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
shu

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
  • 1.

    College & Hospital of Stomatology, Anhui Medical University, Key Lab. of Oral Diseases Research of Anhui Province, Hefei, Anhui 230032, China

Funds:

 KJ2020A0164

 2020kqkyT05

  • Received Date: 2022-10-18
    Available Online: 2023-05-31
    Abstract
  •   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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