Chafic Safi1, Meetu R Kohli1, Samuel I Kratchman1, Frank C Setzer1, Bekir Karabucak2. 1. Department of Endodontics, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania. 2. Department of Endodontics, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania. Electronic address: bekirk@mac.com.
Abstract
INTRODUCTION: The purpose of this randomized clinical trial was to evaluate healing after endodontic microsurgery (EMS) using mineral trioxide aggregate (MTA) versus EndoSequence root repair material (RRM; Brasseler, Savannah, GA) as root-end filling materials. METHODS:Two hundred forty-three teeth with persistent or recurrent apical periodontitis were randomly assigned to either the MTA or RRM group. EMS was performed, and follow-up visits with clinical and radiographic investigation were scheduled at 6, 12, and 24 months with follow-up cone-beam computed tomographic (CBCT) imaging after 12 months. RESULTS:One hundred twenty teeth with an average follow-up of 15 months were evaluated. The overall success rate was 93.3% for periapical (PA) evaluation and 85% for CBCT evaluation. The RRM group exhibited 92% and 84% success rates as assessed on PA and CBCT imaging, respectively. The MTA group exhibited 94.7% and 86% success rates as assessed on PA and CBCT imaging, respectively. No significant difference was observed between the 2 groups. Microsurgical classification, root canal filling quality, root-end filling material depth, and root fracture were found to be significant outcome predictors. CONCLUSIONS: EMS is a predictable procedure with successful outcome both 2-dimensional and 3-dimensional radiographic evaluation when RRM or MTA was used as the root-end filling material.
RCT Entities:
INTRODUCTION: The purpose of this randomized clinical trial was to evaluate healing after endodontic microsurgery (EMS) using mineral trioxide aggregate (MTA) versus EndoSequence root repair material (RRM; Brasseler, Savannah, GA) as root-end filling materials. METHODS: Two hundred forty-three teeth with persistent or recurrent apical periodontitis were randomly assigned to either the MTA or RRM group. EMS was performed, and follow-up visits with clinical and radiographic investigation were scheduled at 6, 12, and 24 months with follow-up cone-beam computed tomographic (CBCT) imaging after 12 months. RESULTS: One hundred twenty teeth with an average follow-up of 15 months were evaluated. The overall success rate was 93.3% for periapical (PA) evaluation and 85% for CBCT evaluation. The RRM group exhibited 92% and 84% success rates as assessed on PA and CBCT imaging, respectively. The MTA group exhibited 94.7% and 86% success rates as assessed on PA and CBCT imaging, respectively. No significant difference was observed between the 2 groups. Microsurgical classification, root canal filling quality, root-end filling material depth, and root fracture were found to be significant outcome predictors. CONCLUSIONS: EMS is a predictable procedure with successful outcome both 2-dimensional and 3-dimensional radiographic evaluation when RRM or MTA was used as the root-end filling material.
Authors: Paloma Montero-Miralles; Rafael Ibáñez-Barranco; Daniel Cabanillas-Balsera; Victoria Areal-Quecuty; Benito Sánchez-Domínguez; Jenifer Martín-González; Juan J Segura-Egea; María C Jiménez-Sánchez Journal: J Clin Exp Dent Date: 2021-09-01
Authors: Amparo Ramis-Alario; Beatriz Tarazona-Álvarez; Miguel Peñarrocha-Diago; David Soto-Peñaloza; María Peñarrocha-Diago; David Peñarrocha-Oltra Journal: J Clin Exp Dent Date: 2022-08-01
Authors: Matthew W Hatzke; Francesca C Daigle; Robert A Augsburger; Matthew J Kesterke; Poorya Jalali Journal: J Endod Date: 2020-06-15 Impact factor: 4.171