Abstract
Introduction Apical periodontitis is among the most common pathologies in endodontics. The treatment of apical periodontitis has always been an important occupation in the modern practice of endodontics, and the failure has been associated with nonhermetic root canal filling. With that in mind, bioceramic-based sealers have been incorporated into endodontic practice. The purpose of this study was to evaluate the outcome of nonsurgical root canal treatment (RCT), using a single-cone and Bioroot RCS filling of necrotic teeth with apical periodontitis. Materials and Methods This follow-up study included patients treated in the department of Restorative Dentistry and Endodontics in the Dental Clinic of Monastir, from January 2018 to December 2019. The study intended to include all adult patients presenting a symptomatic or asymptomatic apical periodontitis. Once the diagnosis was performed, the patients were divided into two groups: a one-session treatment group and a two-session treatment group. All cases were obtured with BioRoot using a single-cone technique with a minimum of a 6-month recall. At 6-month follow-ups, teeth were classified as healed, healing (success), or not healed (failure), based on clinical and radiographic findings. Results Twelve patients met the inclusion criteria, six patients per group. Seven patients returned for follow-ups. At 6-month follow-ups, the overall success rate was 100%, with 57.1% determined to be “healed” and 42.8% determined to be “healing.” All the PAI scores decreased compared to the baseline situation. Conclusion The results obtained showed the contribution of BioRoot RCS in the healing of periapical lesions. Accordingly, bioceramic-based sealers seem to optimize the prognosis of root canal treatments.
Highlights
Apical periodontitis is among the most common pathologies in endodontics. e treatment of apical periodontitis has always been an important occupation in the modern practice of endodontics, and the failure has been associated with nonhermetic root canal filling
It is usually associated with periradicular bone alterations, which could be identified in periapical X-rays [1]. e treatment of apical periodontitis has always been an important occupation in the modern practice of endodontics
E following study aims to evaluate the feasibility to run a large trial on the outcome of nonsurgical root canal treatment (NSRCT) using a bioceramic sealer in a single-cone technique in cases of apical periodontitis
Summary
Apical periodontitis is among the most common pathologies in endodontics. It is usually associated with periradicular bone alterations, which could be identified in periapical X-rays [1]. e treatment of apical periodontitis has always been an important occupation in the modern practice of endodontics. E following study aims to evaluate the feasibility to run a large trial on the outcome of nonsurgical root canal treatment (NSRCT) using a bioceramic sealer in a single-cone technique in cases of apical periodontitis. E sample size was determined based on the confidence level with which we would like to detect the outcome of nonsurgical root canal treatment using BioRoot Rcs in a single-cone technique and the actual probability that withdrawal/dropouts manifest themselves in a potential study participant. Mineral plugs within dentinal tubules are observed [20], establishing a barrier to prevent passage of microorganisms from the root canal system to the periapical tissues and vice versa [14] It is a well-known fact that warm compaction and cold lateral compaction of the gutta-percha are among the most commonly used obturation techniques [21].
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