Comparing root canal sealers and filling techniques for healing after treatment
Official title: Evaluation of the Success Rate of Endodontic Treatment Using Different Obturation Techniques and Root Canal Sealer Cements: A Randomized Controlled Trial
Run by University of Siena · NCT07019298 · Data updated 2026-11-12
This will test whether two sealers (AH Plus and NeoSealer Flo) and two obturation techniques (continuous wave and single cone) lead to better x‑ray healing in adults needing root canal treatment.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 270 (estimated) |
| Sponsor | University of Siena Academic / other |
| Locations | 1 site (Madrid, Spain) |
| Status | Recruiting |
| Started | June 1, 2025 |
| Main results expected | January 1, 2026 |
| Study ends | June 1, 2029 |
| Registry record updated | June 13, 2025 |
| Trial ID | NCT07019298 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with teeth diagnosed with pulpal necrosis or irreversible pulpitis who can provide informed consent are eligible.
✕Probably not a fit
Patients with systemic conditions that impair healing, teeth with root fractures, resorption, open apices, or incomplete/poor-quality radiographic records are excluded and unlikely to benefit from the protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The trial enrolls 270 adult patients with irreversible pulpitis or pulpal necrosis and compares radiographic healing using Orstavik's criteria between AH Plus and NeoSealer Flo sealers and between continuous wave and single cone obturation techniques. Clinical and radiographic variables including quality of obturation, lesion healing, and final restoration are recorded. Patients receive a minimum of six months of follow-up with standardized radiographs to determine treatment success. The study will also explore whether a bioceramic sealer (NeoSealer Flo) is effective regardless of the obturation technique used.
Why it matters
Potential benefit: If successful, the results could identify sealer and technique combinations that improve radiographic healing and inform simpler, more reliable choices for root canal treatment.
How similar studies have gone: Previous studies of bioceramic sealers have shown promising radiographic healing in many cases, but results are mixed and outcomes can depend on technique and case selection.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Patients aged 18 years and older. Teeth with a diagnosis of pulpal necrosis or irreversible pulpitis. Informed consent provided for data usage. Exclusion Criteria: * Patients with systemic conditions that may impair healing (e.g., uncontrolled diabetes, immunosuppression). * Teeth with root fractures, resorption, or open apices. * Incomplete clinical or radiographic records. * Cases with poor-quality radiographs or lack of standardization for evaluation
Where it's running
-
Universidad Rey Juan Carlos
Madrid, Spain, Spain Recruiting
Study contacts
- Study coordinator: Giulia Malvicini, DDS
- Email: giulia.malvicini@student.unisi.it
- Phone: + 39 3487200168
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Postoperative pain after root canal filling with bioceramic or resin-based sealers.
This project will see if using bioceramic versus resin-based sealers for root canal fillings changes short-term pain in adults with pulpitis, pulp necrosis, or previously treated teeth.
-
Single-visit Root Canal Outcomes with Different Sealers in Asymptomatic Teeth
This study tests four root canal filling materials and techniques in single-visit treatments to see how they affect pain after the procedure and healing over a year in people with periapical lesions.
-
Accuracy and healing outcomes of endodontic surgery with a 3D-printed static guide
This trial tests whether using a 3D-printed static surgical guide for apicoectomy improves surgical precision and healing in patients with periapical disease.
-
Antibacterial Effect of Bioceramic vs Calcium Hydroxide Medicaments in Root Canals
This study tests whether Bio-C Temp or UltraCal XS can better reduce bacteria inside root canals of lower molars with chronic apical periodontitis.
-
Buffered vs conventional local anesthesia for pain and anxiety during dental treatment in children with pulpitis
This study tests whether buffered local anesthesia reduces pain and anxiety for school-aged children needing dental treatment for pulpitis.
-
Hyaluronic acid to improve healing after endodontic microsurgery
This trial will test whether adding cross-linked hyaluronic acid during endodontic microsurgery helps adults with apical periodontitis of first molars heal faster and have less pain.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.