Abstract

The aim of this randomized clinical trial was to compare the occurrence and intensity of postoperative pain and analgesic intake after root canal treatment, using different root canal sealers. Sixty single-rooted teeth diagnosed with asymptomatic necrosis and apical periodontitis were randomly assigned to 3 experimental groups (n=20), according to the root canal sealer: AH Plus, Endofill or MTA Fillapex. Endodontic treatment was performed in two sessions, and calcium hydroxide was used as the intracanal dressing. Patients were instructed to record pain intensity as none, slight, moderate and severe. Scores from 1 to 4 were attributed to each level of pain after 24 h, 48 h and 7 days. The need for analgesic intake was also recorded. Differences in the incidence of postoperative pain and the need for an analgesic were analyzed using the chi-square test. Differences in pain intensity after treatment were analyzed using the ordinal (linear) chi-square test. No significant differences were detected among the groups in terms of either incidence or intensity of postoperative pain, or need for analgesic intake, at any timepoint (p>0.05). No pain was reported after 7 days. AH Plus, Endofill and MTA Fillapex used for filling root canals resulted in the same rate of postoperative pain and need for analgesic medication.

Highlights

  • Submitted: December 11, 2019 Accepted for publication: April 20, 2020 Last revision: May 26, 2020Endodontic postoperative pain has been defined as an unpleasant sensation of any degree of pain that occurs after initiating root canal treatment.[1]

  • Postoperative pain occurred in 11.6% of the cases (7 patients), at different intensities, after 24 h, dropping to 8.3% (5 patients) after 48 h

  • No significant differences were detected among the groups either in incidence or intensity of postoperative pain, or in analgesic intake, at any of the timepoints

Read more

Summary

Introduction

Submitted: December 11, 2019 Accepted for publication: April 20, 2020 Last revision: May 26, 2020Endodontic postoperative pain has been defined as an unpleasant sensation of any degree of pain that occurs after initiating root canal treatment.[1]. These sealers are designed to be used inside the root canal during endodontic treatment, but may come in close contact with the periapical tissues through lateral

Methods
Results
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call