An evaluation of the efficiency of a novel polyamide polymer bioceramic obturating system in cases with periapical lesions: An in vivo study

Abstract

Introduction: The ultimate goal of obturation is to prevent the reinfection of root canals. The bioceramic hydrophilic obturation materials could prove to be advantageous in clinical situations where periapical lesions are present and could help in the effective resolution of the periapical lesions due to their better mechanical and biological properties. Aims and Objectives: The aim of this study was to evaluate the efficiency of a novel polyamide polymer bioceramic obturating system in cases with a periapical lesion as compared with traditional obturating techniques. Materials and Methods: A total of 20 cases that fulfilled the criteria of the study were randomly divided into groups and obturation was done using either gutta percha and AH Plus sealer or the newer bioceramic and the healing of the lesions was monitored at 3,6 and 12 months. Descriptive statistics was expressed as mean ± standard deviation (SD) for each group. The change in mean area of the periapical lesion for 12 months in each group was analyzed using the repeated-measures ANOVA test. Intergroup comparison was done using the Student’s t test. In the above tests, a value of P ≤ 0.05 was taken to be statistically significant. All analyses were performed using SPSS software, version 17.0. Results: Both the groups showed satisfactory results, but the rate of healing of bioceramic group was significantly better. Conclusion: Both the groups tested for their efficiency in healing of periapical lesion were successful in resolution of the periapical lesion over a time period of 12 months. Smart seal group showed better healing of the lesion as compared to gutta percha and AH plus group at both 6 months and 12 months following root canal treatment.