Evaluation Of Postoperative Pain With Resin Based Sealer vs Zinc Oxide Eugenol Based Sealer After Single Visit Endodontic.

Abstract

Objective: The aim of this study is to compare the postoperative pain after single visit endodontics using zinc-oxide eugenol sealer and resin-based sealer. 

Introduction: Complete root canal system obturation and disinfection, as well as periradicular tissue healing, are the objectives of root canal therapy. One of the key concerns of endodontic practice is pain management both during and after root canal therapy. 

Methodology:  A prospective, randomized, double-blind clinical trial was conducted at school of dentistry from June 2023 to November 2023 on 180 patients. The study included patients aged 18-60, ASA Class 1 or 2, with single-rooted teeth suffering from symptomatic irreversible pulpitis. Exclusions were made for ASA Class 3-5 patients, those with immature apices, severe periodontal issues, recent analgesic use, and those needing root canal treatment on multiple teeth. Single visit RCT was planned in single rooted teeth as per presentation and these patients were divided in to two groups, in Group A patients zinc oxide eugenol-based sealer was used and in group B resin based sealer was used.  Per-operative, postoperative at 24H and 48H pain perception was calculated through VAS. Data was analyzed through SPSS software v20.0. 

Results: The mean age of Group A was 32.38±8.28 and Group B was 32.14±8.58. Around 51% of from Group A were male as compare to 34.4% male patients in group B. Majority (53%) of Group A patients have Mild pain as compare to 42% in Group B patients. P value was significant at post-operative pain after 24H and 48H of treatment in either group. 

Conclusion: in this investigation found that, between 24 and 48 hours after endodontic therapy, zinc oxide eugenol-based sealers have a slightly higher incidence of discomfort than resin-based sealers. 

Key words: Sealer, VAS, Pain, Endodontics