Clinical Effectiveness of Basic Root Canal Treatment after 24 Months: A Randomized Controlled Trial
Abstract Introduction The purpose of this study was to investigate the effectiveness of basic root canal treatment (BRT) with tactile working length determination in terms of radiographic and clinical outcome parameters compared with endodontic treatment with standard radiographic working length con...
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| Veröffentlicht in: | Journal of endodontics 2014-04, Vol.40 (4), p.465-470 |
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| creator | Jordan, Rainer A., MSc, DDS, PhD Holzner, Anna L., DDS Markovic, Ljubisa, DDS Brueckner, Inga, DDS Zimmer, Stefan, MPHD, DDS, PhD |
| description | Abstract Introduction The purpose of this study was to investigate the effectiveness of basic root canal treatment (BRT) with tactile working length determination in terms of radiographic and clinical outcome parameters compared with endodontic treatment with standard radiographic working length control. Methods This was a clinical, multicenter, controlled, open-label trial to evaluate BRT effectiveness after 24 months. The primary end point was the apical extension score of the radiographic quality parameter of root canal fillings. The secondary radiographic end point was the periapical index, and the secondary clinical end point was tooth tender to percussion. The safety end point was tooth loss as a consequence of endodontic failure. Statistical analyses of binary and categoric data were calculated using cross tables and the chi-square test. Results BRT with tactile working length determination compared with standard radiographic working length control did not significantly differ in terms of radiographic and clinical outcomes after 24 months. The apical extension of the root canal fillings and the periapical anatomic structures showed no significant differences according to radiographic analyses ( P = .5). Corresponding results were found in clinical aspects of tooth tender to percussion ( P = .6) and tooth loss ( P = .7). Conclusions Tactile working length determination in BRT resulted in comparable treatment outcomes compared with standard endodontic treatment with radiographic working length control and turned out to be an accurate method in BRT. |
| doi_str_mv | 10.1016/j.joen.2013.10.028 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1510711382</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0099239913009746</els_id><sourcerecordid>1510711382</sourcerecordid><originalsourceid>FETCH-LOGICAL-c411t-a280dd68e5d9444fdf1962eaad401de2eea5dd8631d390b9336915066ca345b93</originalsourceid><addsrcrecordid>eNp9kU9v1DAQxS0EotvCF-CAfOSSxWM7TowQUonKH6lVpbKcLdeeCIckLna2Uvn0dbQLBw6cPH56b6T5PUJeAdsCA_V22A4R5y1nIIqwZbx9QjbQNm0l6lo-JRvGtK640PqEnOY8MAaNEM1zcsKlUqrVYkNcN4Y5ODvSi75Ht4R7nDFnGnv60ebg6E2MC-3sXBy7hHaZcF6o7RdMlEt6FeflR35Hz-mNnX2cwm_0tCtiiuNYxl0KdnxBnvV2zPjy-J6R758udt2X6vL689fu_LJyEmCpLG-Z96rF2mspZe970IqjtV4y8MgRbe19qwR4odmtFkJpqJlSzgpZl_8ZeXPYe5firz3mxUwhOxxHO2PcZwM1sAZAtLxY-cHqUsw5YW_uUphsejDAzArXDGaFa1a4q1bgltDr4_797YT-b-QPzWJ4fzBgufI-YDLZBZwd-pAKW-Nj-P_-D__E3bGcn_iAeYj7VGood5jMDTPf1nrXdkGUqZFKPAKKG58b</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1510711382</pqid></control><display><type>article</type><title>Clinical Effectiveness of Basic Root Canal Treatment after 24 Months: A Randomized Controlled Trial</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Jordan, Rainer A., MSc, DDS, PhD ; Holzner, Anna L., DDS ; Markovic, Ljubisa, DDS ; Brueckner, Inga, DDS ; Zimmer, Stefan, MPHD, DDS, PhD</creator><creatorcontrib>Jordan, Rainer A., MSc, DDS, PhD ; Holzner, Anna L., DDS ; Markovic, Ljubisa, DDS ; Brueckner, Inga, DDS ; Zimmer, Stefan, MPHD, DDS, PhD</creatorcontrib><description>Abstract Introduction The purpose of this study was to