Abstract The aim of this randomized clinical trial was to compare the occurrence and intensity of postoperative pain and analgesic intake after root canal treatment, using different root canal sealers. Sixty single-rooted teeth diagnosed with asymptomatic necrosis and apical periodontitis were randomly assigned to 3 experimental groups (n=20), according to the root canal sealer: AH Plus, Endofill or MTA Fillapex. Endodontic treatment was performed in two sessions, and calcium hydroxide was used as the intracanal dressing. Patients were instructed to record pain intensity as none, slight, moderate and severe. Scores from 1 to 4 were attributed to each level of pain after 24 h, 48 h and 7 days. The need for analgesic intake was also recorded. Differences in the incidence of postoperative pain and the need for an analgesic were analyzed using the chi-square test. Differences in pain intensity after treatment were analyzed using the ordinal (linear) chi-square test. No significant differences were detected among the groups in terms of either incidence or intensity of postoperative pain, or need for analgesic intake, at any timepoint (p>0.05). No pain was reported after 7 days. AH Plus, Endofill and MTA Fillapex used for filling root canals resulted in the same rate of postoperative pain and need for analgesic medication.

Introdução : O apelo estético de pacientes que possuem dentes escurecidos é grande, pois atualmente os padrões estéticos se tornaram rigorosos e muitos pacientes antes ou durante o tratamento ortodôntico, realizam o procedimento de clareamento dental.Objetivo: Avaliar a adesão de braquetes ortodônticos em molares humanos que receberam clareamento interno.Material e método: Quarenta coroas de molares humanos foram divididas em quatro grupos, de acordo com o agente clareador utilizado: SP) perborato de sódio + água; SP) peróxido de carbamida; CP+SP) peróxido de carbamida + perborato de sódio; Cont) água (grupo controle). Os agentes clareadores colocados no interior das câmaras pulpares foram substituídos a cada 7 dias por 2 semanas, e a colagem dos braquetes foi efetuada após 30 dias do final do clareamento. O teste de resistência ao cisalhamento foi realizado em máquina de ensaios universal (Emic).Resultado: O teste estatístico ANOVA com nível de significância de 5% (p > 0,05), mostrou que não houve diferença estatística significante entre os grupos (p = 0,1214).Conclusão: Concluiu-se que os diferentes agentes clareadores estudados não interferem na resistência de adesão dos braquetes ao esmalte dentário e a colagem dos braquetes 30 dias após o clareamento interno é um procedimento seguro.

Introduction: There is great demand for esthetic treatment by patients who have discolored teeth, because currently aesthetic standards have become stricter and many patients have tooth bleaching procedures performed before or during orthodontic treatment.Objective: To evaluate the bonding of orthodontic brackets to human molars after internal tooth bleaching.Material and method: Forty molars were divided into four groups according to the bleaching agent used: PS) sodium perborate + water; PC) carbamide peroxide; PC + PS) carbamide peroxide + sodium perborate; Cont) water (control group). Bleaching agents placed inside the pulp chambers were replaced every 7 days for 2 weeks, and the brackets were bonded 30 days after the end of bleaching. The shear strength test was performed in a universal testing machine (Emic).Result: ANOVA with a significance level of 5% (p > 0.05), showed no statistically significant difference between groups (p = 0.1214).Conclusion: It was concluded that the different bleaching agents studied did not interfere with the bond strength of brackets to enamel and bonding the brackets 30 days after internal bleaching is a safe procedure.