Effect of Different Treatment Regimen and Types of Endodontic Sealers on Pain and Periapical Radiographic Changes

Mona Yehia; Magdy  Mohamed; Lamia  Ibrahim; Dalia  Moukarab

doi:10.3889/oamjms.2021.7219

Authors

Mona Yehia Department of Endodontics, Faculty of Dentistry, Minia University, Minya, Egypt https://orcid.org/0000-0003-1757-4572
Magdy Mohamed Department of Endodontics, Faculty of Dentistry, Beni-Suef University, Beni Suef, Egypt
Lamia Ibrahim Department of Endodontics, Faculty of Dentistry, Fayoum University, Faiyum, Egypt
Dalia Moukarab Department of Endodontics, Faculty of Dentistry, Minia University, Minya, Egypt

DOI:

https://doi.org/10.3889/oamjms.2021.7219

Keywords:

Number of visits, Endodontic sealers, Pain

Abstract

INTRODUCTION: The study aims as a pilot study to evaluate the effect of different treatment regimen and different types of endodontic sealers on pain and periapical radiographic changes was studied.

MATERIALS AND METHODS: Forty patients in need of an endodontic root canal treatment on anterior teeth were selected and divided into two groups (20 patients each), according to the endodontic treatment protocol (single or multiple visits). Then, each group was subdivided into two subgroups according to sealer used 10 each (AH Plus Jet resin sealer, Total Fill Bioceramic Sealer). To record pain intensity of the patients at different intervals: 1, 2, 3, 7 days, a visual analog scale was used. Furthermore, patients were recalled after 1, 3, 6, 9 months to evaluate periapical radiographic changes.

RESULTS: Showed that as regard pain assessment both tested endodontic sealers, as well as single or multiple visits have no statistically significant difference between pain values of patients during all the observation period from immediately post-operative, after 4, 12, 24, 48, 72 h as well as after 7 days (p > 0.05). As regard lamina dura thickness, results showed that with both tested endodontic sealers as well as single or multiple visits, there was no statistically significant difference between lamina dura thickness of patients after 1 month, 3, 6 as well as after 9 months.

CONCLUSIONS: Neither number of visits of endodontic treatment nor type of sealer used for obturation affects post-operative pain and thickness of lamina dura.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Sathorn C, Parashos P, Messer H. The prevalence of postoperative pain and flare-up in single- and multiple-visit endodontic treatment: A systematic review. Int Endod J. 2008;41(2):91-9. https://doi.org/10.1111/j.1365-2591.2007.01316.x PMid:17956561 DOI: https://doi.org/10.1111/j.1365-2591.2007.01316.x

Genet JM, Hart AA, Wesselink PR, van Velzen SK. Preoperative and operative factors associated with pain after the first endodontic visit. Int Endod J. 1987;20(2):53-64. https://doi.org/10.1111/j.1365-2591.1987.tb00590.x PMid:3471726 DOI: https://doi.org/10.1111/j.1365-2591.1987.tb00590.x

Patil AA, Joshi SB, Bhagwat SV, Patil SA. Incidence of postoperative pain after single visit and two visit root canal therapy: A randomized controlled trial. J Clin Diagn Res. 2016;10(5):9-12. https://doi.org/10.7860/JCDR/2016/16465.7724 PMid:27437339 DOI: https://doi.org/10.7860/JCDR/2016/16465.7724

Kherlakian D, Cunha RS, Ehrhardt IC, Zuolo ML, Kishen A, da Silveira Bueno CE. Comparison of the incidence of postoperative pain after using 2 reciprocating systems and a continuous rotary system: A prospective randomized clinical trial. J Endod 2016;42(2):171-6. https://doi.org/10.1016/j.joen.2015.10.011 PMid:26614017 DOI: https://doi.org/10.1016/j.joen.2015.10.011

