Comparative Evaluation of Postoperative Pain after Root Canal Treatment using Three Different Sealers, Viz., Tubli-Seal EWT, Apexit Plus, AH Plus: An In-Vivo Study ZC04-ZC09
Dr. Bhavna Gudlavalleti,
Block-16, Flat-4, Krupa Anand Apartments, West Anandbagh, Safilguda-500047,
Hyderabad, Telangana, India.
Introduction: Pain after treatment is an undesired yet frequently occurring sensation of primary concern for both patients and endodontists. Although pain does not cardinally suggest endodontic failure, alleviation of this discomfort is of utmost importance for the patient. Further, the ability to prevent or control this pain is an essential pre-requisite for a dentist’s professional success.
Aim: To evaluate the prevalence of postoperative pain experienced by patients after root canal treatment using three different sealers, viz., Tubli-Seal EWT, Apexit Plus, AH Plus.
Materials and Methods: Ninety nine patients who fulfilled specific inclusion and exclusion criteria were randomly assigned to three groups: A (Tubli-Seal EWT), B (Apexit Plus), and C (AH Plus) according to the root canal sealer used. A single visit root canal treatment was carried out and the severity of postoperative pain was assessed by Visual Analogue Scale (VAS) score after 8, 24 and 48 hours. Statistical analysis was done using SPSS software version 20.0.
Results: There was statistically significant difference seen in all three groups (p=0.0001) at all the time points (8 hrs, 24 hrs and 48 hrs). When compared with the preoperative, the mean pain scores were statistically significant at the end of 8 hrs and 48 hrs with relatively lower pain score in group C than other groups.
Conclusion: Within the limitations of this study, it can be concluded that when different sealers were used, postoperatively, the pain gradually reduced with time. However, the pain after using AH plus as root canal sealer was relatively much lesser compared to the preoperative status.