Top

Clinical Oral Investigations

Published in:

01-01-2021 | Original Article

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

Authors: N. A. Taha, F. B. Aboyounes, Z. Z. Tamimi

Published in: Clinical Oral Investigations | Issue 1/2021

Abstract

Objectives

The purpose of this study was to assess the clinical and radiographic outcome of root-end microsurgery using a premixed fast-set calcium silicate putty as root-end filling material in human teeth.

Materials and methods

This study included 50 teeth in 35 patients, whose ages ranged from 16 to 69 years. After clinical and radiographic examination, informed consent was obtained and one resident performed all surgical procedures using an endodontic microsurgical approach. A tricalcium silicate–based putty (TotalFil FS putty, FKG Dentair, La Chaux-de-Fonds, Switzerland) was used as a root-end filling material. Patients were recalled and treated teeth were examined clinically and radiographically at 3 months, 6 months, and 1 year postoperatively. The outcome was determined based on clinical and radiographic results. Radiographic healing was classified into 4 categories: complete, incomplete, uncertain, and unsatisfactory. Analysis of predictors was performed using the Pearson chi-square or Fisher’s exact test.

Results

At the time of surgery, 3 teeth were diagnosed with cracks and were excluded from the study. The recall rates were 85% at 3 months, 100% at 6 months, and 95% at 1 year. One tooth failed at 3 months, 3 failed at 1 year, with a success rate of 93%. None of the predictors investigated had a significant influence on the outcome of microsurgery.

Conclusions

Premixed fast-set tricalcium silicate putty is a suitable root-end filling material for use in endodontic microsurgery.

Clinical relevance

Tricalcium silicate-based cements have shown promising biological properties as a root-end-filling material. Premixed and fast-set formulations achieved high success rates in clinical studies.

Trial registration

Clinicaltrials.gov registration number NCT03733938.

Kvist T, Reit C (1999) Results of endodontic retreatment: a randomized clinical study comparing surgical and nonsurgical procedures. J Endod 25:814–817CrossRef

Kim S, Kratchman S (2006) Modern endodontic surgery concepts and practice: a review. J Endod 32:601–623CrossRef

Setzer FC, Shah SB, Kohli MR, Karabucak B, Kim S (2010) Outcome of endodontic surgery: a meta-analysis of the literature—part 1: comparison of traditional root-end surgery and endodontic microsurgery. J Endod 36:1757–1765CrossRef

Von Arx T, Penarrocha M, Jensen S (2010) Prognostic factors in apical surgery with root-end filling: a meta-analysis. J Endod 36:957–973CrossRef

Song M, Kim SG, Lee SJ, Kim B, Kim E (2013) Prognostic factors of clinical outcomes in endodontic microsurgery: a prospective study. J Endod 39:1491–1497CrossRef

Nair PR, Sjögren U, Krey G, Kahnberg KE, Sundqvist G (1990) Intraradicular bacteria and fungi in root-filled, asymptomatic human teeth with therapy-resistant periapical lesions: a long-term light and electron microscopic follow-up study. J Endod 16:580–588CrossRef

Von Arx T, Jensen SS, Hanni S (2007) Clinical and radiographic assessment of various predictors for healing outcome 1 year after periapical surgery. J Endod 33:123–128CrossRef

Torabinejad M, Parirokh M (2010) Mineral trioxide aggregate: a comprehensive literature review—part II: leakage and biocompatibility investigations. J Endod 36:190–202CrossRef

Torabinejad M, Ford TRP, McKendry DJ, Abedi HR, Miller DA, Kariyawasam SP (1997) Histologic assessment of mineral trioxide aggregate as a root-end filling in monkeys. J Endod 23:225–228CrossRef

10.

Tsesis I, Rosen E, Taschieri S, Telishevsky Strauss Y, Ceresoli V, Del Fabbro M (2013) Outcomes of surgical endodontic treatment performed by a modern technique: an updated meta-analysis of the literature. J Endod 39:332–339CrossRef

11.

Wang ZH, Zhang MM, Wang J, Jiang L, Liang YH (2017) Outcomes of endodontic microsurgery using a microscope and mineral trioxide aggregate: a prospective cohort study. J Endod 43:694–698CrossRef

12.

Niu LN, Jiao K, Wang TD, Zhang W, Camilleri J, Bergeron BE, Feng HL, Mao J, Chen JH, Pashley DH, Tay FR (2014) A review of the bioactivity of hydraulic calcium silicate cements. J Dent 42:517–533CrossRef

13.

Lovato KF, Sedgley CM (2011) Antibacterial activity of endosequence root repair material and proroot MTA against clinical isolates of Enterococcus faecalis. J Endod 37:1542–1546CrossRef

14.

Ma J, Shen Y, Stojicic S, Haapasalo M (2011) Biocompatibility of two novel root repair materials. J Endod 37:793–798CrossRef

15.

Damas BA, Wheater MA, Bringas JS, Hoen MM (2011) Cytotoxicity comparison of mineral trioxide aggregates and EndoSequence bioceramic root repair materials. J Endod 37:372–375CrossRef

16.

