Dentine-bonded resin composite (Retroplast) for root-end filling: a prospective clinical and radiographic study with a mean follow-up period of 8 years

TY - JOUR

T1 - Dentine-bonded resin composite (Retroplast) for root-end filling

T2 - a prospective clinical and radiographic study with a mean follow-up period of 8 years

AU - Yazdi, P M

AU - Schou, S

AU - Jensen, S S

AU - Stoltze, K

AU - Kenrad, B

AU - Sewerin, I

PY - 2007/7

Y1 - 2007/7

N2 - AIM: To evaluate treatment outcome after using a resin composite (Retroplast, RP) in combination with a dentine-bonding agent (GLUMA) as root-end filling material after 1 year as well as after more than 5 years (final examination). Also, the influence of various pre-, intra- and postoperative factors on the treatment outcome was studied.METHODOLOGY: All patients (87) undergoing root-end resection consecutively treated by root-end filling with RP on an incisor, canine, pre-molar, or first molar (87 teeth, 118 roots) were initially enrolled in the study. RP was applied on the entire resected surface that was prepared to a slightly concave shape and after conditioning with EDTA and GLUMA. The treatment outcome involving subjective, clinical and radiographic parameters was evaluated after 1 year and at the final examination. A total of 27 patients (36 roots) were excluded from the study because of unavailability of follow-up (19) and extraction of the operated tooth for reasons other than failed surgery (8). Consequently, 60 patients (82 roots) were included in the final material. The mean follow-up period at the final examination was 8 years (range: 6.5-9 years).RESULTS: The radiographic evaluation at the final examination revealed that 77%, 5%, 7% and 11% of the treated roots were characterized by complete, incomplete, uncertain and unsatisfactory healing, respectively. A total of 95% of the roots classified as completely healed at the 1-year control were also completely healed at the final examination. Two roots (5%) showing complete healing at the 1-year control revealed unsatisfactory healing at the final examination because of displaced or lost RP-filling. Moreover, 60% of the roots with uncertain healing at the 1-year control demonstrated complete or incomplete healing at the final examination. The classification according to subjective, clinical and radiographic parameters revealed that 78% of the teeth were characterized by a successful treatment outcome at the final examination. Evaluation of the influence of various pre-, intra- and postoperative factors on the treatment outcome revealed that the radiographic classification at the final examination was exclusively influenced by the radiographic classification at the 1-year control (P < 0.001).CONCLUSIONS: The present long-term study indicates that RP can be used for root-end filling with a successful treatment outcome.

AB - AIM: To evaluate treatment outcome after using a resin composite (Retroplast, RP) in combination with a dentine-bonding agent (GLUMA) as root-end filling material after 1 year as well as after more than 5 years (final examination). Also, the influence of various pre-, intra- and postoperative factors on the treatment outcome was studied.METHODOLOGY: All patients (87) undergoing root-end resection consecutively treated by root-end filling with RP on an incisor, canine, pre-molar, or first molar (87 teeth, 118 roots) were initially enrolled in the study. RP was applied on the entire resected surface that was prepared to a slightly concave shape and after conditioning with EDTA and GLUMA. The treatment outcome involving subjective, clinical and radiographic parameters was evaluated after 1 year and at the final examination. A total of 27 patients (36 roots) were excluded from the study because of unavailability of follow-up (19) and extraction of the operated tooth for reasons other than failed surgery (8). Consequently, 60 patients (82 roots) were included in the final material. The mean follow-up period at the final examination was 8 years (range: 6.5-9 years).RESULTS: The radiographic evaluation at the final examination revealed that 77%, 5%, 7% and 11% of the treated roots were characterized by complete, incomplete, uncertain and unsatisfactory healing, respectively. A total of 95% of the roots classified as completely healed at the 1-year control were also completely healed at the final examination. Two roots (5%) showing complete healing at the 1-year control revealed unsatisfactory healing at the final examination because of displaced or lost RP-filling. Moreover, 60% of the roots with uncertain healing at the 1-year control demonstrated complete or incomplete healing at the final examination. The classification according to subjective, clinical and radiographic parameters revealed that 78% of the teeth were characterized by a successful treatment outcome at the final examination. Evaluation of the influence of various pre-, intra- and postoperative factors on the treatment outcome revealed that the radiographic classification at the final examination was exclusively influenced by the radiographic classification at the 1-year control (P < 0.001).CONCLUSIONS: The present long-term study indicates that RP can be used for root-end filling with a successful treatment outcome.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Apicoectomy

KW - Bicuspid

KW - Bisphenol A-Glycidyl Methacrylate/therapeutic use

KW - Chelating Agents/therapeutic use

KW - Composite Resins/therapeutic use

KW - Cuspid

KW - Dental Pulp Cavity/diagnostic imaging

KW - Dentin-Bonding Agents/therapeutic use

KW - Edetic Acid/therapeutic use

KW - Female

KW - Follow-Up Studies

KW - Glutaral/therapeutic use

KW - Humans

KW - Incisor

KW - Male

KW - Middle Aged

KW - Molar

KW - Polymethacrylic Acids/therapeutic use

KW - Prospective Studies

KW - Radiography

KW - Retrograde Obturation

KW - Root Canal Filling Materials/therapeutic use

KW - Tooth Apex/diagnostic imaging

KW - Treatment Outcome

KW - Wound Healing

U2 - 10.1111/j.1365-2591.2007.01242.x

DO - 10.1111/j.1365-2591.2007.01242.x

M3 - Journal article

C2 - 17451454

SN - 0143-2885

VL - 40

SP - 493

EP - 503

JO - International Endodontic Journal Online

JF - International Endodontic Journal Online

IS - 7

ER -