Clinical results with two different methods of root-end preparation and filling in apical surgery: mineral trioxide aggregate and adhesive resin composite

Journal of Endodontics
Thomas von ArxSimon Storgård Jensen

Abstract

The aim of apical surgery is to hermetically seal the root canal system after root-end resection, thereby enabling periradicular healing. The objective of this nonrandomized prospective clinical study was to report results of 2 different root-end preparation and filling methods, ie, mineral trioxide aggregate (MTA) and an adhesive resin composite (Retroplast). The study included 353 consecutive cases with endodontic lesions limited to the periapical area. Root-end cavities were prepared with sonic microtips and filled with MTA (n = 178), or alternatively, a shallow concavity was prepared in the cut root face, with subsequent placement of an adhesive resin composite (Retroplast) (n = 175). Patients were recalled after 1 year. Cases were defined as healed when no clinical signs or symptoms were present and radiographs demonstrated complete or incomplete (scar tissue) healing of previous radiolucencies. The overall rate of healed cases was 85.5%. MTA-treated teeth demonstrated a significantly (P = .003) higher rate of healed cases (91.3%) compared with Retroplast-treated teeth (79.5%). Within the MTA group, 89.5%-100% of cases were classified as healed, depending on the type of treated tooth. In contrast, more variable rates rangi...Continue Reading

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Citations

Dec 12, 2012·Journal of the American Veterinary Medical Association·Amy J FultonFrank J M Verstraete
Mar 31, 2015·International Endodontic Journal·M K ÇalışkanM C Solmaz
Apr 21, 2012·Journal of Endodontics·Thomas von ArxShimon Friedman
May 3, 2011·Dental Materials : Official Publication of the Academy of Dental Materials·Maria Giovanna GandolfiCarlo Prati
Sep 12, 2015·International Endodontic Journal·T von ArxM M Bornstein
Jan 18, 2015·Clinical Oral Investigations·Minji KangEuiseong Kim
Dec 16, 2016·International Endodontic Journal·M TorabinejadS Shabahang
Feb 26, 2015·Brazilian Oral Research·Rogério Castilho JacintoMaximiliano Sérgio Cenci
Oct 21, 2016·Clinical Oral Investigations·Thomas von ArxMichael M Bornstein
Nov 2, 2016·The Cochrane Database of Systematic Reviews·Massimo Del FabbroSilvio Taschieri
Nov 24, 2020·Primary Dental Journal·Shalini Kanagasingam
Oct 26, 2020·Journal of Endodontics·Thomas von ArxMichael M Bornstein
Sep 15, 2014·Journal of Endodontics·Fahd AlsalleehLane Stephenson

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