Khandelwal Akshay, Jose Jerry, Teja Kavalipurapu-Venkata, Palanivelu Ajitha
BDS MDS. Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.
J Clin Exp Dent. 2022 Feb 1;14(2):e144-e152. doi: 10.4317/jced.59034. eCollection 2022 Feb.
The aim of the present study was to evaluate and compare the postoperative pain and periapical healing after root canal treatment using three different base endodontic sealers.
Primary root canal treatment was initiated in 63 patients diagnosed with necrotic pulp and apical periodontitis, cleaning and shaping was completed in two visit and different base endodontic sealers were used for obturation were selected based on the random allocation of the participants to the following groups; Tubli-Seal, AH Plus and BioRoot RCS. Postoperative pain was recorded by using 100 mm visual analog scale at 24 h, 48 h, 72 h and 7 d after obturation. Digital periapical radiographic evaluation was done to assess rate of periapical healing at baseline, 1, 3 and 6 months. Statistical analysis was done using Kruskal Wallis test and one-way ANOVA.
The mean difference in the size of periapical lesions for Tubli-Seal (6.27, 13.41), AH Plus (3.86, 9.80) and BioRoot RCS (4.05, 10.22) at 3 months and 6 months respectively. The mean pain scores at 24 h for Tubli-Seal (17.94 ± 11.35), AH Plus (11.57 ± 11.18), BioRoot RCS (4.73 ± 7.72). At 48 h, Tubli-Seal (5.26 ± 9.04), AH Plus (1.57 ± 3.74) and BioRoot RCS (1.57 ± 3.74) respectively. The mean pain score at 72 h for Tubli-Seal was 2.63 ± 7.33 whereas none of the patients had reported pain in AH Plus and BioRoot RCS group. None of the patients had pain after 7 d of treatment.
BioRoot RCS showed less postoperative pain compared to AH Plus and Tubli-Seal and showed better periapical healing compared to AH Plus and Tubli-Seal at 3 and 6 months intervals respectively. BioRoot RCS, root canal obturation, root canal sealers, periapical periodontitis, Periapical healing, postoperative pain.
本研究的目的是评估和比较使用三种不同的根管封闭剂进行根管治疗后的术后疼痛和根尖周愈合情况。
对63例诊断为牙髓坏死和根尖周炎的患者进行初次根管治疗，分两次就诊完成清理和成形，根据参与者随机分配至以下组选择不同的根管封闭剂进行充填；Tubli-Seal、AH Plus和BioRoot RCS。在充填后24小时、48小时、72小时和7天，使用100毫米视觉模拟量表记录术后疼痛情况。在基线、1个月、3个月和6个月进行数字化根尖片评估，以评估根尖周愈合率。使用Kruskal Wallis检验和单因素方差分析进行统计分析。
Tubli-Seal组在3个月和6个月时根尖周病变大小的平均差异分别为(6.27, 13.41)，AH Plus组为(3.86, 9.80)，BioRoot RCS组为(4.05, 10.22)。Tubli-Seal组在24小时时的平均疼痛评分为(17.94 ± 11.35)，AH Plus组为(11.57 ± 11.18)，BioRoot RCS组为(4.73 ± 7.72)。在48小时时，Tubli-Seal组为(5.26 ± 9.04)，AH Plus组为(1.57 ± 3.74)，BioRoot RCS组为(1.57 ± 3.74)。Tubli-Seal组在72小时时的平均疼痛评分为2.63 ± 7.33，而AH Plus组和BioRoot RCS组均无患者报告疼痛。治疗7天后无患者疼痛。
与AH Plus和Tubli-Seal相比，BioRoot RCS术后疼痛较轻，在3个月和6个月时分别与AH Plus和Tubli-Seal相比根尖周愈合更好。BioRoot RCS、根管充填、根管封闭剂、根尖周炎、根尖周愈合、术后疼痛。
