Root-end microsurgery using a premixed tricalcium silicate putty as root-end filling material: a prospective study

Taha, Nessrin A.; Aboyounes, F. B.; Tamimi, Zaid

doi:10.1007/s00784-020-03365-7

Cited by 18 publications

(26 citation statements)

References 32 publications

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“…The presence of calcium phosphate improves the setting properties of these materials, establishing a crystalline structure comparable with the tooth and bone apatite [ 50 ]. This type of material presents putty consistency and faster setting time, becoming easier to handle and deliver to the operative site [ 51 ]. However, the scientific evidence that supports its clinical use as a root-end filling material remains scarce.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Prognosis of Endodontic Microsurgery—A Systematic Review and Meta-Analysis

et al. 2020

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Background and objectives: The long-term outcome of endodontic microsurgery (EMS) performed on root-filled teeth affected by post-treatment apical periodontitis (AP) has been a matter of debate, re-launched by the introduction of novel root-end filling materials which have been proven to improve the short-term outcome of EMS. The purpose of this systematic review and meta-analysis is to evaluate the clinical and radiographic long-term outcome of endodontic microsurgery in teeth diagnosed with secondary AP through radiographic evaluation. Materials and Methods: This systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Inclusion and exclusion criteria were defined a priori to select the best longitudinal evidence. Only randomized clinical trials (RCT) and prospective clinical studies (PCS), with a follow-up ≥ 2-year, and exhibiting well-established clinical and radiographic outcome criteria, were selected. Results: A total of 573 articles were obtained, from which 10 fulfill inclusion criteria: 6 PCS and 4 RCT. Meta-analysis showed a pooled proportion of success rate of 91.3%, from an overall amount of 453 treated teeth included in RCT; from overall 839 included teeth in PCS, a pooled success rate of 78.4% was observed, with the follow-up time ranging from 2 to 13-years. Survival rate outcomes varied from 79 to 100% for the same follow-up period. Five prognostic factors with influence on the outcome were disclosed: smoking habits, tooth location and type, absence/presence of dentinal defects, interproximal bone level, and root-end filling material. Conclusions: High success rates and predictable results can be expected when EMS is performed by trained endodontists, allowing good prognosis and preservation of teeth affected by secondary AP.

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Section: Discussionmentioning

confidence: 99%

Long-Term Prognosis of Endodontic Microsurgery—A Systematic Review and Meta-Analysis

et al. 2020

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“…The introduction of the dental operative microscope (DOM) in the early 1990s led to a new era in modern microsurgical endodontics [9]. Besides magnification, contemporary techniques incorporate the use of ultrasonic tips, microsurgical instruments and filling materials which exhibit superior biocompatibility such as mineral trioxide aggregate (MTA), Biodentine [7,[10][11][12][13], and premixed tricalcium silicate putty (TotalFill FS putty) [14]. This new microsurgical approach allowed for a significant improvement in success rates, reaching levels above 91% [7,15].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Root-End Preparation with Two Different Endodontic Microsurgery Ultrasonic Tips

et al. 2020

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The aim of this study is to compare root-end preparation performed with two different ultrasonic tips—CVDentus and NSK—and respective time requirements. After root-end resection, 32 teeth were randomly divided in two groups, according to the ultrasonic tip used for root-end preparation. Preparation time was recorded. Photomicrographs were taken to assess the following parameters: root surface microcracking, marginal integrity and presence of debris. One ultrasonic tip from each group was analyzed through scanning electron microscopy before and after root-end preparation. The significance level was set at α = 0.05. Incidence of microcracks in both groups was 12.5%. Solely intracanal microcracking was found, consistently positioned within the widest side of the remaining dentine. No statistically significant differences were verified between both experimental groups regarding marginal integrity (p = 0.102) and preparation time (p = 0.780), whereas statistical differences (p = 0.003) were found concerning the presence of debris (the minimum registered score was mostly verified in CVDentus group). NSK tips showed major morphological changes, with extensive surface wear and noticeable loss of particles, which was not verified on CVDentus tips. Our findings suggest significant differences regarding root-end preparation walls quality, with CVDentus tips showing better results. Concerning microcracking, as well as preparation time and marginal integrity, both ultrasonic tips showed similar results. Qualitative analysis exposed NSK tips major morphological changes and wear after use, which was not verified on CVDentus tips.

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“…The titles and abstracts of the 113 selected articles were screened and 79 articles were excluded. Then, the remaining 34 articles were subjected to full-text analysis to assess eligibility, with 21 articles being excluded [ 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 ] according to the reasons listed in Table S2 . Therefore, 13 articles were included in the qualitative assessment: one randomized controlled trial [ 8 ], four prospective cohort studies [ 13 , 14 , 15 , 51 ], and eight retrospective cohort studies [ 9 , 10 , 11 , 17 , 26 , 52 , 53 , 54 ].…”

Section: Resultsmentioning

confidence: 99%

Impact of Periodontal Attachment Loss on the Outcome of Endodontic Microsurgery: A Systematic Review and Meta-Analysis

et al. 2021

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Background and Objectives: Endodontic microsurgery (EMS) aims to eradicate the sources of infection once the apical root resection removes most of the infected anatomical structures and repairs potential procedural errors in the apical region. An endodontic-periodontal lesion yields a pathological communication between the pulp and the periodontium. The purpose of this systematic review and meta-analysis is to evaluate the impact of periodontal attachment loss on the outcome of teeth submitted to EMS. Materials and Methods: PRISMA guidelines were followed. An electronic search was performed in EBSCOhost, Embase and PubMed databases with the following search key: (“endodontic microsurgery” AND “outcome”). No filters were used concerning the year of publication or language. Only randomized clinical trials, prospective and retrospective clinical studies in humans, with a minimum one-year follow-up, defined clinical and radiographic outcome criteria and estimable success rate for endodontic-periodontal lesion were included. Statistical analysis was performed using OpenMeta[Analyst] software. Results: Of a total of 113 articles, 34 were selected for full-text reading after duplicates deletion and title and abstract analysis. Thirteen and six studies were included in the systematic review and meta-analysis, respectively. A total of 2775 pooled teeth were submitted to EMS, of which 492 teeth and 4 roots had periodontal involvement. According to the qualitative analysis, success rates of the endodontic-periodontal group ranged from 67.6% to 88.2%. Meta-analysis revealed that the absence of periodontal attachment loss was predictive of a higher likelihood of success with an odds ratio of 3.14. Conclusions: Periodontal attachment loss presents a risk factor for EMS outcome. Although endodontic-periodontal lesions were associated with lower success rates considering a 1 to 10 years follow-up period, long-term successful prognosis following EMS has been reported, therefore presenting a fully valid and viable therapeutic option for the management of this type of lesions.

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Root-end microsurgery using a premixed tricalcium silicate putty as root-end filling material: a prospective study

Cited by 18 publications

References 32 publications

Long-Term Prognosis of Endodontic Microsurgery—A Systematic Review and Meta-Analysis

Long-Term Prognosis of Endodontic Microsurgery—A Systematic Review and Meta-Analysis

Evaluation of Root-End Preparation with Two Different Endodontic Microsurgery Ultrasonic Tips

Impact of Periodontal Attachment Loss on the Outcome of Endodontic Microsurgery: A Systematic Review and Meta-Analysis

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