5-year results comparing mineral trioxide aggregate and adhesive resin composite for root-end sealing in apical surgery

von Arx, Thomas; Hänni, Stefan; Jensen, Simon Storgård (2014). 5-year results comparing mineral trioxide aggregate and adhesive resin composite for root-end sealing in apical surgery. Journal of endodontics, 40(8), pp. 1077-1081. Elsevier 10.1016/j.joen.2014.04.009

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INTRODUCTION Recent meta-analyses of the outcome of apical surgery using modern techniques including microsurgical principles and high-power magnification have yielded higher rates of healing. However, the information is mainly based on 1- to 2-year follow-up data. The present prospective study was designed to re-examine a large sample of teeth treated with apical surgery after 5 years. METHODS Patients were recalled 5 years after apical surgery, and treated teeth were classified as healed or not healed based on clinical and radiographic examination. (The latter was performed independently by 3 observers). Two different methods of root-end preparation and filling (primary study parameters) were to be compared (mineral trioxide aggregate [MTA] vs adhesive resin composite [COMP]) without randomization. RESULTS A total of 271 patients and teeth from a 1-year follow-up sample of 339 could be re-examined after 5 years (dropout rate = 20.1%). The overall rate of healed cases was 84.5% with a significant difference (P = .0003) when comparing MTA (92.5%) and COMP (76.6%). The evaluation of secondary study parameters yielded no significant difference for healing outcome when comparing subcategories (ie, sex, age, type of tooth treated, post/screw, type of surgery). CONCLUSIONS The results from this prospective nonrandomized clinical study with a 5-year follow-up of 271 teeth indicate that MTA exhibited a higher healing rate than COMP in the longitudinal prognosis of root-end sealing.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry
04 Faculty of Medicine > School of Dental Medicine > Department of Oral Surgery and Stomatology

UniBE Contributor:

von Arx, Thomas and Hänni, Stefan

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0099-2399

Publisher:

Elsevier

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

16 Jan 2015 16:37

Last Modified:

25 Jan 2017 12:15

Publisher DOI:

10.1016/j.joen.2014.04.009

PubMed ID:

25069911

Uncontrolled Keywords:

Apical surgery, clinical comparative study, long-term follow-up, root-end filling

BORIS DOI:

10.7892/boris.61651

URI:

https://boris.unibe.ch/id/eprint/61651

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