Volume 21 Issue 4
Apr.  2023
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WANG Lu, WU Guangyuan, LI Wuli. Short-term clinical efficacy of iRoot BP Plus and MTA as root-end filling materials in endodontic microsurgery[J]. Chinese Journal of General Practice, 2023, 21(4): 585-588. doi: 10.16766/j.cnki.issn.1674-4152.002936
Citation: WANG Lu, WU Guangyuan, LI Wuli. Short-term clinical efficacy of iRoot BP Plus and MTA as root-end filling materials in endodontic microsurgery[J]. Chinese Journal of General Practice, 2023, 21(4): 585-588. doi: 10.16766/j.cnki.issn.1674-4152.002936

Short-term clinical efficacy of iRoot BP Plus and MTA as root-end filling materials in endodontic microsurgery

doi: 10.16766/j.cnki.issn.1674-4152.002936
Funds:

 KJ2020A0164

 2020kqkyT05

  • Received Date: 2022-10-18
    Available Online: 2023-05-31
  •   Objective  The root-end filling is one of the key steps of the endodontic microsurgery, and the selection of the root-end filling material affects the prognosis of the surgery. The purpose of this study is to evaluate the short-term clinical efficacy of the new bioceramic material iRoot BP Plus as the root-end filling material in the endodontic microsurgery and compare it with the trioxide polymer (MTA), so as to provide reference for clinical selection.  Methods  Sixty patients (81 teeth) diagnosed as chronic apical periodontitis with the need for endodontic microsurgery in the Department of Endodontics and Pediatric Dentistry of Anhui Stomatological Hospital from December 2018 to December 2020 were selected. After obtaining the informed consent of the patients, they were randomly divided into two groups through a table of random numbers, the test group was iRoot BP Plus group with 29 patients (39 teeth), and the control group was MTA group with 31 patients (42 teeth). A standardized surgical procedure was performed by a single operator. The patients were followed up at 3 months, 6 months, and 1-year. Clinical and radiographic evaluations acquired at the 1-year follow-up were taken as the primary outcome, and the success rate and prognostic factors of the two groups were statistically analyzed.  Results  The success rate in the iRoot BP Plus and MTA groups were 92.3% and 90.5%, respectively (P>0.05). The analysis of related factors affecting the curative effect of endodontic microsurgery showed that there was no significant difference in gender, age and tooth position (all P>0.05). Although the 1-year follow-up success rate of lesions with diameter ≤10 mm was higher than that of lesions with diameter>10 mm (95.1% vs. 80.0%), the difference was not statistically significant (χ2=2.639, P=0.104).  Conclusion  Both iRoot BP Plus and MTA can achieve satisfactory results as root-end filling materials, which are worthy of clinical promotion and application.

     

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  • [1]
    KWAK Y, CHOI J, KIM K, et al. The 5-year survival rate of nonsurgical endodontic treatment: a population-based cohort study in Korea[J]. J Endod, 2019, 45(10): 1192-1199.
    [2]
    李秀娟, 韩雪松, 钟良军, 等. iRoot SP单尖法用于窦道型根尖周炎的疗效观察[J]. 中华全科医学, 2021, 19(2): 202-204, 216. doi: 10.16766/j.cnki.issn.1674-4152.001767

    LI X J, HAN X S, ZHONG L J, et al. Clinical observation of iRoot SP single tip method for sinus periapical periodontitis[J]. Chinese Journal of General Practice, 2021, 19(2): 202-204, 216. doi: 10.16766/j.cnki.issn.1674-4152.001767
    [3]
    周学东, 陈智, 岳林. 牙体牙髓病学[M]. 5版. 北京: 人民卫生出版社, 2020: 243-254.

    ZHOU X D, CHEN Z, YUE L. Endodontics[M]. 5th edition. Beijing: People's Medical Publishing House, 2020: 243-254.
    [4]
    CHAN S, GLICKMAN G N, WOODMANSEY K F, et al. Retrospective analysis of root-end microsurgery outcomes in a postgraduate program in endodontics using calcium silicate-based cements as root-end filling materials[J]. J Endod, 2020, 46(3): 345-351.
    [5]
    刘樱, 李阳, 丁小玲. 不同根管倒充填材料对慢性根尖周炎显微根尖手术效果的影响[J]. 成都医学院学报, 2021, 16(3): 303-306.

    LIU Y, LI Y, DING X L. Effect of different root-end filling materials in apical microsurgery for chronic apical periodontitis[J]. Journal of Chengdu Medical College, 2021, 16(3): 303-306.
    [6]
    王佳悦, 马莹莹, 彭林红. 两种倒充填材料在显微根尖外科手术中的应用比较[J]. 河南医学研究, 2020, 29(24): 4429-4432.

    WANG J Y, MA Y Y, PENG L H. Comparison of application of two inverted filling materials in endodontic microsurgery[J]. Henan Medical Research, 2020, 29(24): 4429-4432.
    [7]
    LIU M X, HE L, WANG H Y, et al. Comparison of in vitro biocompatibility and antibacterial activity of two calcium silicate-based materials[J]. J Mater Sci Mater Med, 2021, 32(5): 52.
    [8]
    ZHENG P, SHEN Z Y, FU B P. Conservative endodontic management using a calcium silicate bioceramic sealer for delayed root fracture: a case report and review of the literature[J]. World J Clin Cases, 2021, 9(8): 1835-1843.
    [9]
    RENCHER B, CHANG A M, FONG H, et al. Comparison of the sealing ability of various bioceramic materials for endodontic surgery[J]. Restor Dent Endod, 2021, 46(3): e35.
    [10]
    SAFI C, KOHLI M R, KRATCHMAN S I, et al. 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]. J Endod, 2019, 45(7): 831-839.
    [11]
    陈益燕, PRADAN S P, 杨锦波. 302例显微根尖手术的回顾性研究[J]. 华西口腔医学杂志, 2021, 39(4): 458-463.

    CHEN Y Y, PRADAN S P, YANG J B. A retrospective study of endodontic microsurgery about 302 patients[J]. West China Journal of Stomatology, 2021, 39(4): 458-463.
    [12]
    KIM E, KIM Y. Endodontic microsurgery: outcomes and prognostic factors[J]. Curr Oral Health Rep, 2019, 6(4): 1-11.
    [13]
    向国昌, 蹇雪春. 自体碎骨结合Bio-OSS骨粉修复颌骨囊肿术后骨缺损疗效观察[J]. 中国美容医学, 2021, 30(4): 55-58.

    XIANG G C, JIAN X C. Observation on effects of autologous bone fragmentation combined with Bio-OSS bone meal in repairing bone defects after jaw cyst surgery[J]. Chinese Journal of Aesthetic Medicine, 2021, 30(4): 55-58.
    [14]
    KRATCHMAN S, KIM S. Microsurgery in endodontics[M]. Hoboken, New Jersey: Wiley Blackwell, 2018: 231.
    [15]
    LEE S M, YU Y H, WANG Y, et al. The application of "bone window" technique in endodontic microsurgery[J]. J Endod, 2020, 46(6): 872-880.
    [16]
    ANTAL M, NAGY E, BRAUNITZER G, et al. Accuracy and clinical safety of guided root end resection with a trephine: a case series[J]. Head Face Med, 2019, 15(1): 30.
    [17]
    CURTIS D M, VANDERWEELE R A, RAY J J, et al. Clinician-centered outcomes assessment of retreatment and endodontic microsurgery using cone-beam computed tomographic volumetric analysis[J]. J Endod, 2018, 44(8): 1251-1256.
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