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Comparative Study
. 2024 Dec 26;24(1):1561.
doi: 10.1186/s12903-024-05380-6.

Clinical outcome of root canal obturation using different based sealers: a retrospective cohort study

Ayşenur Kamacı Esen  1 , Fahrettin Kalabalık  2
Affiliations
Comparative Study

Clinical outcome of root canal obturation using different based sealers: a retrospective cohort study

Ayşenur Kamacı Esen et al. BMC Oral Health. .

Abstract

Background: This study aimed to assess and compare the performance of root canal treatment obturated either with calcium silicate-based or epoxy resin-based root canal sealers on retreatment cases with periapical lesions.

Methods: Patients' radiographic data and clinical records were obtained retrospectively from the computerized patient record system. A total of 44 teeth, 28 teeth treated with calcium silicate-based sealer and 16 teeth treated with epoxy resin-based sealer, were included in the study. The mean follow-up period was 11.9 months for calcium silicate-based sealer and 23.6 months for epoxy resin based sealer groups. The outcome was evaluated based on radiographic findings and clinical records of the patients. Chi-square test and Fisher's Exact test were used to examine the differences between categorical variables. An independent samples t-test was used to compare the initial and final PAI differences based on sealer type.

Results: The success rate was 100% for calcium silicate-based sealer and 93.75% for epoxy resin-based sealer. Calcium silicate-based sealer showed a faster healing capacity than epoxy resin-based sealer.

Conclusions: Both sealers are viable options for retreatment cases, but calcium silicate-based sealer has a faster healing potential.

Keywords: Calcium silicate-based sealer; Epoxy resin-based sealers; Non-surgical root canal treatment; Outcome.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: This study was approved by Sakarya University, Faculty of Medicine, Clinical Research Ethics Committee (Approval number: E-71522473-50.01.04-202827-354). The study was performed according to Helsinki Declaration. Informed consent was obtained from all patient and legal guardian of minor regarding the use of their radiologic data for scientific research. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Calcium-silicate based sealer group: (a) preoperative radiograph of mandibular first molar, (b) post-operative radiograph, (c) 14 months follow-up radiograph showing complete healing
Fig. 2
Fig. 2
Epoxy resin-based sealer group (a) preoperative radiograph of maxillary right incisor, (b) post-operative radiograph, (c) 24 months follow-up radiograph showing complete healing
See this image and copyright information in PMC

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