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Root-end microsurgery using a premixed tricalcium silicate putty as root-end filling material: a prospective study.

N A Taha1, F B Aboyounes2, Z Z Tamimi3

  • 1Department of Conservative Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, P. O Box 3864, Irbid, 22110, Jordan. n.taha@just.edu.jo.

Clinical Oral Investigations
|June 3, 2020
PubMed
Summary

Premixed fast-set tricalcium silicate putty demonstrated a 93% success rate as a root-end filling material in endodontic microsurgery. This material is suitable for clinical use, showing promising outcomes in human teeth.

Keywords:
OutcomeRoot-end surgeryTotal fillTricalcium silicate

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Area of Science:

  • Endodontics
  • Dental Materials Science
  • Oral Surgery

Background:

  • Tricalcium silicate-based cements exhibit favorable biological properties for root-end filling.
  • Fast-setting and premixed formulations are increasingly utilized in endodontic procedures.
  • ClinicalTrials.gov registration number: NCT03733938.

Purpose of the Study:

  • To evaluate the clinical and radiographic outcomes of root-end microsurgery.
  • To assess the efficacy of a premixed fast-set calcium silicate putty as a root-end filling material.
  • To determine the success rate of this novel material in human teeth.

Main Methods:

  • A cohort of 35 patients (50 teeth) underwent endodontic microsurgery.
  • A premixed fast-set tricalcium silicate putty (TotalFil FS putty) was used for root-end filling.
  • Clinical and radiographic assessments were performed at 3 months, 6 months, and 1 year postoperatively.

Main Results:

  • Three teeth were excluded due to cracks identified during surgery.
  • The overall success rate was 93%, with 4 failures out of 47 treated teeth.
  • No investigated predictors significantly influenced the microsurgery outcome.

Conclusions:

  • Premixed fast-set tricalcium silicate putty is a suitable material for root-end filling in endodontic microsurgery.
  • The material achieved high success rates, supporting its clinical applicability.
  • Further research may explore long-term outcomes and comparisons with other materials.