Role of Root Canal Sealer on the Post Operative Pain: a Randomized Control Trial

Abstract

Background: Recent innovations in pulp treatment and root canal sealers include bioceramic. It is proven how bioceramics affect root restoration, radiculer perforation, and vital pulp therapy. Therefore, it is anticipated that using bioceramics as a root canal sealer in traditional root canal therapy for non-vital teeth will have positive results. Methods: In this investigation, 60 nonvital teeth with periapical lesions were included. These teeth were separated into two groups of 30 teeth each and treated as follows: Group A: Bioceramics (Endocequence BCTM) sealer was used to obturate these teeth. Group B was obturated using a sealer based on Zinc Oxide Eugenol (Tubli-sealTM). Participants were contacted after 3, 6, and 12 months. The clinical outcome was assessed by assessing pain by VAS, tenderness on percussion, and using the Chi-square test and unpaired student t-test for testing differences between the two groups, with a p value of 0.05 regarded as statistically significant. Results: It was discovered that at 6 and 12 months of observation, 100% of teeth treated with Bioceramics' root canal sealer and 93.3% of teeth treated with Zinc Oxide Eugenol did not exhibit any discomfort or soreness to percussion. The differences between the groups treated with Zinc Oxide Eugenol and Bioceramics root canal sealer were not statistically significant (p > 0.05). Conclusion:It may be determined that both bioceramic-based sealers (Endosequence BC) and zinc oxide-eugenol-based sealers (Tubli-seal TM) are efficient in reducing post-operative discomfort after endodontic therapy. As a result, sealer has no effect on post-operative pain relief. Update Dent. Coll. j: 2023; 13(1): 31-34