Comparison of occurrence and intensity of postoperative pain in endodontic treatment with BioRoot ™ RCS: a randomized clinical

Abstract

Objective: The aim of this clinical trial was to assess the effect of resin-based (AH Plus) and bioceramic sealer (BioRoot ™ RCS) on the occurrence and intensity of postoperative after a single visit endodontic treatment. Materials and methods: Single or biradicular teeth that needed endodontic treatment were randomly assigned one of two groups according to the obturation material: AH Plus (Dentsply-Maillefer) or BioRoot ™ RCS (Septodont). Treatments were performed in a single visit by the students of Master of Endodontics. Demographic and clinical details were noted by the operator and the patient was asked to rate the incidence and intensity of preoperative and postoperative pain on a questionnaire rating scale before anesthesia, immediately after completion of treatment, and at 8, 24, and 48 hours after the treatment. Mann-Whitney U tests were used to determine if there was a significant difference between the variables with a significance level of P <0.05. Results: A total of 75 patients were treated. Thirty-four in AH Plus group and 41 in BioRoot ™ RCS group. The means and standard deviation of the prevalence of post-op pain were 1.27 ± 1.77 immediate postoperatively, 1.24 ± 1.92 at 8h, 0.60 ± 1.65 at 24h, 0.34 ± 1.34 at 48h intervals postoperatively. There was no statistically significant difference in postoperative pain regarding the sealer used (P>.05). Only the periapical diagnosis affected the postoperative pain immediately after completion of the treatment interval (P<.05). Patients with preoperative pain with the diagnosis of symptomatic apical periodontitis significantly had more incidence of postoperative pain immediately after the treatment. (P>.05). Conclusion: Both sealers performed similarly with regard to the occurrence of postoperative pain and its intensity. Patients who had preoperative pain with the diagnosis of symptomatic apical periodontitis were associated with significantly higher incidence of postoperative pain.