Retrospective radiographic study comparing unintentional extrusion of gutta-percha versus sealer on teeth with periapical radiolucency.

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Quintessence international Pub Date : 2024-08-30 DOI:10.3290/j.qi.b5465309
Eleni Krikeli, Theodoros Lambrianidis, Ioannis Molyvdas, Georgios Mikrogeorgis
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Abstract

Objectives: The purpose of the present study was the radiographic evaluation of endodontically treated teeth presenting periapical radiolucency and unintentional overfilling with gutta-percha or sealer on treatment outcome and persistence of the extruded materials.

Method and materials: After assessment using periapical index (PAI), 202 roots filled with gutta-percha and zinc oxide-eugenol sealer (Roth 811, Roth International), exhibiting unintentional overfilling and periapical radiolucency were selected. All cases had at least 1 year of follow-up. Type of extruded material, periapical status, and removal/persistence of the extruded material were evaluated by two independent observers. Data were statistically analyzed using logistic and linear regression analysis.

Results: Tooth location (P .001), follow-up period (P .001), and type of extruded material (P = .004) significantly influenced treatment outcomes. Specifically, posterior roots exhibited better outcomes compared to anterior, and cases with overfilling of sealer showed superior healing potential compared to those with gutta-percha overfilling. Additionally, longer recall periods were associated with improved treatment success. The type of extruded material (P .001) and follow-up period (P .001) significantly affected the presence of extruded material in the follow-up radiograph. The persistence of extruded material was greater when gutta-percha was extruded, and extruded materials were less detected when the follow-up period was longer.

Conclusion: Teeth with periapical radiolucency and unintentional overfilling require longer follow-up intervals for effective monitoring of healing. Treatment outcome was associated with the type of extruded materials used in the present study. The persistence of those materials in the periapex did not affect healing.

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比较根尖周放射线穿透的牙齿无意挤出古塔抹片和封闭剂的回顾性放射学研究。
研究目的本研究的目的是对根管治疗后出现根尖周放射状出血和无意中过度填充古塔波胶或封闭剂的牙齿进行放射学评估,以了解治疗效果和挤出材料的持久性:在使用根尖周指数(PAI)进行评估后,选择了 202 个使用古塔漆和氧化锌丁香酚封闭剂(Roth 811,Roth International)填充的牙根,这些牙根表现出无意过度填充和根尖周放射状突起。所有病例均进行了至少 1 年的随访。由两名独立观察员对挤出材料的类型、根尖周状况以及挤出材料的去除/存留情况进行评估。数据采用逻辑和线性回归分析法进行统计分析:牙齿位置(P有根尖周围放射线和无意过度充填的牙齿需要更长的随访间隔,以有效监测愈合情况。治疗结果与本研究中使用的挤压材料类型有关。这些材料在根尖周围的持续存在并不影响愈合。
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来源期刊
Quintessence international
Quintessence international 医学-牙科与口腔外科
CiteScore
3.30
自引率
5.30%
发文量
11
审稿时长
1 months
期刊介绍: QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.
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