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IP Indian Journal of Conservative and Endodontics


Technical quality and postoperative pain of single visit endodontic treatments of chronic apical periodontitis filled by bioceramic sealer


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Author Details: Seydina O. Niang*,Khaly Bane,Mouhamed Sarr,Babacar Touré,Pierre Machtou

Volume : 3

Issue : 3

Online ISSN : 2581-8988

Print ISSN :

Article First Page : 92

Article End Page : 97


Abstract

Aims: The aim of this study was to evaluate technical quality and post-operative pain of single visit root canal treatment of chronic apical periodontitis filled by bioceramic sealer.
Material and Methods:Fifty-two gutta percha master cone was used for final irrigation activation using alternatively 2.5% NaOCl and 17% EDTA. All canals were filled by single cone of gutta-percha (Endosequence BC pointTM, Brasseler, USA) and bioceramic sealer (Endosequence BC sealerTM, Brasseler, USA). The technical quality of root filling was evaluated by control radiographs, the clinical postoperative pain and the need for analgesic consumption were assessed during one week post-treatment. The data were analyzed using the Mann-Whitney U and chi-square test, the significance was set at P<.05non vital teeth with chronic apical periodontitis were treated in single visit. The main inclusion criteria were radiographic evidence of apical periodontitis and a diagnosis of pulpal necrosis. The canals were prepared with ProTaper Universal (Dentsply Maillefer, Ballaigues, Switzerland). The gutta percha master cone was used for final irrigation activation using alternatively 2.5% NaOCl and 17% EDTA. All canals were filled by single cone of gutta-percha (Endosequence BC pointTM, Brasseler, USA) and bioceramic sealer (Endosequence BC sealerTM, Brasseler, USA). The technical quality of root filling was evaluated by control radiographs, the clinical postoperative pain and the need for analgesic consumption were assessed during one week post-treatment. The data were analyzed using the Mann-Whitney U and chi-square test, the significance was set at P<.05.
Results: Overall 87% of all evaluated teeth were found to exhibit a root filling with an acceptable quality level. Assessment of the
post-operative sensitivity revealed a rate equal to 6% (3 cases). The intensity of the pain assessed by a verbal rating scale revealed one case of moderate pain, which required treatment with anti-inflammatories (400 mg ibuprofen) during one week and occlusion reduction.
Conclusion:This study revealed that a single-session endodontic treatment of infected teeth by single-cone root canal obturation associated with bioceramic sealer showed minimal incidence on post-operative pain and acceptable quality level of root filling.

Keywords: Apical periodontitis, Bioceramics sealer, Endodontics, Outcomes.

Doi :-https://doi.org/10.18231/2456-8953.2018.0021