A prospective, randomized, comparative clinical study of resin composite and glass ionomer cement for retrograde root filling

Jensen, Simon Storgård; Nattestad, Anders; Egdø, P; Sewerin, I; Munksgaard, Erik Christian; Schou, Søren

doi:10.1007/s00784-002-0172-5

Cited by 45 publications

(74 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The result of this treatment should be a reduction in bacterial numbers in the region of the neoapex to avoid inflammatory relapse followed by tooth loss. According to the literature, the success rate of this kind of surgical treatment including retrograde root filling is between 60 and 85% for a tooth survival time of more than 5 years (von Axt and Kurt, 1999;Testori et al, 1999;Jensen et al, 2002;Wesson and Gale, 2003).…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, medical grade titanium has the same biological potential as mineral aggregates and is used more frequently in dental implantology today with a current success rate of more than 95% for titanium implants. In contrast, the retrograde treatment of the root apex using conventional materials has a success rate of about 70% (Jensen et al, 2002). There is still a risk of tooth loss, even when the best possible treatment is used including ultrasonic preparation under the microscope and filling with new sealers.…”

Section: Introductionmentioning

confidence: 95%

“…Nevertheless, various authors have reported widely differing results after using the same filling material (Tang et al, 2002;Morinaga et al, 2003). According to the scientific literature, the success rate of an apictomy with consecutive retrograde filling ranges between 60 and 85% (von Axt and Kurt, 1999;Testori et al, 1999;Jensen et al, 2002;Wesson and Gale, 2003). Complete rehabilitation of the periodontal tissue in the neoapex region has also been described for the new sealer Mineral Trioxide Aggregate (MTA; Regan et al, 2002).…”

Section: Introductionmentioning

confidence: 95%

See 2 more Smart Citations

Apical capping as a new technique for retrograde treatment of an infected root apex: Introduction and first results

Gaggl¹,

Weiglein

Kahr³

et al. 2007

Journal of Cranio-Maxillofacial Surgery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 95%

See 1 more Smart Citation

Apical capping as a new technique for retrograde treatment of an infected root apex: Introduction and first results

Gaggl¹,

Weiglein

Kahr³

et al. 2007

Journal of Cranio-Maxillofacial Surgery

View full text Add to dashboard Cite

“…It should be noted that scar tissue (at 1 year) only develops in <10% of cases. [8][9][10] In contrast, some of the included studies reported an "incomplete healing" as high as 27-50%, raising the possibility of misclassification of "uncertain healing" or "failure" cases as incomplete healing. Such misclassification would result in an overestimation of the outcome in individual studies, as well as the pooled estimate.…”

mentioning

confidence: 96%

Surgical endodontic treatment under magnification has high success rates

Azarpazhooh

2010

Evid Based Dent

View full text Add to dashboard Cite

The advancement in surgical endodontics (eg, the use of the dental operative microscope, no or minimal bevel of the root-end resection, and ultrasonic retrograde canal preparation to a depth of 3-4 mm) has resulted in more precise and predictable surgical procedures, which could not normally be achieved using the traditional surgical endodontic treatment (by means of root-end resection with a 45-degree bevel, retrograde preparation of the canal with bur, and root-end filling under no magnification and inadequate illumination). Therefore, assuming a higher outcome for the modern versus the traditional procedure, 3 this study pooled six RCT and five prospective case-series to evaluate the outcome of the modern surgical endodontic treatment as well as the factors influencing the outcome.In order to critically appraise this paper, the PRISMA checklist (Preferred Reporting Items for Systematic Reviews and Metaanalyses) 4 was utilised. The search strategy appears to be exhaustive, although it was limited to English publications. The eligibility criteria and data collection process were detailed. Three reviewers worked independently in identifying and appraising the included studies and extracting the data. Such methodology would reduce bias in a review. With regards to the eligibility criteria of the level of evidence and study design, it should be noted that because of the nature of the question (outcome of only modern surgical endodontics), no control group is necessary. Therefore, even though the authors included six RCT, in fact for the purpose of the data synthesis, such RCT had to be handled as prospective case series, ie, only the results of the RCT arm(s) that utilised the modern endodontic surgery procedure and met the other inclusion criteria were considered for the data synthesis.No report was mentioned of attempting to contact authors of papers that partially met the inclusion criteria for further results (eg, Saunders 2008 5 for the outcome of cases with at least one year followup). Moreover, in some cases, the reasons for excluding a paper seem to be erroneous, since the paper by Gagliani et al. (2005) 6 was rejected for not using Rud 1 criteria even though it did so.There is no indication of risk of bias assessment of individual studies at the study or outcome level (eg, masking and/ or calibration of the examiners) and, thus, no sensitivity analysis was performed for the data synthesis. Moreover, no measure of consistency (eg, I 2 for testing heterogeneity) 7 was reported.In this meta-analysis, the radiographic healing categories of incomplete healing (scar) and complete healing were combined into one category of "success" with a pooled estimate of 91.6% (95% Surgical endodontic treatment under magnification has high success rates Data extraction and synthesis Studies were reviewed and data extracted independently by three observers, with disagreements resolved by discussion. Studies included were combined to estimate the pooled successes and 95% confidence intervals (CI), where success was considered ...

show abstract

“…It should be noted that scar tissue (at one year), when adequately diagnosed, has been reported to occur in <10% of teeth treated by apical surgery. [8][9][10] There was no attempt to critically investigate the percentage of the 'incomplete healing' in the individual studies that may raise the possibility of misclassification bias.…”

mentioning

confidence: 99%

Endodontic surgery prognostic factors

Azarpazhooh

Shah

2011

Evid Based Dent

View full text Add to dashboard Cite

Understanding the prognostic predictors for any type of treatment might be important in the process of decision-making between different treatment modalities. For apical surgery, such information can help the clinicians in appropriate case selection, increasing the likelihood of a favourable outcome. In an attempt to update the previous reviews, (narrative and systematic), this meta-analysis pooled the results of 38 published clinical studies to assess the potential predictors of healing in apical surgery with root-end filling.The authors carefully designed and executed the search and clearly outlined the process of study selection. They extracted information from studies varying in design, from retrospective observational studies to randomized clinical trials. The primary aim to identify prognostic factors was explored through a series of forest plots for a number of factors, presented with raw data from eligible studies for readers to make their own impression regarding validity of the results. Tooth-related, patient-related and treatment-related factors were separately analysed and the data were presented. The rigour of the review notwithstanding, lapses in methodology 1 require attention before the results can be applied in clinical practice.The eligibility criteria of any clinical study with a minimum of ten subjects and a minimum follow-up period of six months are oversimplified. It is known that in general, 5-25% of teeth classified as healed after one year may regress to periapical radiolucency or clinical symptoms when followed-up longer. 4-6 Therefore, outcomes assessed in less than 3-4 years (reported in at least 14/35 included studies) should be considered to overestimate the potential for heal-

show abstract

A prospective, randomized, comparative clinical study of resin composite and glass ionomer cement for retrograde root filling

Cited by 45 publications

References 33 publications

Apical capping as a new technique for retrograde treatment of an infected root apex: Introduction and first results

Apical capping as a new technique for retrograde treatment of an infected root apex: Introduction and first results

Surgical endodontic treatment under magnification has high success rates

Endodontic surgery prognostic factors

Contact Info

Product

Resources

About