Effect of Different Obturation Techniques on Postoperative Pain

Comparison of Postoperative Pain Intensity After Three Different Obturation Techniques: A Randomized Clinical Trial

This study evaluated the postoperative pain after the endodontic treatment by using three different obturation techniques. ( Cold lateral condensation (CLC), thermoplasticized solid-core carrier method (GuttaCore) and cold free-flow compation tecnique ( GuttaFlow2))

Inclusion Criteria:

1. Participants between 18 - 72 years of ages,

2 Good oral hygiene,

3. Have not taken any analgesic in the last 7 days,

4. Have not taken any antibiotics in the last 7 days,

5. Positive response to both cold test (EndoIce; Coltene/Whaledent Inc, Cuyahoga ),

6. Patients diagnosed with asymptomatic irreversible pulpitis with his/her single-rooted teeth caused by a deep carious lesion,

7. Patients have single-rooted teeth requiring endodontic treatment according to the pre-prosthetic reason,

8.The presence of profusely pulp bleeding with a thick consistency, which is exposed during caries removing.

9. The periapical region was healthy in radiographic diagnosis.

Exclusion Criteria:

1. Patients who refuse to participate in this study,
2. Medically compromised patients (with immunosuppressive/systemic diseases, patients on medications),
3. Devital teeth that have no response to pulp test,
4. The presence of advanced periodontal disease (probing depth > 4 mm),
5. The presence of open apex,
6. The presence of calcification,
7. The presence of resorption,
8. Patients who had multiple teeth requiring endodontic treatment,
9. Patients with allergic sensitivity to materials and agents that should be used during the root canal treatment,
10. Allergic sensitivity to local anesthetics,
11. Patients who had systemic or allergic sensitivity for the NSAIDs,
12. Pregnant participants or participants in the lactation period,
13. Teeth cannot be applied to a rubber-dam.