Retrograde Filling Material in Periapical Surgery: a Systematic Review

Overview

Journal Med Oral Patol Oral Cir Bucal

Specialty Dentistry

Date 2020 Dec 19

PMID 33340080

Citations 9

Authors

A Panos-Crespo

A Sanchez-Torres

C Gay-Escoda

Affiliations

Soon will be listed here.

Abstract

Background: Periapical surgery focuses on the treatment of teeth with persistent periapical lesions when orthograde root canal treatment fails. Although MTA® is the gold standard material for retrograde filling, Biodentine® - a tricalcium silicate-based cement - has been proposed in order to resolve several of its limitations. A systematic review has been carried out to compare the physicochemical properties of Biodentine® versus MTA® as root-end filling material in periapical surgery.

Material And Methods: An electronic search was conducted by two independent examiners during March 2020 in the Cochrane, PubMed-MEDLINE and Scopus databases. In addition, a manual search was made in specialized journals. Comparative human or in vitro studies that evaluated bond strength, the presence of marginal gap and sealing ability were included. No restriction on publication date was applied. Animal studies, clinical cases, cases series and expert opinions were excluded.

Results: After analyzing 147 initially selected studies, 13 publications were included. Regarding bond strength, the studies seemed to evidence better performance of Biodentine® in both acidic and blood contaminated environments. In relation to the presence of marginal gap and sealing ability, the studies yielded contradictory results. According to some authors, the sealing ability of Biodentine® is greater than that of MTA® during the first 24 hours, though both materials prove equal after one week. Other authors recorded no significant differences.

Conclusions: Considering the limitations and heterogeneity of the studies included, there is not sufficient evidence to confirm the clinical superiority of Biodentine® as a root-end filling material in periapical surgery.

Citing Articles

A Comparison of the Apical Sealing Efficacy Between Guttaflow Bioseal and Mineral Trioxide Aggregate as Root-End Filling Materials: An In Vitro Study.

Hseen A, Nassif Q, Maarawi K, Haffaf R, Khaddam M Cureus. 2024; 16(11):e73498.

PMID: 39669815 PMC: 11635546. DOI: 10.7759/cureus.73498.

Platelet-Rich Fibrin: A Self-Derived Biomaterial for Surgical Treatment of a Periapical Lesion.

Sinha Y, Bhattacharjee D, Pradhan P, Tilokani A, Banka A Cureus. 2024; 16(7):e64796.

PMID: 39156242 PMC: 11329884. DOI: 10.7759/cureus.64796.

MTA as modulator of periapical tissue healing in rat molar: A histological study.

Khoswanto C, Dewi I J Oral Biol Craniofac Res. 2024; 14(2):201-204.

PMID: 38445049 PMC: 10912688. DOI: 10.1016/j.jobcr.2024.02.006.

The outcome of combined use of iRoot BP Plus and iRoot SP for root-end filling in endodontic microsurgery: a randomized controlled trial.

Dong X, Su Q, Li W, Yang J, Song D, Yang J Clin Oral Investig. 2024; 28(3):188.

PMID: 38430316 DOI: 10.1007/s00784-024-05569-7.

Antibacterial Activity and Sustained Effectiveness of Calcium Silicate-Based Cement as a Root-End Filling Material against .

Moon S, Shin S, Oh S, Bae J Materials (Basel). 2023; 16(18).

PMID: 37763402 PMC: 10532646. DOI: 10.3390/ma16186124.

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