ArticleCureus2025
A Comparative Evaluation of Post-operative Pain in Patients Undergoing Root Canal Treatment With Four Different Types of Sealers: A Randomized Controlled Trial.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
6 authors.
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Abstract
objectiveThis study aimed to comparatively evaluate post-operative pain, unintentional apical extrusion, and radiopacity following root canal therapy using four different classes of sealers. MATERIAL AND
methodsHundred patients requiring root canal treatment in single-rooted teeth diagnosed with symptomatic irreversible pulpitis, with or without symptomatic apical periodontitis, were recruited. Pre-operative pain levels were recorded using the visual analog scale. Patients were randomized into four sealer groups (Tubli-Seal: Kerr Endodontics, California; AH Plus: Dentsply Sirona, Charlotte; BioRoot RCS: Septodont Healthcare India Pvt. Ltd., Maharashtra, India; and Nishika Canal Sealer BG: Nippon Shika Yakuhin, Shimonoseki, Japan). A single operator performed the treatment in a single visit, using the crown-down technique with Hand Protaper instruments (Dentsply Tulsa Dental, Tulsa), irrigation with 3% sodium hypochlorite (Dentpro, Mohali, India), 17% ethylenediaminetetraacetic acid (EDTA) (MD-Cleanser, EDTA Solution, Meta Biomed, Korea), and distilled water, followed by obturation using the cold lateral condensation technique. Post-operative pain levels were recorded at 24 hours, 72 hours, and seven days. The Kruskal-Wallis H test was employed to compare the pre- and post-operative pain scores across the groups.
resultsPost-operative pain, apical extrusion, and radiopacity showed no statistically significant differences among the four sealer groups (p > 0.05). However, BioRoot RCS had the lowest pain levels at 24 and 72 hours, Tubli-Seal showed the least apical extrusion, and AH Plus and BioRoot RCS exhibited higher and comparable radiopacity.
conclusionAll the sealers perform similarly in regards to post-operative pain reduction, unintentional apical extrusion, and radiopacity with minor variations.
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