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


  • 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




Number of visits, Endodontic sealers, Pain


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.


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How to Cite

Yehia M, Mohamed M, Ibrahim L, Moukarab D. Effect of Different Treatment Regimen and Types of Endodontic Sealers on Pain and Periapical Radiographic Changes. Open Access Maced J Med Sci [Internet]. 2021 Nov. 13 [cited 2023 May 28];9(D):285-93. Available from: https://oamjms.eu/index.php/mjms/article/view/7219



Dental Pathology and Endodontics