一项随机对照试验：非手术根管治疗中使用基于密封剂的封闭与热垂直压实的结果。

IF 3.6 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of endodontics Pub Date : 2025-10-01 DOI:10.1016/j.joen.2025.07.003

Fahad Alzoubi BDS, MClinDent Endo, MEndo RCSEd, FDS , Samhan Alajmi BDS, MSc, ABE (Diplomate), CAGS , Abdullah Alkandari BDS, MS, ABE (Diplomate), CAGS , Saad Alqahtani BMedSc, BDM, MPH , Amer Alanezi BChd, MDS, ABE (Diplomate), FRDC(C) , Frank C. Setzer DMD, MS, PhD

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引用次数: 0

摘要

导言：硅酸钙密封（CSS）为基础的封闭（SBO）因其相对简单和材料的生物相容性而广受欢迎。关于其处理效果如何与暖垂直压实（WVC）相比的信息有限。这项随机对照临床试验的主要目的是比较SBO联合CSS与WVC联合树脂基密封剂（RBS）的非手术根管治疗（NSRCT）的结果。第二个目的是评估SBO和WVC在关闭时间上的差异。方法：共有195名受试者，212颗牙，在完成生物力学仪器后随机分配到SBO组和WVC组。记录完成闭孔所需的时间。参与者在至少12个月后进行临床和放射学评估，使用尖周x线片与尖周指数（PAI）和CBCT扫描使用CBCT-PAI。统计评价包括描述性分析和二元逻辑回归。结果：167例患者术后12 ~ 22个月（平均12.9个月）随访181颗牙，随访率85.4%。使用严格的标准，基于PAI的SBO和WVC的成功率分别为76.6%和80.5%，使用CBCT-PAI的SBO和WVC的成功率分别为71.3%和65.5%。PA x线片评估的总成功率为78.5%，CBCT评估的总成功率为68.5%，结果无显著差异。与WVC（159.7±71.0s）相比，SBO完成牙根充填所需的时间（85.4±44.0s）明显更短(p结论：与WVC相比，SBO的临床结果相当，但充填时间更快，SBO联合CSS可能是一种合适的临床选择。

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The Outcome of Nonsurgical Root Canal Treatment Using Sealer-based Obturation versus Warm Vertical Compaction: A Randomized Controlled Trial

Introduction

Calcium silicate sealer (CSS) based obturation (SBO) has gained wide popularity for its relative simplicity and material biocompatibility. Limited information exists how its treatment outcome compares to warm-vertical compaction (WVC). The primary aim of this randomized controlled clinical trial was to compare the outcome of nonsurgical root canal treatment using SBO with CSS versus WVC with a resin-based sealer. The secondary aim was to assess differences in the obturation time between SBO and WVC.

Methods

A total of 195 participants with 212 teeth took part in this study and randomly allocated to either SBO or WVC after completion of the bio-mechanical instrumentation. The time required to complete the obturation was recorded. Participants were followed-up after a minimum of 12 months for clinical and radiographic assessment using periapical radiographs with the periapical index (PAI) and cone-beam computed tomography (CBCT) scans using the CBCT-PAI. Statistical evaluation involved descriptive analysis and binary logistic regression.

Results

One hundred eighty-one teeth in 167 participants were followed-up (85.4%) after 12-22 months (mean 12.9 months). Using strict criteria, success rates were 76.6% for SBO and 80.5% for WVC based on PAI, and 71.3% for SBO and 65.5% for WVC using CBCT-PAI. The overall success was 78.5% assessed using PA radiographs and 68.5% using CBCT with no significant differences in outcomes. SBO required significantly less time (85.4 ± 44.0s) to complete the root filling compared to WVC (159.7 ± 71.0s) (P < .001).

Conclusions

Given comparable clinical outcomes to WVC yet demonstrating faster obturation time, SBO with CSS may be a suitable clinical alternative.

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来源期刊

Journal of endodontics 医学-牙科与口腔外科

CiteScore

8.80

自引率

9.50%

发文量

224

审稿时长

42 days

期刊介绍： The Journal of Endodontics, the official journal of the American Association of Endodontists, publishes scientific articles, case reports and comparison studies evaluating materials and methods of pulp conservation and endodontic treatment. Endodontists and general dentists can learn about new concepts in root canal treatment and the latest advances in techniques and instrumentation in the one journal that helps them keep pace with rapid changes in this field.