investigate the effectiveness of basic root canal treatment (BRT) with tactile working length determination in terms of radiographic and clinical outcome parameters compared with endodontic treatment with standard radiographic working length control. Methods This was a clinical, multicenter, controlled, open-label trial to evaluate BRT effectiveness after 24 months. The primary end point was the apical extension score of the radiographic quality parameter of root canal fillings. The secondary radiographic end point was the periapical index, and the secondary clinical end point was tooth tender to percussion. The safety end point was tooth loss as a consequence of endodontic failure. Statistical analyses of binary and categoric data were calculated using cross tables and the chi-square test. Results BRT with tactile working length determination compared with standard radiographic working length control did not significantly differ in terms of radiographic and clinical outcomes after 24 months. The apical extension of the root canal fillings and the periapical anatomic structures showed no significant differences according to radiographic analyses ( P = .5). Corresponding results were found in clinical aspects of tooth tender to percussion ( P = .6) and tooth loss ( P = .7). Conclusions Tactile working length determination in BRT resulted in comparable treatment outcomes compared with standard endodontic treatment with radiographic working length control and turned out to be an accurate method in BRT.</description><identifier>ISSN: 0099-2399</identifier><identifier>EISSN: 1878-3554</identifier><identifier>DOI: 10.1016/j.joen.2013.10.028</identifier><identifier>PMID: 24666893</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Clinical trial ; Composite Resins - chemistry ; Dental Materials - chemistry ; dental pulp cavity ; Dental Pulp Cavity - diagnostic imaging ; dental pulp diseases ; Dental Restoration, Permanent - methods ; Dentistry ; Endocrinology & Metabolism ; endodontics ; Female ; Follow-Up Studies ; Humans ; Male ; Methacrylates - chemistry ; Middle Aged ; Percussion ; Periapical Tissue - diagnostic imaging ; Pulpitis - therapy ; Radiography ; Resin Cements - chemistry ; Root Canal Filling Materials - therapeutic use ; Root Canal Obturation - methods ; Root Canal Therapy - methods ; Root Canal Therapy - standards ; Tooth Apex - diagnostic imaging ; Tooth Loss - etiology ; Toothache - etiology ; Treatment Outcome ; Young Adult</subject><ispartof>Journal of endodontics, 2014-04, Vol.40 (4), p.465-470</ispartof><rights>American Association of Endodontists</rights><rights>2014 American Association of Endodontists</rights><rights>Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-a280dd68e5d9444fdf1962eaad401de2eea5dd8631d390b9336915066ca345b93</citedby><cites>FETCH-LOGICAL-c411t-a280dd68e5d9444fdf1962eaad401de2eea5dd8631d390b9336915066ca345b93</cites><orcidid>0000-0001-6697-2548</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0099239913009746$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24666893$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jordan, Rainer A., MSc, DDS, PhD</creatorcontrib><creatorcontrib>Holzner, Anna L., DDS</creatorcontrib><creatorcontrib>Markovic, Ljubisa, DDS</creatorcontrib><creatorcontrib>Brueckner, Inga, DDS</creatorcontrib><creatorcontrib>Zimmer, Stefan, MPHD, DDS, PhD</creatorcontrib><title>Clinical Effectiveness of Basic Root Canal Treatment after 24 Months: A Randomized Controlled Trial</title><title>Journal of endodontics</title><addtitle>J Endod</addtitle><description>Abstract Introduction The purpose of this study was to investigate the effectiveness of basic root canal treatment (BRT) with tactile working length determination in terms of radiographic and clinical outcome parameters compared with endodontic treatment with standard radiographic