A prospective clinical study of periradicular surgery using mineral trioxide aggregate as a root-end filling.
A prospective outcome study of periradicular surgery using microsurgical techniques and root-end filling with mineral trioxide aggregate (MTA) was performed. Nonhealing endodontically treated teeth (n = 321) were included in the study. Surgery was completed under local anesthesia using a standardized clinical protocol. Patients were recalled periodically and examined for signs and symptoms of failure. Thirty-nine teeth were lost from recall. Of the 276 teeth examined, 163 showed complete healing radiographically with no other signs and symptoms; 82 teeth had no symptoms but incomplete or uncertain healing, and 31 teeth showed nonhealing (three had persistent pain despite evidence of complete radiologic healing and eight teeth did not heal for reasons unrelated to the surgical treatment). The overall success rate was 88.8%, including all teeth with no clinical symptoms. In this study, the use of MTA as a root-end filling, following microsurgical techniques, showed a high success rate.
Saunders
William Philip
WP
University of Dundee Dental School, Dundee, United Kingdom. w.p.saunders.@dundee.ac.uk
D000293:Adolescent; D000328:Adult; D000368:Aged; D017607:Aluminum Compounds; D001047:Apicoectomy / Q000379:methods*; D017610:Calcium Compounds; D019232:Dental Restoration Failure; D004338:Drug Combinations; D005260:Female; D006801:Humans; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D010087:Oxides; D010485:Periapical Periodontitis / Q000601:surgery*; D011446:Prospective Studies; D012184:Retrograde Obturation / Q000379:methods*; D012387:Root Canal Filling Materials; D018915:Root Canal Preparation / Q000379:methods; D017640:Silicates; D016896:Treatment Outcome; D014464:Ultrasonic Therapy; D014945:Wound Healing
D017607:Aluminum Compounds; D017610:Calcium Compounds; D004338:Drug Combinations; D010087:Oxides; D012387:Root Canal Filling Materials; D017640:Silicates; C086631:mineral trioxide aggregate