Evaluation of the Effect of the Intensity and Occurrence of Postoperative Pain of Resin-Based and Bioceramic Root Canal Sealers: A Systematic Review and Meta-Analysis of Randomized Controlled Trial Studies

Samira Jamali,Navid Nasrabadi,Sara Jafarizadeh,Maryam Darvish

doi:10.1590/pboci.2021.082

Abstract

Objective: To evaluate resin- and bioceramic root canal sealers affect postoperative intensity and pain occurrence . Material and Methods: From the electronic databases, PubMed, Cochrane Library, Embase, ISI have been used to perform systematic literature until September 2020. Electronic titles were managed using the Endnote X8 software. They performed searches with mesh terms. Two reviewers blindly and independently extracted data from studies that included data for data extraction. Results: A total of 186 potentially relevant titles and abstracts were found. Finally, four studies were included. Pain score was (RR = -0.20; 95% CI -1.09–0.68; p= 0.65). This result showed no statistically significant difference for the resin-based and bioceramic root canal sealers after 24 hours between the VAS scores . Conclusion: Postoperative pain was low in Patients requiring root canal retreatment and obturated with resin-based or bioceramic-based sealers without extrusion beyond the apex. No differences were observed between postoperative pain in resin-based and bioceramic root canal sealers 24 and 48 hours postoperatively.

Highlights

Studies have shown that endodontic postoperative pain between 3 to 58 % [1,2,3]
Postoperative pain was low in Patients requiring root canal retreatment and obturated with resin-based or bioceramicbased sealers without extrusion beyond the apex
No differences were observed between postoperative pain in resin-based and bioceramic root canal sealers 24 and 48 hours postoperatively

Summary

Introduction

Studies have shown that endodontic postoperative pain between 3 to 58 % [1,2,3]. Pain may occur in periodontal tissues after mechanical, chemical, and microbiological injuries [4]. There are various parameters in treatment that can cause postoperative pain. One of these parameters is including working length (WL). The number of visits, selection of instruments, and the selection of root canal sealers are other related parameters [5,6,7]. Sealers placed in the root canals and interact with the periodontal tissues through the apical perforation, lateral canals, or leaching can affect the periodontium's healing process. Postoperative pain is caused by local inflammation of the root canal [8]

Methods

Results

Discussion

Conclusion