Post-operative pain in non-surgical root canal treatment after sealer-based obturation versus warm vertical compaction: A randomized clinical trial.

Autor: Alzoubi F; Kuwait Board of Endodontics, Specialized Dental Center, Salmiya, Kuwait., Alajmi S; Kuwait Board of Endodontics, Specialized Dental Center, Salmiya, Kuwait., Alkandari A; Kuwait Board of Endodontics, Specialized Dental Center, Salmiya, Kuwait., Alqahtani S; Kuwait Institute for Medical Specializations, Sulaibkhat, Kuwait., Alanezi A; Kuwait Board of Endodontics, Specialized Dental Center, Salmiya, Kuwait., Setzer FC; Department of Endodontics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Jazyk: angličtina
Zdroj: International endodontic journal [Int Endod J] 2024 Sep; Vol. 57 (9), pp. 1168-1179. Date of Electronic Publication: 2024 May 30.
DOI: 10.1111/iej.14102
Abstrakt: Aim: Post-operative pain may occur after non-surgical root canal treatment (NSRCT). The root filling technique and choice of sealer may be contributing factors. This randomized controlled clinical trial compared post-operative pain and analgesics intake after NSRCT using a sealer-based obturation technique (SBO) with single-cone gutta-percha and calcium silicate sealer (CSS) versus a warm-vertical compaction (WVC) technique with gutta-percha and a resin-based sealer (RBS).
Methodology: This study was designed as a parallel-two arm, double-blind, randomized superiority clinical trial registered at www.
Clinicaltrials: gov (NCT04753138). Patients referred for NSRCT fulfilling the inclusion criteria participated in this study. Pre-operative periapical radiographs and CBCT scans were taken and numerical rating scale (NRS) pain scores were recorded. Upon completion of canal instrumentation, participants were randomly allocated to either Group SBO: SBO with CSS or Group WVC: Warm-vertical compaction with RBS. Post-operative pain and analgesics intake were recorded at 1, 3 and 7 days after endodontic treatment completion. Non-parametric Mann-Whitney U and Friedman tests and a generalized estimating equation were used to assess differences in pain scores between the groups, within each treatment group at different time points and for correlations, respectively.
Results: The study included 195 participants (212 teeth). One participant declined to submit the NRS form. Therefore, 194 participants (211 teeth) were included in the final analysis (99.5% response rate). No statistically significant differences in post-operative pain or analgesic intake existed between the two groups at any time point (p > .05). Age, pre-operative pain, apical diagnosis and post-operative analgesic intake were significantly related to post-operative pain (p < .05).
Conclusions: Sealer-based obturation technique with CSS was associated with similar post-operative pain levels and analgesics intake as WVC with RBS. Regarding post-operative pain, SBO with CSSs may be a suitable clinical alternative.
(© 2024 British Endodontic Society. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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