The outcome of apical surgery in teeth treated using TotalFill® RRM putty as a root‐end filling material during apical surgery: Case report series

Abstract

AbstractObjectiveTo assess the success of apical surgery procedures performed using TotalFill® Root Repair Material putty (Schöttlander, Letchworth, UK) as a root‐end filling material.Materials and methodsThis case series consisting of 29 teeth in 22 patients highlights the use of TotalFill RRM putty as a root‐end filling material treated at the Edinburgh Dental Institute by Registrars and Consultants, from 1st January 2017 and 13th March 2019. The outcome was assessed clinically and radiographically over 30 months following the completion of treatment.ResultsApical surgery is an option to manage cases of failed endodontic treatment and survival rates in the region of 90% have been reported for teeth following the procedure. Root end filling following retrograde preparation forms an integral part of the procedure. Mineral Trioxide Aggregate (MTA) has been considered the gold standard material for this purpose for a number of years but has some associated handling and placement difficulties. Newer bioceramic materials in putty form have been designed to overcome these difficulties whilst retaining advantageous biological properties.ConclusionThe overall survival rate of teeth in the series was 93%, with a success rate of 86%. Due to its improved handling properties and similar clinical performance, this material may prove a useful tool in the apical surgery armamentarium.