Overview
This study evaluates the postoperative pain and long-term clinical and radiographic success of single-visit primary root canal treatment in asymptomatic teeth with periapical lesions.
Description
A total of 200 patients will be evaluated and divided into four treatment groups according to the root canal filling material and technique: AH Plus with warm gutta-percha, AH Plus with the single-cone technique, TotalFill BC Sealer with the single-cone technique, and One-Fil with the single-cone technique. Postoperative pain will be assessed, while periapical healing will be evaluated clinically and radiographically using the Periapical Index (PAI) during follow-up visits extending from 1 month to 1 year. The study aims to compare different root canal sealers and obturation techniques and contribute to the understanding of their long-term treatment outcomes.
Eligibility
Inclusion Criteria:
- Patients aged 18-65 years.
- Patients classified as ASA Physical Status I or II according to the American Society of Anesthesiologists (ASA) classification:
- Teeth that have not previously undergone root canal retreatment or surgical intervention.
- Patients who are able to read and sign the informed consent form.
- Patients who are physically and mentally able to tolerate the planned dental treatment.
- Teeth treated in a single treatment session.
Exclusion Criteria:
- Pregnant or lactating women.
- Patients with chronic periodontal disease and/or a periodontal probing depth \>4 mm.
- Symptomatic patients.
- Patients who are unable to comply with the scheduled follow-up periods.
- Patients who have used analgesics within 1 week or antibiotics within 1 month prior to treatment.
- Teeth with root resorption.
- Teeth with a vertical root fracture or a risk of vertical root fracture.
- Teeth with incomplete root development.
