Rapid Apical Healing with Simple Obturation Technique in Response to a Calcium Silicate-Based Filling Material.
Journal
International journal of dentistry
ISSN: 1687-8728
Titre abrégé: Int J Dent
Pays: Egypt
ID NLM: 101524183
Informations de publication
Date de publication:
2022
2022
Historique:
received:
03
03
2022
accepted:
18
04
2022
entrez:
19
5
2022
pubmed:
20
5
2022
medline:
20
5
2022
Statut:
epublish
Résumé
Root canal sealers with high alkaline (pH more than 11) and bioactive properties (release ions) are more effective for healing the apical area and preventing reinfection in root canals. Pure calcium silicate-based bioceramic premixed injectable sealers lead to change the obturation technique because it depends on maximizing amount of sealer and single cone gutta-percha as a carrier. This retrospective clinical study aimed at demonstrating the effect of single cone gutta-percha with a calcium silicate-based filling, used to fill the root canal in a single visit, on the apical healing with different lesion size. 195 patients needing root canal treatment were treated at the Al-Jazaer private clinic in southern Iraq. Cases were obtained during the 2017-2021 period (retrospective study). All patients were treated with a simple hydraulic condensation technique that used calcium silicate-based filling materials as the sealer with single cone gutta-percha as the carrier, with a minimum follow-up period of approximately one year. Both treatment- and patient-related factors were evaluated. The clinical outcomes depended on classification with respect to complete (success) or incomplete (failure) healing. Statistical analysis was performed using a chi-square test to compare different related factors. Radiographs for 195 patients were examined, and the average follow-up time was 20.44 months. The complete healing success rate was 164 (84.1%), and 31(15.9%) patients were not healed. The highly significant success rate was 88.7% for the initial treatment compared with 63.9% for retreatment. Small and medium lesions (<5 mm diameter) had a significant success rate compared to large lesions (>5 mm diameter). Sealer extrusion was found in 68.7% of cases, but it did not have any significant effect on the treatment result. The bioceramic calcium silicate-based filling sealer used with single-cone gutta-percha led to increased success of apical healing with a simple hydraulic condensation technique without multiple visit treatments and premedication material.
Sections du résumé
Background
UNASSIGNED
Root canal sealers with high alkaline (pH more than 11) and bioactive properties (release ions) are more effective for healing the apical area and preventing reinfection in root canals. Pure calcium silicate-based bioceramic premixed injectable sealers lead to change the obturation technique because it depends on maximizing amount of sealer and single cone gutta-percha as a carrier. This retrospective clinical study aimed at demonstrating the effect of single cone gutta-percha with a calcium silicate-based filling, used to fill the root canal in a single visit, on the apical healing with different lesion size.
Materials and Methods
UNASSIGNED
195 patients needing root canal treatment were treated at the Al-Jazaer private clinic in southern Iraq. Cases were obtained during the 2017-2021 period (retrospective study). All patients were treated with a simple hydraulic condensation technique that used calcium silicate-based filling materials as the sealer with single cone gutta-percha as the carrier, with a minimum follow-up period of approximately one year. Both treatment- and patient-related factors were evaluated. The clinical outcomes depended on classification with respect to complete (success) or incomplete (failure) healing. Statistical analysis was performed using a chi-square test to compare different related factors.
Results
UNASSIGNED
Radiographs for 195 patients were examined, and the average follow-up time was 20.44 months. The complete healing success rate was 164 (84.1%), and 31(15.9%) patients were not healed. The highly significant success rate was 88.7% for the initial treatment compared with 63.9% for retreatment. Small and medium lesions (<5 mm diameter) had a significant success rate compared to large lesions (>5 mm diameter). Sealer extrusion was found in 68.7% of cases, but it did not have any significant effect on the treatment result.
Conclusions
UNASSIGNED
The bioceramic calcium silicate-based filling sealer used with single-cone gutta-percha led to increased success of apical healing with a simple hydraulic condensation technique without multiple visit treatments and premedication material.
Identifiants
pubmed: 35585961
doi: 10.1155/2022/6958135
pmc: PMC9110245
doi:
Types de publication
Journal Article
Langues
eng
Pagination
6958135Informations de copyright
Copyright © 2022 Bahaa AlBakhakh et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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