Thakur S, Emil J, Paulaian B. Evaluation of mineral trioxide aggregate as root canal sealer: A clinical study. J Conserv Dent. 2013;16(6):494-8. https://doi.org/10.4103/0972-0707.120944 PMid:24347880 DOI: https://doi.org/10.4103/0972-0707.120944

Pasqualini D, Corbella S, Alovisi M. Postoperative quality of life following single-visit root canal treatment performed by rotary or reciprocating instrumentation: A randomized clinical trial. Int Endod J. 2016;49(11):1030-9. https://doi.org/10.1111/iej.12563 PMid:26468626 DOI: https://doi.org/10.1111/iej.12563

Comparin D, Moreira EJ, Souza EM, De-Deus G, Arias A, Silva EJ. Postoperative pain after endodontic retreatment using rotary or reciprocating instruments: A randomized clinical trial. J Endod. 2017;43(7):1084-8. https://doi.org/10.1016/j.joen.2017.02.010 PMid:28477995 DOI: https://doi.org/10.1016/j.joen.2017.02.010

Shahi S, Asghari V, Rahimi S, Lotfi M, Samiei M, Yavari H, et al. Postoperative pain after endodontic treatment of asymptomatic teeth using rotary instruments: A randomized clinical trial. Iran Endod J. 2016;11(1):38-43. https://doi.org/10.7508/iej.2016.01.008 PMid:26843876

de Oliveira Brandao-Neto D, Mello JV, Marceliano-Alves MF, Carvalho Coutinho TM, Marceliano EF, Galhardi MP, et al. Final endodontic irrigation with 2% peracetic acid: Antimicrobial activity and cytotoxicity. Eur J Dent. 2021;15(3):533-8. https://doi.org/10.1055/s-0041-1723068 PMid:33535247 DOI: https://doi.org/10.1055/s-0041-1723068

Martins CM, Batista VE, Souza AC, Andrada AC, Mori GG, Gomes Filho JE. Reciprocating kinematics leads to lower incidences of postoperative pain than rotary kinematics after endodontic treatment: A systematic review and meta-analysis of randomized controlled trial. J Conserv Dent. 2019;22(4):320-31. https://doi.org/10.4103/JCD.JCD_439_18 PMid:31802813 DOI: https://doi.org/10.4103/JCD.JCD_439_18

Arslan H, Guven Y, Karatas E, Doganay E. Effect of the simultaneous working length control during root canal preparation on postoperative pain. J Endod. 2017;43(9):1422-7. https://doi.org/10.1016/j.joen.2017.04.028 PMid:28735785 DOI: https://doi.org/10.1016/j.joen.2017.04.028

Tan HS, Lim KC, Lui JN, Lai WM, Yu VS. Postobturation pain associated with tricalcium silicate and resin based sealer techniques: A randomized clinical trial. J Endod. 2021;47(2):169-77. https://doi.org/10.1016/j.joen.2020.10.013 PMid:33098889 DOI: https://doi.org/10.1016/j.joen.2020.10.013

Fonseca B, Coelho MS, Bueno CE, Fontana CE, Martin AS, Rocha DG. Assessment of extrusion and postoperative pain of a bioceramic and resin-based root canal sealer. Eur J Dent. 2019;13(3):343-8. https://doi.org/10.1055/s-0039-3399457 PMid:31794999 DOI: https://doi.org/10.1055/s-0039-3399457

Malhotra N, Kundabala M, Acharya S. Contemporary endodontic approach: Single-visit root canal treatment revisited. Endod Pract Today. 2009;3(3):215-25.

