Evaluation of the Success Rate of Endodontic Treatment Using Different Obturation Techniques and Root Canal Sealer Cements: A Randomized Controlled Trial

What this Trial Is About

This research aims to compare the success of root canal treatments using two different sealers, AH Plus and NeoSealer Flo, along with two obturation techniques: continuous wave and single cone. The study involves 270 patients with conditions such as pulpal necrosis, irreversible pulpitis, and various periapical pathologies. It focuses on evaluating healing and quality of treatment over at least six months to understand the effectiveness of bioceramic sealer regardless of technique used. Participants will receive root canal filling using one of four combinations: AH Plus with continuous wave condensation, AH Plus with single cone, NeoSealer Flo with continuous wave, or NeoSealer Flo with single cone. AH Plus is a resin-based sealer, while NeoSealer Flo is a bioceramic, calcium silicate-based sealer. The continuous wave method uses heated gutta-percha to fill the canal densely, whereas the single cone technique uses a single cone and a high-flow sealer for simpler application. During the study, clinical and radiographic assessments will be made, including evaluating obturation quality, lesion healing, and restorations. The main measure is radiographic success based on Periapical Index criteria at a minimum of six months after treatment. Secondary measures include clinical symptom absence and CBCT imaging outcomes. Patient follow-up and adherence to evaluation schedules are important to monitor treatment success, with participation lasting at least six months post-treatment.

Success of Endodontic Treatment With Different Obturation Techniques and Sealer Cements