Comparative evaluation of postoperative pain after root canal obturation using resin-based sealer (AH plus) and bioceramic sealer (IROOT SP) in adult mandibular molars: A double blinded randomized controlled trial

Abstract

ABSTRACT Aim: The aim of this randomized clinical trial was to compare the occurrence and intensity of postoperative pain following root canal obturation using a bioceramic (IROOT SP, Innovative BioCeramix, Inc.,) and a resin-based endodontic sealer (AH plus) using visual analog scale (VAS). Methods: A total of 40 subjects with chronic irreversible pulpitis needing root canal treatment were included in this double blinded randomized clinical trial. Randomization was done using manually generated sealed envelopes. According to the sealers used, the patients were divided into 2 groups where in Group 1 (n = 20): AH plus sealer and Group 2 (n = 20): Bioceramic sealer. Postoperative pain was assessed using VAS scale. Mann–Whitney U test was used for statistical analysis. Results: The occurrence of postoperative pain was similar in both groups. Postoperative pain intensity decreased in both the groups after 48 h. No statistically significant difference was found in the occurrence of postoperative in either group (P > 0.05). Conclusion: AH Plus and bioceramic sealer perform similarly in terms of the occurrence and intensity of postoperative pain with no significant difference. The average pain levels and number of rescue medication taken were similar in both the groups.