Volume 23 Issue 6
Jun.  2025
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QIU Wei, HU Yangtao, XUAN Guihong. Effect of new bioceramic material iRoot SP combined with single cusp root canal filling on periodontal microecology in patients with dental pulp disease[J]. Chinese Journal of General Practice, 2025, 23(6): 958-962. doi: 10.16766/j.cnki.issn.1674-4152.004042
Citation: QIU Wei, HU Yangtao, XUAN Guihong. Effect of new bioceramic material iRoot SP combined with single cusp root canal filling on periodontal microecology in patients with dental pulp disease[J]. Chinese Journal of General Practice, 2025, 23(6): 958-962. doi: 10.16766/j.cnki.issn.1674-4152.004042

Effect of new bioceramic material iRoot SP combined with single cusp root canal filling on periodontal microecology in patients with dental pulp disease

doi: 10.16766/j.cnki.issn.1674-4152.004042
Funds:

 2022KY403

  • Received Date: 2024-10-31
    Available Online: 2025-09-04
  •   Objective  The present study investigates the efficacy of a newly developed bioceramic material, iRoot SP, in combination with single-pointed root canal fillings.  Methods  In this study, 112 patients diagnosed with dental pulp disease were selected from Zhuji People ' s Hospital, and the study period spanned from December 2023 to June 2024. The subjects were randomly divided into a control group (n=56) and an observation group (n=56) using a random number table method. The control group were treated with a new bioceramic material known as iRoot SP, in combination with cold manometry. In the observation group, patients were treated with the same bioceramic material, iRoot SP, in combination with a single cusp root canal filling. Periodontal microecology, gingival crevicular fluid inflammatory indicators, inflammatory factor levels, along with masticatory efficiency, pain degree as measured by the VAS score, filling condition categorised, and clinical efficacy were compared.  Results  After treatment, the probing depth (PD), probing bleeding index (PBI), tooth mobility (TM), plaque index (PI) of the two groups were decreased, and the observation group was lower than those of the control group (P < 0.05). The matrix metalloproteinase (MMP)-2 and MMP-8 levels of the two groups following treatment were reduced, and the the observation group was lower than those of the control group (P < 0.05). The levels of the hypersensitive C-reactive protein (hs-CRP), TNF-α and IL-1β in both groups decreased following treatment, and the levels of these markers in the observation group was lower than those in the control group (P < 0.05). Following the treatment, there was a marked enhancement in masticatory efficiency between the two groups, and the VAS score exhibited a significant decrease was decreased. The observation group was better than those of the control group (P < 0.05). The filling rate of the observation group was 89.29% (50/56), which was higher than 73.21% (41/56) of the control group (P < 0.05). The total effective rate of the observation group was 96.43% (54/56), which was higher than 83.93% (47/56) of the control group (P < 0.05).  Conclusion  The present study investigates the efficacy of the novel bioceramic material iRoot SP in combination with single-cusp root canal filling as a treatment modality for dental endodontic disease. The findings demonstrate that this approach leads to a favourable improvement in the periodontal microecological level of patients, a reduction in the degree of inflammation and pain, and an enhancement in mastication efficiency and filling efficacy. These observations underscore the merits of adopting this treatment method.

     

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  • [1]
    张帆, 陈新钊, 蒙萌. iRoot SP配合单尖法根管充填治疗牙体牙髓病的效果及对牙周状态和龈沟液炎性因子水平的影响[J]. 临床误诊误治, 2023, 36(3): 105-108, 122. doi: 10.3969/j.issn.1002-3429.2023.03.023

    ZHANG F, CHEN X Z, MENG M. The effect of Root SP combined with single pointed root canal filling on dental pulp disease and its impact on periodontal status and gingival crevicular fluid inflammatory factor levels[J]. Clinical misdiagnosis and mistreatment, 2023, 36(3): 105-108, 122. doi: 10.3969/j.issn.1002-3429.2023.03.023
    [2]
    陈亮, 王祖华. 生物陶瓷类根管封闭剂结合单尖根管充填技术的研究进展[J]. 中华老年口腔医学杂志, 2021, 19(6): 365-369.

    CHEN L, WANG Z H. Research progress on the combination of bioceramic root canal sealers and single pointed root canal filling technology[J]. Chinese Journal of Geriatric Stomatology, 2021, 19(6): 365-369.
    [3]
    DONG X, XIE Q, XU X. In vitro evaluation of the sealing ability of combined use of iRoot BP Plus and iRoot SP for root-end filling[J]. Clin Oral Investig, 2023, 27(6): 2969-2977. doi: 10.1007/s00784-023-04896-5
    [4]
    刘曼, 于玲, 高瑶洁, 等. 根管封闭剂iRoot SP与AH Plus在难治性前牙根尖周病患者根管治疗中的应用效果比较[J]. 中国医药导报, 2023, 20(33): 126-129.

    LIU M, YU L, GAO Y J, et al. Comparison of the application effect of root canal sealer iRoot SP and AH Plus in root canal treatment of patients with refractory anterior apical periodontitis[J]. Chinese Medical Journal, 2023, 20(33): 126-129.
    [5]
    YANG R Q, TIAN J, HUANG X Y, et al. A comparative study of dentinal tubule penetration and the retreatability of EndoSequence BC Sealer HiFlow, iRoot SP, and AH Plus with different obturation techniques[J]. Clin Oral Investig, 2021, 25(6): 4163-4173. doi: 10.1007/s00784-020-03747-x
    [6]
    杜小沛, 张婷婷, 韩宇, 等. iRoot SP配合不同根管充填方法在牙体牙髓病治疗中的应用[J]. 临床口腔医学杂志, 2021, 37(7): 430-433.

