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CompletedNCT07386197painUpdated Feb 4, 2026

The Effect of Sealer Type and Obturation Technique on Postoperative Pain

An interventional study of Obturation of root canals in Dental Pulp Necrosis, sponsored by Jordan University of Science and Technology. Completed at 1 site in Jordan. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-04.

Sponsored by Jordan University of Science and Technology · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years 3 months after the study started (first participant enrolled Oct 2022, registered Jan 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Postoperative pain is an important consideration in endodontic treatment, and its incidence may be influenced by both obturation technique and sealer type. This study focused on molars to minimize anatomical variability and provide a consistent assessment of pain associated with different endodontic protocols.

This study aimed to evaluate the incidence and level of postoperative pain in molars treated with root canal therapy, in relation to the type of sealer and obturation technique used.

Read the detailed description

One hundred and twenty patients (aged 18-60 years; 63 males, 57 females) requiring root canal treatment of mandibular or maxillary molars will be included. Only teeth with necrotic pulp and asymptomatic apical periodontitis or previously extirpated pulp are considered. Patients will be randomly assigned to one of four groups (30 patients each): Group A-AH Plus resin sealer with cold lateral compaction (AH-CLC); Group B-AH Plus with warm vertical compaction (AH-WVC); Group C-TotalFill bioceramic sealer with single-cone technique (TF-SC); Group D-TotalFill HiFlow with warm vertical compaction (TF-WVC). Postoperative pain will be self-recorded using the Visual Analog Scale (VAS) and Verbal Rating Scale (VRS) at 6 hours, 1 day, 2 days, 3 days, and 1 week after treatment. Completed forms will be collected when patients returned for permanent coronal restoration. Analgesic use was also recorded. Data will analyzed using one way ANOVA and Chi square tests.

02

Conditions studied

  • Dental Pulp Necrosis

Keywords

  • Root canal treatment
  • Obturation
  • Sealer
  • Postoperative pain
03

In context

Dental Pulp Necrosis

149 studies on the registry are indexed under Dental Pulp Necrosis; 39 are open to participants now.

This study's enrollment of 120 is above the median of 45 across 140 interventional studies indexed under Dental Pulp Necrosis.

Browse Dental Pulp Necrosis studies →

Lead sponsor

Jordan University of Science and Technology is the lead sponsor of 88 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. both male and female patients within
  2. The age of 18-60 years old who required root canal treatment
  3. Either mandibular or maxillary molars with the diagnosis of either; necrotic pulp with asymptomatic apical periodontitis,
  4. Teeth with pulp extirpated ( previously initiated root canal treatment) regardless of the periapical status

Exclusion criteria

Exclusion Criteria:

  1. Teeth diagnosed with irreversible pulpitis;
  2. Teeth with intracanal abberations or mishaps such as perforations, transportation, severe ledging , broken instruments, apical resorption or open apices;
  3. Teeth requiring posts;
  4. Any patient on long term steroid or any other medical condition that requires long term analgesic.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
120 participants (actual)

Study arms

  • Active comparator
    AH Plus resin sealer with cold lateral compaction

    Obturation using cold lateral condensation and resin sealer

    Procedure: Obturation of root canals

  • Active comparator
    AH Plus with warm vertical compaction

    Obturation using warm vertical compaction and resin sealer

    Procedure: Obturation of root canals

  • Active comparator
    TotalFill bioceramic sealer with single-cone technique

    Obturation with single cone and bioceramic sealer

    Procedure: Obturation of root canals

  • Active comparator
    TotalFill HiFlow with warm vertical compaction

    Obturation with warm vertical compaction and bioceramic sealer

    Procedure: Obturation of root canals

Interventions

  • ProcedureObturation of root canals

    filling of root canal using different materials of resin based or bioceramic based and cold lateral condensation or warm vertical condenstion techniques

    Also known as: Root canal filling with bioceramic sealers

06

What researchers measure

Primary outcomes

  1. Pain level after obturation of root canals

    The level of pain the patient will experience after obturation of the teeth using a visual analogue scale and a numerical scale from 0-10. Zero is the minimum and 10 is the maximum. The higher the score the worse it is, the best technique will have low scores of pain

    Time frame: 6 hours, 1 day, 2 days, 3 days and 1 week

07

Study locations

1 site
  • Jordan university of Science and Technology
    Irbid, 221000, Jordan
08

References and documents

Individual participant data

Plan to share: Yes — Data will be shared upon reasonable request from the study principal

Supporting information: Study protocol

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07386197
Lead sponsor
Jordan University of Science and Technology
Responsible party
Sponsor
First posted
Feb 4, 2026
Start date
Oct 7, 2022
Primary completion
Jul 28, 2023
Completion
Oct 2, 2023
Last update
Feb 4, 2026

Study contacts

Ahmad Alhiyasat, PhD
study chair · Jordan University of Science and Technology

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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