Post-Obturation Pain Following the Use of the AH Plus and iRoot SP Sealers

Study Overview
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Brief Summary
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The aim of this study was to evaluate and compare postoperative pain and overextension of root canal filling after root canal treatment using a carrier-based obturation system and two different sealers. In this prospective randomized clinical trial, 160 mandibular premolars and molars in 160 patients were treated. Patients with vital and devital teeth were assigned to four groups using a randomized block design with block sizes of 10 patients each. The groups were composed of devital teeth with periapical lesions treated with iRoot SP sealer, vital teeth treated with iRoot SP sealer, devital teeth with periapical lesions treated with AH Plus sealer, and vital teeth treated with AH Plus sealer. In single visits, a single operator prepared root canals and filled them with sealer using the carrier-based obturation technique. Radiographs were taken and obturation length was recorded. Patients recorded pain scores use of Visual Analogue Scale and frequency of analgesic intake at baseline and 0-6, 6-12, 12-24, and 24-72 h..

Detailed Description
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This randomized controlled clinical study was conducted to compare the incidence and intensity of post-obturation pain, evaluate the overextension of filling material radiographically, and assess the relationship between pain and analgesic intake in patients with vital and devital teeth undergoing carrier-based obturation with two different sealers (iRoot SP, AH Plus)

Official Title
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Termoplastik Kor tekniğini Iki farklı Kanal patı Ile kullanıp Tedavi sonrası Hassasiyet ve kök Ucundan taşma miktarının değerlendirilmesi: Randomize kontrollü Klinik çalışma

Conditions
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Endodontically-Treated Teeth

Intervention / Treatment
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* Other: Root canal obturation with iRoot SP sealer
* Other: Root canal obturation with AH Plus Sealer


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: no systemic diseases women were not pregnant or breastfeeding status no history of taking analgesics in the previous seven days or other drugs prior to presenting for treatment. all selected teeth were mandibular molar or mandibular premolar. Exclusion Criteria: systemic and/or periodontal disease; allergy to local anesthetic agents and/or history of intolerance to nonsteroidal anti-inflammatory drugs; requirement for antibiotic prophylaxis open tooth apex pacemaker use

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: pain iRoot SP sealer Vital Pulp<br>Evaluation of Postoperative pain after root canal obturation with iRoot SP sealer (Innovative BioCeramix Inc., Vancouver, Canada) with patients who has (mandibular premolar/molar) vital pulp. | Other: Root canal obturation with iRoot SP sealer<br>* Postoperative pain after root canal obturation with iRoot SP sealer with patients who has (mandibular premolar/molar) vital and devital pulps.<br>|
| Active Comparator: pain iRoot SP sealer Devital pulp<br>Evaluation of Postoperative pain after root canal obturation with iRoot SP sealer (Innovative BioCeramix Inc., Vancouver, Canada) with patients who has (mandibular premolar/molar) devital pulp. | Other: Root canal obturation with iRoot SP sealer<br>* Postoperative pain after root canal obturation with iRoot SP sealer with patients who has (mandibular premolar/molar) vital and devital pulps.<br>|
| Active Comparator: pain AHPlus Vital pulp<br>Evaluation of Postoperative pain after root canal obturation with AH Plus sealer (Dentsply Maillefer, Ballaigues, Switzerland) with patients who has (mandibular premolar/molar) vital pulp. | Other: Root canal obturation with AH Plus Sealer<br>* Postoperative pain after root canal obturation with AH Plus sealer with patients who has (mandibular premolar/molar) vital and devital pulps.<br>|
| Active Comparator: pain AHPlus Devital Pulp<br>Evaluation of Postoperative pain after root canal obturation with AH Plus sealer (Dentsply Maillefer, Ballaigues, Switzerland) with patients who has (mandibular premolar/molar) devital pulp. | Other: Root canal obturation with AH Plus Sealer<br>* Postoperative pain after root canal obturation with AH Plus sealer with patients who has (mandibular premolar/molar) vital and devital pulps.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The incidence of postoperative pain by using VAS scale after obturation with different sealers. |  | 72 hour | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Endodontic Postoperative Pain, iRoot SP Sealer, Randomized Clinical Trial, Herofill carrier-based obturation