A retrospective study comparing clinical outcomes after obturation with Resilon/Epiphany or Gutta-Percha/Kerr sealer

Area of Science:

• Endodontics
• Dental Materials Science

Background:

• Root canal obturation is crucial for endodontic treatment success.
• Gutta-percha has been the gold standard, but newer materials like Resilon offer alternatives.
• Evaluating the clinical efficacy of different obturation systems is essential.

Purpose of the Study:

• To compare the clinical outcomes of root canal systems obturated with gutta-percha/Kerr Pulp Canal Sealer versus Resilon/Epiphany sealer.
• To assess the long-term success rates of these two obturation techniques.

Main Methods:

• Retrospective study of 103 teeth treated in a private endodontic practice.
• Clinical outcomes assessed using Periapical Index and clinical evaluation at recall.
• Univariate and multivariate logistic regression analysis used to identify predictors of outcome.

Main Results:

• Pulpal vitality, preoperative lesion presence, and recall length were significant in univariate analysis.
• Age, tooth position, and recall length were significant in multivariate analysis.
• No statistically significant difference in clinical outcome was found between the two obturation material groups.

Conclusions:

• Both gutta-percha/Kerr Pulp Canal Sealer and Resilon/Epiphany sealer are effective for root canal obturation.
• The choice of obturation material between these two systems does not significantly impact clinical outcomes.
• Further research may explore other factors influencing long-term endodontic success.