Abstract
Objectives The objective of this study was to compare a bioceramic and a resin-based endodontic
sealer with regard to extrusion and postoperative pain.
Materials and Methods Sixty-four patients requiring endodontic treatment of single-rooted maxillary teeth
with necrotic pulps were included in this study. The root canal treatments were performed
in a single visit using a size 40.06 single-file reciprocating system under 2.5% NaOCl
irrigation. After irrigation with 17% ethylenediaminetetraacetic acid (EDTA) and 2.5%
NaOCl, the canals were dried and randomly divided into two different groups (n = 32) depending on the sealer used: resin-based group (RG) in which the canals were
filled with the AH Plus, and the bioceramic group (BG) in which the canals were filled
with the Sealer Plus BC. Ibuprofen (600 mg) was prescribed every 6 hours if the volunteers
experienced pain. The patients registered their pain sensation in a visual analog
scale (VAS) card, ranging from 0 to 10 at 24-hour, 48-hour, 72-hour, and 1-week intervals.
Statistical analysis For statistical analysis, the level of significance was set at p < 0.05.
Results Sealer extrusion occurred in nine patients of the RG and in 19 patients of the BG
(p < 0.05). The average pain level at 24-hour and 48-hour intervals was, respectively,
1.46 ± 1.96 and 0.44 ± 0.86 for RG, and 1.21 ± 2.09 and 0.09 ± 0.38 for BG. There
was no report of pain after 48 hours. The mean number of tablets taken for pain relief
was 0.03 ± 0.17 for RG and 0.06 ± 0.24 for BG. No statistically significant difference
was found with regard to pain level and intake of pain killer tablets (p > 0.05).
Conclusions The BG sealer presented significantly more extrusion than the RG sealer. Sealer extrusion
was not associated with pain. The average pain level and the mean number of tablets
taken for pain relief were similar in both groups.
Keywords
root canal treatment - bioceramic - pain - reciprocating - resin-based sealer
