Assessment of Postoperative Pain of Two Bioceramic Root Canal Sealers With Obturation Techniques
Condition: Effect of Material and Technique
MeSH terms: Pain, Postoperative
Study type: Interventional

Summary: 
      60 patients were divided into 2 groups, 30 patient in each group

      Group I: Obturation with TotalFill BC Sealer using the single cone technique

      Group II: Obturation with TotalFill BC Sealer HiFlow using the warm vertical compaction
      technique.

      Every participant will be given a Visual Analog Scale (VAS) to record the intensity of
      postoperative pain at 6 hr, 24 hr, 48 hr, 72 hr, and 1week after treatment. The patients will
      return their Visual Analog Scale (VAS) after 1 week and the recorded pain data will be
      collected and statistically analyzed regarding each group.
    

Detailed description: 
      Endodontic treatment will be performed in a single visit

      Root canal preparation

        -  After anesthesia a rubber dam will be placed then disinfection of the working field will
           be done using sodium hypochlorite swab.

        -  All caries will be removed then an endodontic access cavity will be established using
           high speed carbide burs under coolant.

        -  Cleaning and shaping of the canal will be performed using rotary ProTaper Next files
           (Dentsply, Maillefer) connected to an endodontic motor according to the manufacturer's
           instructions and recommendations.

        -  Irrigation with sodium hypochlorite will be always performed during instrumentation.

        -  After instrumentation a final flush with sodium hypochlorite followed by distilled water
           will be performed and the canals will be dried using sterile paper points.

        -  Master cone radiograph will be taken for confirmation and obturation will be done
           according to the mentioned groups.

      Root canal obturation

        -  This study will be a double blind randomized study.

        -  Group I: Using TotalFill BC Sealer, the tip of the syringe will be inserted into the
           canal and the sealer will be dispensed into the root canal as recommended by the
           manufacturer. A ProTaper Next gutta percha cone (Dentsply, Maillefer) of the same size
           of the prepared canal will be used for single cone obturation technique and the excess
           gutta percha will be removed by a heated condenser.

        -  Group II: TotalFill BC Sealer HiFlow will be inserted into the canal as in Group I and
           the master gutta percha cone will be placed and warm vertical compaction technique will
           be done. The depth of the heated plugger will be 5 mm less than the WL followed by back
           filling.

        -  After obturation, the access cavity will be cleaned and a sterile cotton pellet is
           placed and the cavity will be sealed with temporary filling.

        -  A postoperative radiograph will be taken

      Assessment of postoperative pain

      Every participant will be given a Visual Analog Scale (VAS) to record the intensity of
      postoperative pain at 6 hr, 24 hr, 48 hr, 72 hr, and 1week after treatment. The patients will
      return their Visual Analog Scale (VAS) after 1 week and the recorded pain data will be
      collected and statistically analyzed regarding each group.
    

Intervention name(s): single cone technique using TotalFill BC Sealer; warm vertical compaction technique using TotalFill BC Sealer HiFlow
Intervention type(s): Other; Other
Intervention description(s): Gutta percha cone size X5 (Dentsply, Maillefer) TotalFill BC Sealer (FKG Dentaire SA, La Chaux-de-Fonds, Switzerland); TotalFill BC Sealer HiFlow (FKG Dentaire SA, La Chaux-de-Fonds, Switzerland)
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment