Evaluation Of Postoperative Pain and Extrusion Following Ultrasonic Activation of Bioceramic Sealer with Symptomatic Irreversible Pulpitis: A Randomized Clinical Trial

Abstract

Aim: To evaluate postoperative pain and extrusion after ultrasonic activation of CeraSeal bioceramic sealer in symptomatic irreversible pulpitis. Subjects and methods: Thirty-two mandibular premolars (single root/canal) with irreversible pulpitis were included after confirmation of the diagnosis. Standard endodontic treatment was done in a single visit. Patients were placed into two groups (n=16); in the intervention group, ultrasonic activation of CeraSeal (20 seconds) while no activation was done in the control group. Obturation was performed using modified single cone technique, and pain was evaluated preoperatively, after 6,12, 24 and 48 hours using modified Visual Analogue Scale (VAS). Analgesic intake was recorded for 48 hours. Baseline and outcome data were statistically analyzed. Results: Postoperative pain incidence was significantly affected by ultrasonic activation at 6 hours (6% reported severe pain in intervention group to 37.5 % in control group)(P =.01) while the effect was not significant at 12, 24 and 48 hours. Analgesic consumption and sealer extrusion were not affected by ultrasonic activation. Conclusion: Postoperative pain was less after 6 hours when CeraSeal was ultrasonically activated compared to the control. Ultrasonic activation of CeraSeal did not negatively affect postoperative pain analgesic intake or sealer extrusion compared to the control group.