Healing of apical periodontitis after endodontic treatment: a comparison between a silicone-based and a zinc oxide-eugenol-based sealer.

Abstract

AIM:

To assess the treatment results up to 1 year after endodontic treatment of apical periodontitis using a silicone-based sealer in comparison with Grossman's sealer, and to compare the results at 3 months after treatment with the 12-month follow-up to assess the prognostic value of a 3-month control.

METHODOLOGY:

A total of 199 teeth were treated at three centres. The sealer was randomly chosen at the time of filling. Treatment results were evaluated clinically and radiographically 3 and 12 months after root-canal filling. The periapical status was evaluated using the periapical index (PAI).

RESULTS AND CONCLUSIONS:

Average PAI scores decreased from 3.43 at start to 2.21 at 12 months for Grossman's sealer and from 3.40 to 2.26 for the silicon-based material. No significant difference between the groups at start or any of the follow ups was seen. The 3-month control was adequate in establishing significant healing in both groups. The improvement of the periapical condition continued at the 12-month examination.

• Authors: S Huumonen, M Lenander-Lumikari, A Sigurdsson, D Ørstavik
• Journal: International endodontic journal (Int Endod J) Vol. 36 Issue 4 Pg. 296-301 (Apr 2003) ISSN: 0143-2885 [Print] England
• PMID: 12702125 (Publication Type: Clinical Trial, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)

Chemical References

• Dental Cements
• Root Canal Filling Materials
• Silicones
• Zinc Oxide-Eugenol Cement
• roeko seal
• Grossman's sealer

Topics

• Adult
• Aged
• Aged, 80 and over
• Dental Cements
• Female
• Humans
• Male
• Middle Aged
• Periapical Periodontitis (therapy)
• Prospective Studies
• Root Canal Filling Materials
• Root Canal Therapy
• Silicones
• Statistics, Nonparametric
• Time Factors
• Zinc Oxide-Eugenol Cement