Skip to main content

Advertisement

Log in

Post-obturation pain following the use of carrier-based system with AH Plus or iRoot SP sealers: a randomized controlled clinical trial

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objectives

The aim of this study was to compare the postoperative pain after root canal treatment using a carrier-based obturation system and two different sealers.

Materials and methods

In this prospective randomized clinical trial, 160 patients were selected. Patients with vital and devital teeth were randomized into four groups using a randomized block design with block sizes of 10 patients each. The groups were devital/vital teeth treated with iRoot SP sealer and devital/vital teeth treated with AH Plus sealer. Patients were prescribed ibuprofen, a 200-mg analgesic, if needed, and postoperative pain was recorded by visual analogue scale at 6, 12, 24, and 72 h after obturation. Pain score and frequency of tablet intake were recorded and statistically analyzed.

Results

Results showed that there was no significant difference between groups in the incidence of postoperative pain; however, iRoot SP sealer was associated with less analgesic intake compared to AH Plus sealer.

Conclusion

The use of different sealers did not significantly affect pain levels.

Clinical relevance

iRoot SP sealer was associated with less analgesic intake compared to AH Plus sealer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. ElMubarak AHH, Abu-bakr NH, Ibrahim YE (2010) Postoperative pain in multiple-visit and single-visit root canal treatment. J Endod 36(1):36–39

    Article  Google Scholar 

  2. Glassman G, Krasner P, Morse DR, Rankow H, Lang J, Furst ML (1989) A prospective randomized double-blind trial on efficacy of dexamethasone for endodontic interappointment pain in teeth with asymptomatic inflamed pulps. Oral Surg Oral Med Oral Pathol 67(1):96–100

    Article  Google Scholar 

  3. Thakur S, Emil J, Paulaian B (2013) Evaluation of mineral trioxide aggregate as root canal sealer: a clinical study. J Conserv Dent 16:494–498

    Article  Google Scholar 

  4. Alonso-Ezpeleta LO, Gasco-Garcia C, Castellanos-Cosano L, Martín-González J, López-Frías FJ, Segura-Egea JJ (2012) Postoperative pain after one-visit root-canal treatment on teeth with vital pulps: comparison of three different obturation technique. Med Oral Patol Oral Cir Bucal 17(4):721

    Article  Google Scholar 

  5. Hale R, Gatti R, Glickman GN, Opperman LA (2012) Comparative analysis of carrier-based obturation and lateral compaction: a retrospective clinical outcomes study. Int J Dentistry 2012(3):954675

    Google Scholar 

  6. Goldberg F, Artaza LP, De Silvio A (2001) Effectiveness of different obturation techniques in the filling of simulated lateral canals. J Endod 27(5):362–364

    Article  Google Scholar 

  7. Levitan ME, Himel VT, Luckey JB (2003) The effect of insertion rates on fill length and adaptation of a thermoplasticized gutta-percha technique. J Endod 29(8):505–508

    Article  Google Scholar 

  8. Marin-Bauza GA, Rached-Junior FJA, Souza-Gabriel AE, Sousa-Neto MD, Miranda CES, Silva-Sousa YTC (2010) Physicochemical properties of methacrylate resin–based root canal sealers. J Endod 36(9):1531–1536

    Article  Google Scholar 

  9. Zhang W, Li Z, Peng B (2009) Assessment of a new root canal sealer’s apical sealing ability. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107(6):79–82

    Article  Google Scholar 

  10. Zhang BP (2015) Tissue reactions after subcutaneous and intraosseous implantation of iRoot SP, MTA and AH Plus. Dent Mater J 34:774–780

    Article  Google Scholar 

  11. Alacam T (1985) Incidence of postoperative pain following the use of different sealers in immediate root canal filling. J Endod 11(3):135–137

    Article  Google Scholar 

  12. Demirci GK, Calıskan MK (2016) A prospective randomized comparative study of cold lateral condensation versus core/gutta-percha in teeth with periapical lesions. J Endod 42(2):206–210

    Article  Google Scholar 

  13. Graunaite I, Skucaite N, Lodine G, Agentiene I, Machiulskiene V (2018) Effect of resin-based and bioceramic root canal sealers on postoperative pain: a split-mouth randomized controlled trial. J Endod 44(5):689–693

    Article  Google Scholar 

  14. Huskisson E (1974) Measurement of pain. Lancet 304(7889):1127–1131

    Article  Google Scholar 

  15. Castelo-Baz P, Martin-Biedma B, Lopes MM, Pires-Lopes L, Silveira J, López-Rosales E, Varela-Patino P (2013) Ultramicroscopic study of the interface and sealing ability of four root canal obturation methods: Resilon versus gutta-percha. Australian Endod J 39(3):159–163

    Article  Google Scholar 

  16. Omoigui S (2007) The biochemical origin of pain: the origin of all pain is inflammation and the inflammatory response. Part 2 of 3—inflammatory profile of pain syndromes. Med Hypotheses 69:1169–1178

