Comparative Evaluation of Postoperative Pain in Response to Three Different Endodontic Sealers Using Visual Analog Scale

Abstract

Abstract Background: The present study aimed to evaluate and compare postoperative pain after root canal treatment using three different base endodontic sealers. Materials and Methods: Root canal treatment was initiated in 60 patients diagnosed with symptomatic irreversible pulpitis, root canal treatment was completed, and different base endodontic sealers were used for obturation were selected based on the random allocation of the participants to the following groups NanoSeal, Dia Proseal, and CeraSeal. Postoperative pain was recorded using a 100 mm Visual Analog Scale at 24 h, 48 h, and 7 day after obturation. Statistical analysis was done using the Kruskal–Wallis test and one-way ANOVA. Results: Statistically significant pain reduction was observed in both NanoSeal-S and Dia-Proseal groups post-obturation. In NanoSeal-S, pain peaked after 24 hours (2.25 ± 1.74), decreased at 72 hours (0.5 ± 0.89), and was minimal by day 7 (0.25 ± 0.55). Dia-Proseal exhibited similar trends with peak pain at 24 hours (0.25 ± 0.55), further reduction at 72 hours (0.1 ± 0.31), and negligible pain by day 7 (0.0 ± 0.0). Comparable outcomes were noted with CeraSeal sealer group. Conclusions: CeraSeal showed less postoperative pain compared to Dia-Proseal and NanoSeal-S.