National Health Insurance Service Ilsan Hospital Reports Findings in Post-Operative Pain (Clinical Efficacy of Sealer-based Obturation Using Calcium Silicate Sealers: A Randomized Clinical Trial): Post-Operative Pain

2022 JAN 04 (NewsRx) -- By a News Reporter-Staff News Editor at South Korea Daily Report -- New research on Post-Operative Pain is the subject of a report. According to news reporting originating in Gyeonggi Do, South Korea, by NewsRx journalists, research stated, “This randomized controlled clinical trial compared the clinical efficacy and outcome of a sealer-based obturation technique (SBO) with calcium silicate sealers and a continuous wave of condensation technique (CWC) with a resin-based sealer. Root canals were prepared using rotary instruments and 2.5% sodium hypochlorite.”

Financial support for this research came from Korea Ministry of Trade Industry and Energy.

The news reporters obtained a quote from the research from National Health Insurance Service Ilsan Hospital, “At the next visit, patients were enrolled and randomly assigned into 2 groups on the basis of the obturation protocol: CWC with AH Plus sealer and SBO with Endoseal TCS. Patients were assessed for the level of postoperative pain using a numeric rating scale. The quality of root canal obturation was evaluated in terms of the sealer extrusion, root-filling voids, and level of root filling. The participants were recalled after at least 6 months. Healing of the teeth was determined as a decrease in Periapical Index score and resolution of symptoms. The results were statistically compared by using the ch test or Fisher exact test, followed by multivariate analysis with logistic regression. A total of 74 teeth were included in the analysis (79% recalls), and the mean follow-up period was 17 months (6-29 months). Two groups expressed identical distribution of postoperative pain (P = .973) and similar quality of root canal obturation. The total success rates were 93.2% (CWC 92.3%, SBO 94.3%) by loose criteria and 60.8% (CWC 51.3%, SBO 71.4%) by strict criteria, with no significant differences between the 2 groups. The success rate by loose criteria in teeth with sealer extrusion was significantly lower than those in teeth without sealer extrusion (P = .049). SBO using an Endoseal TCS could be a possible alternative to CWC using AH Plus.”

According to the news reporters, the research concluded: “Sealer extrusion and postoperative pain were found to negatively impact prognosis of the endodontic treatment.”

This research has been peer-reviewed.

For more information on this research see: Clinical Efficacy of Sealer-based Obturation Using Calcium Silicate Sealers: A Randomized Clinical Trial. Journal of Endodontics, 2021. Journal of Endodontics can be contacted at: Elsevier Science Inc, Ste 800, 230 Park Ave, New York, NY 10169, USA. (Elsevier - www.elsevier.com; Journal of Endodontics - http://www.journals.elsevier.com/journal-of-endodontics/)

Our news correspondents report that additional information may be obtained by contacting Sin-Yeon Cho, Dept. of Conservative Dentistry, National Health Insurance Service Ilsan Hospital, Goyang, Gyeonggi-do, South Korea. Additional authors for this research include Ji-Hyung Kim, Yoonwoo Choi, Do-Hyun Kim, Su-Jung Shin and Il-Young Jung.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1016/j.joen.2021.11.011. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

The publisher of the Journal of Endodontics can be contacted at: Elsevier Science Inc, Ste 800, 230 Park Ave, New York, NY 10169, USA.

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