Comparing Postoperative Pain After Root Canal Filling Using Bioceramic or Resin-Based Sealers in Teeth With Pulpitis or Necrosis

What this Trial Is About

Researchers are evaluating the incidence and intensity of pain after root canal treatments in patients with teeth diagnosed with pulpitis, pulp necrosis, or prior endodontic treatment. This study aims to find out if the type of sealer used during root canal obturation, either bioceramic or resin-based, affects the level of postoperative pain reported by patients. Pain will be measured using the Visual Analogue Scale at three time points right after treatment, 24 hours later, and 72 hours after treatment. The study involves four treatment groups where root canals will be filled using different combinations of sealers and techniques. One group uses AH Plus resin-based sealer with continuous wave condensation using thermoplasticized gutta-percha. Another uses AH Plus with the single cone technique and cold gutta-percha. The other two groups use NeoSealer Flo bioceramic sealer with either continuous wave condensation or the single cone technique. These methods represent different approaches to obturating the root canal. Participants will be monitored for postoperative pain intensity at specified intervals and assessed for radiographic success using the Periapical Index criteria at least six months after treatment. Clinical success will also be evaluated by checking for absence of symptoms and using CBCT imaging. The total participation timeline includes follow-up assessments six months or more after the initial root canal therapy to observe healing and treatment outcomes.

Postoperative Pain Evaluation After Obturation With Different Sealers