated. However, different and inconsistent results between studies and growth in number of published papers each year made professional updating and clinical-decision making challenging. Systematic reviews synthesized and combined data from relevant studies to find the answer to a research question providing the highest level of scientific evidence. Thus, their use may facilitate decision making in clinical practice. The aim of this article was to present results from systematic reviews about the influence of endodontic treatment on postoperative pain.

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“…Periapical healing is seen to be structural and functional replacement of the bone considered to be an intricate interplay between the osteoclasts and osteoblasts allowing the bone formation to occur seen to be influenced by the host’s intrinsic and extrinsic mechanisms ( 4 ). Root canal sealer is a local factor which interferes with the healing of periapical tissues by leaching through the apical foramen and lateral canals ( 5 ). Based on the composition of root canal sealers such as zinc oxide-eugenol formulations, calcium hydroxide sealers, glass ionomer sealers, resin based (epoxy resin or methacrylate resin) sealers and recently introduced bioceramic based sealers, the periapical healing can be influenced by changing the rate of bone deposition as well as creating an enhanced environment for remineralization to occur ( 6 ).…”

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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Extrusion of root canal sealer in periapical tissues: Report of two cases with different treatment management and literature review

Cited by 10 publications

References 56 publications

Evaluation of postoperative pain and healing following regenerative endodontics using platelet‐rich plasma versus conventional endodontic treatment in necrotic mature mandibular molars with chronic periapical periodontitis. A randomized clinical trial

Evaluation of postoperative pain and healing following regenerative endodontics using platelet‐rich plasma versus conventional endodontic treatment in necrotic mature mandibular molars with chronic periapical periodontitis. A randomized clinical trial

Influence of endodontic procedure on postoperative pain: Evidence from systematic reviews

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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