A 12-month Follow-up of Primary and Secondary Root Canal Treatment in Teeth Obturated with a Hydraulic Sealer

Overview

Journal Clin Oral Investig

Specialty Dentistry

Date 2020 Sep 29

PMID 32989597

Citations 26

Authors

Giulia Bardini

Laura Casula

Emanuele Ambu

Davide Musu

Montse Mercade

Elisabetta Cotti

Affiliations

Soon will be listed here.

Abstract

Objectives: This randomized, controlled, pilot study assessed the outcome of non-surgical primary/secondary root canal treatments either with a novel bioactive sealer and the single-cone technique or with gutta-percha, zinc oxide-eugenol sealer (ZOE), and warm vertical compaction.

Materials And Methods: Sixty-nine patients were randomly divided into two groups that were treated using the single-cone technique with BioRoot RCS (Septodont) (BIO group) or warm vertical compaction with gutta-percha and ZOE sealer (PCS group). Two subsamples (BIOAP and PCSAP) comprised the cases with apical periodontitis. Treatment was undertaken by four residents using a standardized instrumentation and disinfection protocol. The periapical index (PAI) was recorded, and clinical and radiographic follow-up performed at 1, 3, 6, and 12 months. Treatment success was assessed according to "periapical healing" and "tooth survival". The test for the equality of proportions, t tests for the equality of means, and non-parametric K-sample tests for the equality of medians were applied when appropriate.

Results: The survival rate was similar in the BIO and PCS (p = 0.4074) and the BIOAP and PCSAP groups (p = 0.9114). The success rate was higher in the BIO groups, but not statistically significant (p = 0.0735). In both BIOAP and PCSAP groups, a progressive decrease in the PAI was observed.

Conclusion: At 12 months, both techniques showed reliable results. Further studies and longer follow-ups are needed.

Clinical Relevance: This study documents the feasibility of using a bioactive sealer in conjunction with the single-cone technique to obturate the root canal and obtaining a predictable outcome.

Trial Registration: ClinicalTrials.gov Identifie: NCT04249206.

Citing Articles

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Physicochemical properties and biological interaction of calcium silicate-based sealers - in vivo model.

Janini A, Moraes B, Pelepenko L, Dos Santos V, Barros-Costa M, Malosa G Clin Oral Investig. 2025; 29(1):86.

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Comparative Assessment of Push-Out Bond Strength and Dentinal Tubule Penetration of Different Calcium-Silicate-Based Endodontic Sealers.

Merfea M, Cimpean S, Chiorean R, Antoniac A, Delean A, Badea I Dent J (Basel). 2024; 12(12).

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Three-year Clinical Outcome of Root Canal Treatment Using a Single-cone Technique and Ceraseal Premixed Bioceramic Sealer: A Prospective Cohort Study.

Spinelli A, Zamparini F, Lenzi J, Gandolfi M, Prati C Eur Endod J. 2024; 9(4):383-393.

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A 4-year follow-up of root canal obturation using a calcium silicate-based sealer and a zinc oxide-eugenol sealer: A randomized clinical trial.

Bardini G, Bellido M, Rossi-Fedele G, Casula L, Dettori C, Ideo F Int Endod J. 2024; 58(2):193-208.

PMID: 39655615 PMC: 11715139. DOI: 10.1111/iej.14167.

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