Assessment of Extrusion and Postoperative Pain of a Bioceramic and Resin-Based Root Canal Sealer.

OBJECTIVES: The objective of this study was to compare a bioceramic and a resin-based endodontic sealer with regard to extrusion and postoperative pain. MATERIALS AND METHODS: Sixty-four patients requiring endodontic treatment of single-rooted maxillary teeth with necrotic pulps were included in this study. The root canal treatments were performed in a single visit using a size 40.06 single-file reciprocating system under 2.5% NaOCl irrigation. After irrigation with 17% ethylenediaminetetraacetic acid (EDTA) and 2.5% NaOCl, the canals were dried and randomly divided into two different groups (n = 32) depending on the sealer used: resin-based group (RG) in which the canals were filled with the AH Plus, and the bioceramic group (BG) in which the canals were filled with the Sealer Plus BC. Ibuprofen (600 mg) was prescribed every 6 hours if the volunteers experienced pain. The patients registered their pain sensation in a visual analog scale (VAS) card, ranging from 0 to 10 at 24-hour, 48-hour, 72-hour, and 1-week intervals. STATISTICAL ANALYSIS: For statistical analysis, the level of significance was set at p < 0.05. RESULTS: Sealer extrusion occurred in nine patients of the RG and in 19 patients of the BG (p < 0.05). The average pain level at 24-hour and 48-hour intervals was, respectively, 1.46 ± 1.96 and 0.44 ± 0.86 for RG, and 1.21 ± 2.09 and 0.09 ± 0.38 for BG. There was no report of pain after 48 hours. The mean number of tablets taken for pain relief was 0.03 ± 0.17 for RG and 0.06 ± 0.24 for BG. No statistically significant difference was found with regard to pain level and intake of pain killer tablets (p > 0.05). CONCLUSIONS: The BG sealer presented significantly more extrusion than the RG sealer. Sealer extrusion was not associated with pain. The average pain level and the mean number of tablets taken for pain relief were similar in both groups.

Sealing ability of MTA used as cervical barrier in intracoronal bleaching.

The aim of this study was to compare the sealing ability of white mineral trioxide aggregate (MTA) with that of other materials used as a cervical barrier during intracoronal bleaching. Thirty eight extracted teeth were endodontically treated and 3 mm of filling was removed to receive the barrier material: G1-Coltosol; G2 - Vidrion R; G3 - White MTA; G4-No barrier (negative control) and G5- Roots totally protected with three layers of cyanoacrylate (positive control). The 30% hydrogen peroxide associated with the sodium perborate was left in the pulp chamber for 24 h. The specimens were immersed in a test tube containing a solution of potassium chromate (yellow), which turns blue in the presence ofhydrogen peroxide. Two calibrated evaluators scored according to color in the presence of the detecting solution (0 - unaltered color, 1 - light blue and 2 - dark blue). Data were analyzed by the Kruskall-Wallis test (p<0.05). The results showed no statistically significant differences between the experimental group G3 and positive control (G5). No statistically significant difference was observed between G1 and G3. However a statistical difference was verified between G2 and G3. MTA presented higher sealing ability than Vidrion R and did not differ from the positive control. However there was no difference between MTA and Coltosol.

Sealing ability of MTA used as cervical barrier in intracoronal bleaching

The aim of this study was to compare the sealing ability of white mineral trioxide aggregate (MTA) with that of other materials used as a cervical barrier during intracoronal bleaching. Thirty eight extracted teeth were endodontically treated and 3 mm of filling was removed to receive the barrier material: G1- Coltosol; G2 - Vidrion R; G3 - White MTA; G4-No barrier (negative control) and G5- Roots totally protected with three layers of cyanoacrylate (positive control). The 30% hydrogen peroxide associated with the sodium perborate was left in the pulp chamber for 24 h. The specimens were immersed in a test tube containing a solution of potassium chromate (yellow), which turns blue in the presence of hydrogen peroxide. Two calibrated evaluators scored according to color in the presence of the detecting solution (0 - unaltered color, 1 - light blue and 2 - dark blue). Data were analyzed by the Kruskall-Wallis test (p<0.05). The results showed no statistically significant differences between the experimental group G3 and positive control (G5). No statistically significant difference was observed between G1 and G3. However, a statistical difference was verified between G2 and G3. MTA presented higher sealing ability than Vidrion R and did not differ from the positive control. However, there was no difference between MTA and Coltosol.

O objetivo deste estudo foi comparar a capacidade de selamento do agregado trioxido mineral (MTA) branco com outros materiais usados como barreiras cervicais durante clareamento intra-coronario. Trinta e oito dentes extraidos foram endodonticamente tratados e 3 mm de obturacao foi removida para receber o material da barreira: G1- Coltosol; G2 - Vidrion R; G3 - MTA branco; G4-Nenhuma barreira (controle negativo) e G5- Raizes totalmente protegidas com tres camadas de cianocrilato (controle positivo). Peroxido de hidrogenio a 30% (PH) associado com perborato de sodio foi deixado na camara pulpar por 24 h. As amostras foram imersas em tubos de ensaio contendo uma solucao de cromato de potassio (amarela) que se torna azul na presenca de peroxido de hidrogenio. Dois avaliadores calibrados atribuiram escores de acordo com a cor obtida na solucao detectora (0 - cor inalterada, 1 - azul claro e 2 - azul escuro). Os dados foram analisados pelo teste de Kruskall-Wallis (p<0,05). Os resultados nao mostraram diferencas estatisticamente significantes entre o grupo experimental G3 e o controle positivo (G5). Nenhuma diferenca estatisticamente significante foi observada entre G1 e G3. Entretanto, diferenca estatistica foi verificada entre G2 e G3. MTA apresentou maior habilidade de selamento que o Vidrion R e nao diferiu do controle positivo. Entretanto, nao houve diferenca entre MTA e Cotosol.