Figini L, Lodi G, Gorni F, Gagliani M. Single versus multiple visits for endodontic treatment of permanent teeth: A cochrane systematic review. J Endod. 2008;34(9):1041-7. https://doi.org/10.1016/j.joen.2008.06.009 PMid:18718362 DOI: https://doi.org/10.1016/j.joen.2008.06.009

Prado MC, de Carvalho NK, Vitti RP, Ogliari FA, Sassone LM, Silva EJ. Bond strength of experimental root canal sealers based on MTA and butyl ethylene glycol disalicylate. Braz Dent J. 2018;29(2):195-201. https://doi.org/10.1590/0103-6440201801833 PMid:29898068 DOI: https://doi.org/10.1590/0103-6440201801833

Zhang W, Peng B. Tissue reactions after subcutaneous and intraosseous implantation of iRoot SP, MTA and AH Plus. Dent Mater J 2015;34(6):774-80. https://doi.org/10.4012/dmj.2014-271 PMid:26632225 DOI: https://doi.org/10.4012/dmj.2014-271

Candeiro GT, Correia FC, Duarte MA, Ribeiro-Siqueira DC, Gavini G. Evaluation of radiopacity, pH, release of calcium ions, and flow of a bioceramic root canal sealer. J Endod. 2012;38(6):842-5. https://doi.org/10.1016/j.joen.2012.02.029 PMid:22595123 DOI: https://doi.org/10.1016/j.joen.2012.02.029

Silva EC, Tanomaru-Filho M, da Silva GF, Delfino MM, Cerri PS, Guerreiro-Tanomaru JM, et al. Biocompatibility and bioactive potential of new calcium silicate-based endodontic sealers: Bio-C Sealer and Sealer Plus BC. J Endod. 2020;46(10):1470-7. https://doi.org/10.1016/j.joen.2020.07.011 PMid:32682789 DOI: https://doi.org/10.1016/j.joen.2020.07.011

Zordan-Bronzel CL, Esteves Torres FF, Tanomaru-Filho M, Chávez-Andrade GM, Bosso-Martelo R, Guerreiro-Tanomaru JM. Evaluation of physicochemical properties of a new calcium silicatebased sealer, Bio-C Sealer. J Endod. 2019;45(10):1248-52. https://doi.org/10.1016/j.joen.2019.07.006 PMid:31447172 DOI: https://doi.org/10.1016/j.joen.2019.07.006

Guven EP, Tasli PN, Yalvac ME, Sofiev N, Kayahan MB, Sahin F. In vitro comparison of induction capacity and biomineralization ability of mineral trioxide aggregate and a bioceramic root canal sealer. Int Endod J. 2013;46(12):1173-82. https://doi.org/10.1111/iej.12115 PMid:23617276 DOI: https://doi.org/10.1111/iej.12115

Zhang W, Li Z, Peng B. Ex vivo cytotoxicity of a new calcium silicate-based canal filling material. Int Endod J. 2010;43(9):769-74. https://doi.org/10.1111/j.1365-2591.2010.01733.x PMid:20546044 DOI: https://doi.org/10.1111/j.1365-2591.2010.01733.x

Ozkocak I, Sonat B. Evaluation of effects on the adhesion of various root canal sealers after Er: YAG laser and irrigants are used on the dentin surface. J Endod. 2015;41(8):1331-6. https://doi.org/10.1016/j.joen.2015.03.004 PMid:25892511 DOI: https://doi.org/10.1016/j.joen.2015.03.004

Mohan SM, Kaushik SK. Root canal treatment using thermoplasticized carrier condensation technique. Med J Armed Forces India. 2009;65(4):336-41. https://doi.org/10.1016/S0377-1237(09)80095-6 PMid:27408288 DOI: https://doi.org/10.1016/S0377-1237(09)80095-6

Chu CH, Lo EC, Cheung GS. Outcome of root canal treatment using Thermafil and cold lateral condensation filling techniques. Int Endod J. 2005;38(3):179-85. https://doi.org/10.1111/j.1365-2591.2004.00929.x PMid:15743421 DOI: https://doi.org/10.1111/j.1365-2591.2004.00929.x

Wong AW, Tsang CS, Zhang S, Li K, Zhang C, Chu C. Treatment outcomes of single-visit versus multiple-visit non-surgical endodontic therapy: A randomised clinical trial. BMC Oral Health. 2015;15:162. https://doi.org/10.1186/s12903-015-0148-x PMid:26687126 DOI: https://doi.org/10.1186/s12903-015-0148-x

Sharma S, Blicher B, Pryles R, Lin J. Single-Vs multiple-visit root canal therapy. Treatment selection requires consideration of factors beyond prognosis. Inside Dent. 2019;15(6).

