Post-obturation pain following the use of carrier-based system with AH Plus or iRoot SP sealers: a randomized controlled clinical trial

Abstract

Objectives: The aim of this study was to compare the postoperative pain after root canal treatment using a carrier-based obturation system and two different sealers.

Materials and methods: In this prospective randomized clinical trial, 160 patients were selected. Patients with vital and devital teeth were randomized into four groups using a randomized block design with block sizes of 10 patients each. The groups were devital/vital teeth treated with iRoot SP sealer and devital/vital teeth treated with AH Plus sealer. Patients were prescribed ibuprofen, a 200-mg analgesic, if needed, and postoperative pain was recorded by visual analogue scale at 6, 12, 24, and 72 h after obturation. Pain score and frequency of tablet intake were recorded and statistically analyzed.

Results: Results showed that there was no significant difference between groups in the incidence of postoperative pain; however, iRoot SP sealer was associated with less analgesic intake compared to AH Plus sealer.

Conclusion: The use of different sealers did not significantly affect pain levels.

Clinical relevance: iRoot SP sealer was associated with less analgesic intake compared to AH Plus sealer.

Keywords: Herofill; carrier-based obturation; Postoperative pain; Randomized clinical trial; iRoot SP sealer.