Periapical healing of mandibular molars after root-end sealing with dentine-bonded composite.
OBJECTIVE
The purpose was to present the frequency of periapical healing in first and second/third mandibular molars, after root-end resections sealed with a dentine-bonded resin composite.


METHODS
Root-end sealing of resected mandibular molar roots was made with dentine-bonded composite (Gluma-Retroplast) as a cover on the entire slightly hollowed root-end, in an attempt to prevent leakage.


RESULTS
Out of the 834 roots recalled between 6 months and 12.5 years postoperatively, 92% showed complete apical healing, 1% uncertain healing and 7% exhibited failure. The healing result of 681 first molar roots was not significantly different (P = 0.21) from that of 153 second/third molar roots, and there was no significant difference in healing between mesial and distal roots (P = 0.32 for first molars, P = 0.86 for second/third molars) or amongst six age groups (P = 0.94). In the patient group: 71-89 years, 36 roots showed an average of 97% with complete healing. Out of 25 failures who were retreated surgically, 80% showed complete healing when examined subsequently.


CONCLUSIONS
Root-end sealing of mandibular molars with dentine-bonded resin composite is a promising technique giving 92% complete healing in cases examined between 6 months and 12 years postoperatively.
Rud
J
J
Department of Dental Materials, School of Dentistry, Faculty of Health Sciences, University of Copenhagen, Denmark.
Rud
V
V
Munksgaard
E C
EC
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001047:Apicoectomy; D017438:Bisphenol A-Glycidyl Methacrylate; D016009:Chi-Square Distribution; D003188:Composite Resins; D001840:Dental Bonding; D003763:Dental Leakage / Q000517:prevention & control; D017220:Dentin-Bonding Agents; D005260:Female; D005500:Follow-Up Studies; D005976:Glutaral; D006801:Humans; D008297:Male; D008336:Mandibular Diseases / Q000628:therapy*; D008875:Middle Aged; D008963:Molar; D008964:Molar, Third; D010483:Periapical Diseases / Q000628:therapy*; D010485:Periapical Periodontitis / Q000628:therapy; D010486:Periapical Tissue / Q000473:pathology; D011109:Polymethacrylic Acids; D019233:Retreatment; D016896:Treatment Outcome; D014945:Wound Healing
D003188:Composite Resins; D017220:Dentin-Bonding Agents; D011109:Polymethacrylic Acids; D017438:Bisphenol A-Glycidyl Methacrylate; C044372:Gluma; D005976:Glutaral