Outcome of Root Canal Treatments Using a New Calcium Silicate Root Canal Sealer: A Non-Randomized Clinical Trial

Angelo Zavattini, Alan Knight, Federico Foschi, Francesco Mannocci, Angelo Zavattini, Alan Knight, Federico Foschi, Francesco Mannocci

Abstract

Background: The aim of this study was to compare the success rate of root canal treatments undertaken using a calcium silicate root canal sealer in combination with a single cone with non-calcium silicate cement and warm vertical condensation.

Methods: 150 necrotic or pulpitic teeth were treated. (REC: 08/H0804/79). Following standardized root canal chemo-debridement. The canals were obturated using warm vertical condensation of gutta-percha and epoxy-based sealer (AH plus) or a calcium silicate sealer (BioRootTM RCS) with a single cone technique. Follow-up assessment was conducted at 12 months using Cone Beam Computed Tomography (CBCT).

Results: At 1-year recall, 104 teeth were assessed (51 AH plus, 53 BioRootTM RCS). The success rate using loose criteria for the CBCT images and PA radiographs was respectively 80% and 89% in the AH plus/warm vertical condensation group, 84% and 90% in the BioRootTM RCS/single cone group. There was no statistically significant difference between the two groups (Fisher exact test p value 0.6099 for the CBCT images).

Conclusion: Within the limitations of this non-randomized trial, a calcium silicate cement in combination with single cone resulted in a similar proportion of successful cases compared to warm vertical condensation and epoxy-based sealer.

Keywords: CBCT; bioroot; biosilicate cement; hydraulic cements; root canal; single cone; warm vertical condensation.

Conflict of interest statement

The Authors declare that have received support for this study from Septodont, Saint Maur Des Fosses, France. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Figures

Figure 1
Figure 1
Flow diagram of the study recruitment, follow-up, and results.
Figure 2
Figure 2
Lower left mandibular first molar root filled using a warm vertical condensation technique and AH plus root canal sealer. Preoperative Periapical X-ray (A) and Cone Beam Computer Tomography (a) and recall PA X-ray (B) and CBCT (b) at 12 months.
Figure 3
Figure 3
Lower right mandibular first molar root filled using a single cone technique and BioRootTM RCS. Preoperative PA X-ray (C) and CBCT (c) and recall PA X-ray (D) and CBCT (d) at 12 months.

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