Swetah CS, Ranjan M. Single visit vs. multiple visits for endodontic treatment: A review. Int J Sci Dev Res. 2017;2(10):23-7.

Lopez-García S, Pecci-Lloret MR, Guerrero-Girones J, Pecci-Lloret MP, Lozano A, Llena C, et al. Comparative cytocompatibility and mineralization potential of Bio-C sealer and totalfill BC sealer. Materials (Basel). 2019;12:3087. https://doi.org/10.3390/ma12193087 PMid:31546696 DOI: https://doi.org/10.3390/ma12193087

Giacomino CM, Wealleans JA, Kuhn N, Diogenes A. Comparative biocompatibility and osteogenic potential of two bioceramic sealers. J Endod. 2019;45(1):51-6. https://doi.org/10.1016/j.joen.2018.08.007 PMid:30558798 DOI: https://doi.org/10.1016/j.joen.2018.08.007

Seymour RA, Simpson JM, Charlton EJ, Phillips ME. AN Evaluation of length and end-phrase of visual analogue scales in dental pain. Pain. 1985;21(2):1177-85. https://doi.org/10.1016/0304-3959(85)90287-8 PMid:3982841 DOI: https://doi.org/10.1016/0304-3959(85)90287-8

Venskutonis T, Plotino G, Tocci L, Gambarini G, Maminskas J, Juodzbalys G. Periapical and endodontic status scale based on periapical bone lesions and endodontic treatment quality evaluation using cone-beam computed tomography. J Endod. 2015;41(2):190-6. https://doi.org/10.1016/j.joen.2014.10.017 PMid:25498834 DOI: https://doi.org/10.1016/j.joen.2014.10.017

Goreva LA, Petrikas AZ. Postobturation pain associated with endodontic treatment. Stomatologiia (Mosk). 2004;83(2):14-6. PMid:15111950

Manfredi M, Figini L, Gagliani M, Lodi G. Single versus multiple visits for endodontic treatment of permanent teeth. Cochrane Database Syst. Rev. 2016;12(12):CD005296. PMid:27905673 DOI: https://doi.org/10.1002/14651858.CD005296.pub3

Ezpeleta LOA, Garcia CG, Cosano LC, González JM, Frías FJ, Egea JJ. Postoperative pain after one-visit root-canal treatment on teeth with vital pulps: Comparison of three different obturation techniques. Med Oral Patol Oral Cir Bucal. 2012;17(4):e721-7. https://doi.org/10.4317/medoral.17898 PMid:22322522 DOI: https://doi.org/10.4317/medoral.17898

Clark DS, ElDeeb ME. Apical sealing ability of metal versus plastic carrier Thermafil obturators. J Endod. 1993;19(1):4-9. PMid:8289026 DOI: https://doi.org/10.1016/S0099-2399(06)81032-0

Gondim E Jr., Setzer FC, Dos Carmo CB, Kim S. Postoperative pain after the application of two different irrigation devices in a prospective randomized clinical trial. J Endod. 2010;36(8):1295-301. DOI: https://doi.org/10.1016/j.joen.2010.04.012

Albashaireh ZS, Alnegrish AS. Postobturation pain after single- and multiple-visit endodontic therapy: A prospective study. J Dent. 1998;26(3):227-32. https://doi.org/10.1016/s0300-5712(97)00006-7 PMid:9594474 DOI: https://doi.org/10.1016/S0300-5712(97)00006-7

