Outcome of SBO With Calcium Silicate Sealer vs WVC With Resin Based Sealer

A single blinded randomized controlled trial. 212 subjects (teeth), 106 in each of the 2 groups will be recruited from the patients referred to Kuwait Board of Endodontics for primary root canal treatment. The aim is to compare the outcome of sealer-based obturation (SBO) with calcium silicate sealer versus warm vertical compaction (WVC) and resin based sealer. Preoperative PA radiograph and CBCT will be taken. A 1 year follow up period will be arranged and another PA radiograph and CBCT will be taken. The preoperative, postoperative and review clinical and radiographic data will be analyzed

Aims and Objectives * To compare the clinical outcome of the SBO with WVC in non-surgical root canal treatment. * To compare the radiographic outcome of the SBO with WVC in non-surgical root canal treatment using periapical radiographs and CBCT scans. * To assess the difference in postoperative pain between the 2 groups. * To assess the difference in the time required to complete the obturation between the 2 groups. Materials and Methods * Patients who are referred to the Kuwait Board of Endodontics for non-surgical root canal treatment and fulfil the inclusion/exclusion criteria of the study will be included * Pre-operative periapical radiograph, CBCT scan and 11-point Numerical Rating Scale (NRS) will be taken. * Upon completion of root canal instrumentation, the participants will be randomly allocated to either Group A: obturation using SCCS or Group B: obturation using WVC. The participants will be blinded to the type of treatment received and the clinician will only be informed of the obturation method once the canal/canals are ready for obturation. * All teeth will then be restored definitively. * The participants will be contacted via telephone 1, 3 and 7 days post-treatment to report their NRS pain score. * The participants will be recalled after 1 year for clinical and radiographic assessment using periapical radiograph and CBCT scan. * The participants will then be followed-up annually for up to 4 years. * Statistical analysis will be performed. * The design of the study will conform to the CONSORT statement. Statistical and Analytical Plans Sample size estimation for the treatment outcome was performed using PASS 2019 computer software, utilizing information from previous studies on healing outcome after initial endodontic therapy. For a two independent-samples t-test of proportions, at power of 80% and 5% significance level for two-tailed test, detecting a 10% difference of healing rate required a sample size of 148 teeth. Adjusting for a dropout rate of 30%, the required sample size was 212 teeth. The slightly high 30% dropout rate is anticipated because most of the patients we treat are non-Kuwaiti nationals and their presence in the country after 1 year is not guaranteed.