    Article  Google Scholar 

  17. Arias A, la Macorra J, Hidalgo J, Azabal M (2013) Predictive models of pain following root canal treatment: a prospective clinical study. Int Endod J 46(8):784–793

    Article  Google Scholar 

  18. Ince B, Ercan E, Dalli M, Dulgergil CT, Zorba YO, Colak H (2009) Incidence of postoperative pain after single-and multi-visit endodontic treatment in teeth with vital and non-vital pulp. European J Dent 3(4):273

    Article  Google Scholar 

  19. Genet J, Hart A, Wesselink P, Thoden van Velzen S (1987) Preoperative and operative factors associated with pain after the first endodontic visit. Int Endod J 20(2):53–64

    Article  Google Scholar 

  20. Ali A, Olivieri JG, Duran-Sindreu F, Abella F, Roig M, Garcia-Font M (2016) Influence of preoperative pain intensity on postoperative pain after root canal treatment: a prospective clinical study. J Dent 45:39–42

    Article  Google Scholar 

  21. Wang C, Xu P, Ren L, Dong G, Ye L (2010) Comparison of post-obturation pain experience following one-visit and two-visit root canal treatment on teeth with vital pulps: a randomized controlled trial. Int Endod J 43(8):692–697

    Article  Google Scholar 

  22. De Andrade Risso P, da Cunha AJ, de Araujo MC, Luiz RR (2009) Postoperative pain and associated factors in adolescent patients undergoing two-visit root canal therapy. Aust Endod J 35(2):89–92

    Article  Google Scholar 

  23. Segura-Egea JJ, Cisneros-Cabello R, Llamas-Carreras JM, Velasco-Ortega E (2009) Pain associated with root canal treatment. Int Endod J 42(7):614–620

    Article  Google Scholar 

  24. Revill S, Robinson J, Rosen M, Hogg M (1976) The reliability of a linear analogue for evaluating pain. Anaesthesia 31(9):1191–1198

    Article  Google Scholar 

  25. Clinton K, Himel VT (2001) Comparison of a warm gutta-percha obturation technique and lateral condensation. J Endod 27(11):692–695

    Article  Google Scholar 

  26. Da Silva D, Endal U, Reynaud A, Portenier I, Orstavik D, Haapasalo M (2002) A comparative study of lateral condensation, heat-softened gutta-percha, and a modified master cone heat-softened backfilling technique. Int Endod J 35:1005–1011

    Article  Google Scholar 

  27. Tennert C, Jungbäck IL, Wrbas K-T (2013) Comparison between two thermoplastic root canal obturation techniques regarding extrusion of root canal filling—a retrospective in vivo study. Clin Oral Investig 17(2):449–454

    Article  Google Scholar 

  28. Qu W, Bai W, Liang Y-H, Gao X-J (2016) Influence of warm vertical compaction technique on physical properties of root canal sealers. J Endod 42(12):1829–1833

    Article  Google Scholar 

  29. Heeren TJ, Levitan ME (2012) Effect of canal preparation on fill length in straight root canals obturated with RealSeal 1 and Thermafil plus. J Endod 38(10):1380–1382

    Article  Google Scholar 

  30. Kucukyilmaz E, Savas S, Saygili G, Uysal B (2015) Assessment of apically extruded debris and irrigant produced by different nickel-titanium instrument systems. Braz Oral Research 29(1):1–6

    Article  Google Scholar 

  31. Ricucci D, Rocas IN, Alves FR, Loghin S, Siqueira JF Jr (2016) Apically extruded sealers: fate and influence on treatment outcome. J Endod 42:243–249

    Article  Google Scholar 

  32. Sadaf D, Ahmad M (2014) Factors associated with postoperative pain in endodontic therapy. Int J Biomed Sci 10:243–247

    PubMed  PubMed Central  Google Scholar 

  33. Wells LK, Drum M, Nusstein J, Reader A, Beck M (2011) Efficacy of ibuprofen and ibuprofen/acetaminophen on postoperative pain in symptomatic patients with a pulpal diagnosis of necrosis. J Endod 37:1608–1612

    Article  Google Scholar 

  34. Al-Haddad A, Che Ab Aziz ZA (2016) Bioceramic-based root canal sealers: a review. Int J Biomater 9753210

Download references

Acknowledgements

This Project was registered at www.clinicaltrial.gov (ClinicalTrials.gov Identifier: NCT03029520).

Authorship Declaration

We hereby certify that this study has been composed by us and is based on our own work, unless stated otherwise. No other person’s work has been used without due acknowledgement in this study. All references and verbatim extracts have been quoted, and all sources of information, including graphs and data sets, have been specifically acknowledged.

Funding

The work was supported by Scientific Research Projects Coordination Center of Cukurova University (Project no. TDH-2015-4949), Adana, Turkey.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ayfer Atav Ates.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Atav Ates, A., Dumani, A., Yoldas, O. et al. Post-obturation pain following the use of carrier-based system with AH Plus or iRoot SP sealers: a randomized controlled clinical trial. Clin Oral Invest 23, 3053–3061 (2019). https://doi.org/10.1007/s00784-018-2721-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-018-2721-6

Keywords

Navigation