Weiger R, Rosendahl R, Lost C. Influence of calcium hydroxide intracanal dressings on the prognosis of teeth with endodontically induced periapical lesions. Int Endod J 2000;33(3):219-26. https://doi.org/10.1046/j.1365-2591.1999.00298.x PMid:11307438 DOI: https://doi.org/10.1046/j.1365-2591.1999.00298.x

Jabeen S, Khurshiduzzaman M. Incidence of post obturation pain following single and multi visit root canal treatment in a teaching hospital of Bangladesh. Mymensingh Med J. 2014;23(2):254-60. PMid:24858151

Han GY, Park SH, Yoon TC. Antimicrobial activity of Ca(OH)2 containing pastes with Enterococcus faecalis in vitro. J Endod. 2001;27(5):328-32. https://doi.org/10.1097/00004770-200105000-00004 PMid:11485250 DOI: https://doi.org/10.1097/00004770-200105000-00004

Ghoddusi J, Javidi M, Zarrabi M, Bagheri H. Flare ups incidence and severity after using calcium hydroxide as an intracanal dressing. N Y State Dent J. 2006;72(4):24-8. PMid:16925009

Schwendicke F, Gostemeyer G. Single-visit or multiple-visit root canal treatment: Systematic review, meta analysis and trial sequential analysis. BMJ Open. 2017;7(2):e013115. https://doi.org/10.1136/bmjopen-2016-013115 PMid:28148534 DOI: https://doi.org/10.1136/bmjopen-2016-013115

Graunaite I, Skucaite N, Lodiene G, Agentiene I, Machiulskiene V. Effect of resin-based and bioceramic root canal sealers on postoperative pain: A split-mouth randomized controlled trial. J Endod. 2018;44(5):689-693. https://doi.org/10.1016/j.joen.2018.02.010 PMid:29571915 DOI: https://doi.org/10.1016/j.joen.2018.02.010

Ali A, Olivieri JG, Duran-Sindreu F, Abella F, Roig M, García-Font M, et al. Influence of preoperative pain intensity on postoperative pain after root canal treatment: A prospective clinical study. J Dent. 2016;45:39-42. DOI: https://doi.org/10.1016/j.jdent.2015.12.002

Ates AA, Dumani A, Yoldas O, Unal I. Post-obturation pain following the use of carrier-based system with AH Plus or iRoot SP sealers: A randomized controlled clinical trial. Clin Oral Investig. 2019;23(7):3053-61. https://doi.org/10.1007/s00784-018-2721-6 PMid:30397735 DOI: https://doi.org/10.1007/s00784-018-2721-6

Shashirekha G, Jena A, Pattanaik S, Rath J. Assessment of pain and dissolution of apically extruded sealers and their effect on the periradicular tissues. J Conserv Dent. 2018;21:546-50. https://doi.org/10.4103/JCD.JCD_224_18 PMid:30294119 DOI: https://doi.org/10.4103/JCD.JCD_224_18

de-Figueiredo FE, Lima LF, Lima GS, Lima GS, Oliveira LS, Ribeiro MA, et al. Apical periodontitis healing and postoperative pain following endodontic treatment with a reciprocating singlefile, single-cone approach: A randomized controlled pragmatic clinical trial. PLoS One 2020;15:e0227347. https://doi.org/10.1371/journal.pone.0227347 PMid:32012166 DOI: https://doi.org/10.1371/journal.pone.0227347

Paz A, Vasconcelos I, Ginjeira A. Evaluation of postoperative pain after using bioceramic materials as endodontic sealers. EC Dent Sci. 2018;17(10):1739-48.

Wong AW, Zhang S, Zhang CF, Chu CH. Perceptions of single-visit and multiple-visit endodontic treatment: A survey of endodontic specialists and general dentists in Hong Kong. J Investig Clin Dent. 2015;38:1-9. DOI: https://doi.org/10.1111/jicd.12154