Chen I, Karabucak B, Wang C, Wang HG, Koyama E, Kohli MR, Nah HD, Kim S (2015) Healing after root-end microsurgery by using mineral trioxide aggregate and a new calcium silicate–based bioceramic material as root-end filling materials in dogs. J Endod 41:389–399CrossRef

17.

Shinbori N, Grama AM, Patel Y, Woodmansey K, He J (2015) Clinical outcome of endodontic microsurgery that uses EndoSequence BC root repair material as the root-end filling material. J Endod 41:607–612CrossRef

18.

Zhou W, Zheng Q, Tan X, Song D, Zhang L, Huang D (2017) Comparison of mineral trioxide aggregate and iRoot BP plus root repair material as root-end filling materials in endodontic microsurgery: a prospective randomized controlled study. J Endod 43:1–6CrossRef

19.

Safi C, Kohli MR, Kratchman S, Setzer FC, Karabucak B (2019) Outcome of endodontic microsurgery using mineral trioxide aggregate or root repair material as root-end filling material: a randomized controlled trial with cone-beam computed tomographic evaluation. J Endod 45:831–839CrossRef

20.

Guo YJ, Du TF, Li HB, Shen Y, Mobuchon C, Hieawy A, Wang ZJ, Yang Y, Ma J, Haapasalo M. (2016) Physical properties and hydration behavior of a fast-setting bioceramic endodontic material. BMC Oral Health. 16 doi: https://doi.org/10.1186/s12903-016-0184-1

21.

Jiang Y, Zheng Q, Zhou X, Gao Y, Huang D (2014) A comparative study on root canal repair materials: a cytocompatibility assessment in L929 and MG63 cells. Sci World J 463826:1–8. https://doi.org/10.1155/2014/463826CrossRef

22.

Çalışkan MK, Tekin U, Kaval ME, Solmaz MC (2016) The outcome of apical microsurgery using MTA as the root-end filling material: 2-to 6-year follow-up study. Int Endod J 49:245–254CrossRef

23.

Rud J, Andreasen JO, Jensen JE (1972) Radiographic criteria for the assessment of healing after endodontic surgery. Int J Oral Surg 1:195–214CrossRef

24.

Molven O, Halse A, Grung B (1987) Observer strategy and the radiographic classification of healing after endodontic surgery. Int J Oral Surg 16:432–439CrossRef

25.

Song M, Shin SJ, Kim E (2011) Outcomes of endodontic micro-resurgery: a prospective clinical study. J Endod 37:316–320CrossRef

26.

Song M, Chung W, Lee SJ, Kim E (2012) Long-term outcome of the cases classified as successes based on short-term follow-up in endodontic microsurgery. J Endod 38:1192–1196CrossRef

27.

Sawsan TA, Ruaa AA, Ensanya AA, Abeer AS (2019) Morphological and spectroscopic study of an apatite layer induced by fast-set versus regular-set EndoSequence root repair materials. Materials (Basel) 12:3678CrossRef

28.

Ricucci D, Grande NM, Plotino G, Tay FR (2020) Histologic response of human pulp and periapical tissues to tricalcium silicate-based materials: a series of successfully treated cases. J Endod 46:307–317CrossRef

29.

Li H, Zhai F, Zhang R, Hou B (2014) Evaluation of microsurgery with SuperEBA as root-end filling material for treating post-treatment endodontic disease: a 2-year retrospective study. J Endod 40:345–350CrossRef

30.

Chan S, Glickman GN, Woodmansey KF, He J (2020) Retrospective analysis of root-end microsurgery outcomes in a postgraduate program in endodontics using calcium silicate-based cements as root-end filling materials. J Endod. https://doi.org/10.1016/j.joen.2019.11.010

31.

Halse A, Molven O, Grung B (1991) Follow-up after periapical surgery: the value of the one-year control. Endod Dent Traumatol 7:46–50CrossRef

32.

Song M, Nam T, Shin SJ, Kim E (2014) Comparison of clinical outcomes of endodontic microsurgery: 1 year versus long-term follow-up. J Endod 40:490–494CrossRef

Title: Root-end microsurgery using a premixed tricalcium silicate putty as root-end filling material: a prospective study
Authors: N. A. Taha
F. B. Aboyounes
Z. Z. Tamimi
Publication date: 01-01-2021
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 1/2021
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-020-03365-7

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

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

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Trial registration

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Trial registration

Please log in to get access to this content

Other articles of this Issue 1/2021

Immediate versus delayed loading of strategic mini-implants under existing removable partial dentures: patient satisfaction in a multi-center randomized clinical trial

Bone microRNA-21 as surgical stress parameter is associated with third molar postoperative discomfort

Fusion of intra-oral scans in cone-beam computed tomography scans

Implant removal using thermal necrosis—an in vitro pilot study

Effect of interdental brush design on plaque during nonsurgical periodontal therapy

Material selection for tooth-supported single crowns—a survey among dentists in Germany