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BMC Oral Health
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Research

Postoperative pain of single-visit endodontic treatment with gutta-percha versus MTA filling: a randomized superiority trial

Authors: Masoud Khabiri, Sahel Kamgar, Pedram Iranmanesh, Abbasali Khademi, Mahmoud Torabinejad

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Background

Postoperative pain has remained a challenge for clinicians. This randomized superiority trial compared the levels of postoperative pain following the use of gutta-percha (GP) and sealer or mineral trioxide aggregate (MTA) as root canal filling materials in teeth with asymptomatic apical periodontitis.

Methods

A total of 119 patients were initially evaluated in this two-arm, parallel-group, single-blind, superiority randomized trial. The inclusion criteria were participants aged 18–65 years with single-canal premolars diagnosed with asymptomatic apical periodontitis. The participants were finally divided into two groups using the permuted block randomization method. In the GP group (N = 46), the cleaned and shaped root canals were filled with gutta-percha and AH Plus sealer, while in the MTA group (N = 48), the cleaned and shaped root canals were filled with an MTA apical filling and a coronal gutta-percha and sealer. Patient pain level was measured 6, 12, 24, 48, and 72 h postoperatively using a 10-point visual analog scale (VAS). The data were analyzed by the chi-square, independent t, Friedman, and Mann-Whitney U tests.

Results

The mean of VAS scores decreased significantly over time in both groups (P < 0.001). The mean VAS scores were significantly lower in the MTA filling group than in the other group (P < 0.05). Female patients reported higher VAS scores at 6- and 12-hour periods in both groups (P < 0.05).

Conclusion

MTA as a root canal filling material might be a valuable option for clinicians due to its low postoperative pain.

Trial registration

The trial protocol was registered at the Registry of Clinical Trials (IRCT20191104045331N1).
Appendix
Available only for authorised users
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Metadata
Title
Postoperative pain of single-visit endodontic treatment with gutta-percha versus MTA filling: a randomized superiority trial
Authors
Masoud Khabiri
Sahel Kamgar
Pedram Iranmanesh
Abbasali Khademi
Mahmoud Torabinejad
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03372-6

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