    DU X P, ZHANG T T, HAN Y, et al. Application of Root SP combined with different root canal filling methods in the treatment of dental pulp diseases[J]. Journal of Clinical Stomatology, 2021, 37(7): 430-433.
    [7]
    杨占宝, 岳琳, 董力, 等. 新型生物陶瓷材料iRoot SP在微创根管治疗中的应用效果及其对患者牙周健康的影响[J]. 河北医学, 2023, 29(10): 1704-1709. doi: 10.3969/j.issn.1006-6233.2023.10.023

    YANG Z B, YUE L, DONG L, et al. The application effect of the new bioceramic material iRoot SP in minimally invasive root canal therapy and its impact on patients' periodontal health[J]. Hebei Medical Journal, 2023, 29(10): 1704-1709. doi: 10.3969/j.issn.1006-6233.2023.10.023
    [8]
    张乐, 吴凡. iRoot SP糊剂联合单尖法对根管充填恰填率及术后疼痛的影响[J]. 口腔材料器械杂志, 2024, 33(2): 124-128.

    ZHANG L, WU F. The effect of Root SP paste combined with single tip method on root canal filling accuracy and postoperative pain[J]. Journal of Oral Materials and Instruments, 2024, 33(2): 124-128.
    [9]
    陈丽娟, 孙欣, 朱亚桥, 等. 热牙胶垂直加压法和iRoot SP单尖法在根管充填中的临床疗效观察[J]. 临床口腔医学杂志, 2022, 38(5): 306-309.

    CHEN L J, SUN X, ZHU Y Q, et al. Clinical efficacy observation of hot tooth glue vertical compression method and iRoot SP single tip method in root canal filling[J]. Journal of Clinical Stomatology, 2022, 38(5): 306-309.
    [10]
    王洁琪, 王毓佳, 钟江龙, 等. iRootSP单尖充填法治疗糖尿病患者慢性根尖炎的疗效[J]. 实用医学杂志, 2022, 38(21): 2676-2680.

    WANG J Q, WANG Y J, ZHONG J L, et al. The efficacy of RootSP single point filling method in the treatment of chronic apicitis in patients with diabetes[J]. Journal of Practical Medicine, 2022, 38(21): 2676-2680.
    [11]
    WANG Y H, LIU S Y, DONG Y M. In vitro evaluation of the impact of a bioceramic root canal sealer on the mechanical properties of tooth roots[J]. J Dent Sci, 2024, 19(3): 1734-1740. doi: 10.1016/j.jds.2023.10.013
    [12]
    HUANG G, LIU S Y, QIU D, et al. Effect of a bioactive glass-based root canal sealer on root fracture resistance ability[J]. J Dent Sci, 2023, 18(1): 27-33. doi: 10.1016/j.jds.2022.08.004
    [13]
    HE Y L, WU J, JI M Z, et al. The effect of two endodontic sealers and interval before post-preparation and cementation on the bond strength of fiber posts[J]. Clin Oral Investig, 2021, 25(11): 6211-6217.
    [14]
    汪小彤, 曹天翼, 王爽, 等. iRoot SP单尖充填技术用于根管再治疗的临床疗效分析[J]. 临床口腔医学杂志, 2023, 39(2): 103-106.

    WANG X T, CAO T Y, WANG S, et al. Clinical efficacy analysis of Root SP single tip filling technique for root canal retreatment[J]. Journal of Clinical Stomatology, 2023, 39(2): 103-106.
    [15]
    郭晶晶, 汤屹群, 何宏, 等. 3种根管充填方法在慢性根尖周炎根管治疗中的短期疗效观察[J]. 上海口腔医学, 2022, 31(5): 544-549.

    GUO J J, TANG Y Q, HE H, et al. Short-term efficacy of three root canal filling methods in endodontic treatment of chronic periapical inflammation[J]. Shanghai Journal of Stomatology, 2022, 31(5): 544-549.
    [16]
    赫頔, 胡艳萍, 吴素娟, 等. iRoot SP单尖充填技术与AH Plus热牙胶垂直加压充填技术比较的临床研究[J]. 临床口腔医学杂志, 2023, 39(1): 15-19.

    HE D, HU Y P, WU S J, et al. Clinical study comparing Root SP single tip filling technique with AH Plus hot tooth glue vertical compression filling technique[J]. Journal of Clinical Stomatology, 2023, 39(1): 15-19.
    [17]
    LEÓN-LÓPEZ M, CABANILLAS-BALSERA D, MARTÍN-GONZÁLEZ J, et al. Prevalence of root canal treatment worldwide: a systematic review and meta-analysis[J]. Int Endod J, 2022, 55(11): 1105-1127.
    [18]
    徐章凤, 周永庆. iRoot SP的性能及其在单尖法根管充填中的应用进展[J]. 口腔材料器械杂志, 2022, 31(4): 270-273.

    XU Z F, ZHOU Y Q. The performance of iRoot SP and its application progress in single tip root canal filling[J]. Journal of Oral Materials and Instruments, 2022, 31(4): 270-273.
    [19]
    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. Observation of the therapeutic effect of Root SP single tip method on sinus type periapical periodontitis[J]. Chinese Journal of General Practice, 2021, 19(2): 202-204, 216. doi: 10.16766/j.cnki.issn.1674-4152.001767
    [20]
    赫頔,杨亚萍,苗雷英.生物陶瓷类根管封闭剂结合单尖充填法与热牙胶垂直加压充填法临床效果比较的Meta分析[J].中国实用口腔科杂志,2022,15(4):453-457,461.

    HE D, YANG Y P, MIAO L Y. Meta analysis of clinical efficacy comparison between bioceramic root canal sealer combined with single tip filling method and hot tooth glue vertical pressure filling method[J].Chinese Journal of Practical Stomatology,2022,15(4):453-457,461.
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