working length control. Methods This was a clinical, multicenter, controlled, open-label trial to evaluate BRT effectiveness after 24 months. The primary end point was the apical extension score of the radiographic quality parameter of root canal fillings. The secondary radiographic end point was the periapical index, and the secondary clinical end point was tooth tender to percussion. The safety end point was tooth loss as a consequence of endodontic failure. Statistical analyses of binary and categoric data were calculated using cross tables and the chi-square test. Results BRT with tactile working length determination compared with standard radiographic working length control did not significantly differ in terms of radiographic and clinical outcomes after 24 months. The apical extension of the root canal fillings and the periapical anatomic structures showed no significant differences according to radiographic analyses ( P = .5). Corresponding results were found in clinical aspects of tooth tender to percussion ( P = .6) and tooth loss ( P = .7). Conclusions Tactile working length determination in BRT resulted in comparable treatment outcomes compared with standard endodontic treatment with radiographic working length control and turned out to be an accurate method in BRT.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Clinical trial</subject><subject>Composite Resins - chemistry</subject><subject>Dental Materials - chemistry</subject><subject>dental pulp cavity</subject><subject>Dental Pulp Cavity - diagnostic imaging</subject><subject>dental pulp diseases</subject><subject>Dental Restoration, Permanent - methods</subject><subject>Dentistry</subject><subject>Endocrinology & Metabolism</subject><subject>endodontics</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Methacrylates - chemistry</subject><subject>Middle Aged</subject><subject>Percussion</subject><subject>Periapical Tissue - diagnostic imaging</subject><subject>Pulpitis - therapy</subject><subject>Radiography</subject><subject>Resin Cements - chemistry</subject><subject>Root Canal Filling Materials - therapeutic use</subject><subject>Root Canal Obturation - methods</subject><subject>Root Canal Therapy - methods</subject><subject>Root Canal Therapy - standards</subject><subject>Tooth Apex - diagnostic imaging</subject><subject>Tooth Loss - etiology</subject><subject>Toothache - etiology</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0099-2399</issn><issn>1878-3554</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9v1DAQxS0EotvCF-CAfOSSxWM7TowQUonKH6lVpbKcLdeeCIckLna2Uvn0dbQLBw6cPH56b6T5PUJeAdsCA_V22A4R5y1nIIqwZbx9QjbQNm0l6lo-JRvGtK640PqEnOY8MAaNEM1zcsKlUqrVYkNcN4Y5ODvSi75Ht4R7nDFnGnv60ebg6E2MC-3sXBy7hHaZcF6o7RdMlEt6FeflR35Hz-mNnX2cwm_0tCtiiuNYxl0KdnxBnvV2zPjy-J6R758udt2X6vL689fu_LJyEmCpLG-Z96rF2mspZe970IqjtV4y8MgRbe19qwR4odmtFkJpqJlSzgpZl_8ZeXPYe5firz3mxUwhOxxHO2PcZwM1sAZAtLxY-cHqUsw5YW_uUphsejDAzArXDGaFa1a4q1bgltDr4_797YT-b-QPzWJ4fzBgufI-YDLZBZwd-pAKW-Nj-P_-D__E3bGcn_iAeYj7VGood5jMDTPf1nrXdkGUqZFKPAKKG58b</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Jordan, Rainer A., MSc, DDS, PhD</creator><creator>Holzner, Anna L., DDS</creator><creator>Markovic, Ljubisa, DDS</creator><creator>Brueckner, Inga, DDS</creator><creator>Zimmer, Stefan, MPHD, DDS, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6697-2548</orcidid></search><sort><creationdate>20140401</creationdate><title>Clinical Effectiveness of Basic Root Canal Treatment after 24 Months: A Randomized Controlled Trial</title><author>Jordan, Rainer A., MSc, DDS, PhD ; Holzner, Anna L., DDS ; Markovic, Ljubisa, DDS ; Brueckner, Inga, DDS ; Zimmer, Stefan, MPHD, DDS, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-a280dd68e5d9444fdf1962eaad401de2eea5dd8631d390b9336915066ca345b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Clinical trial</topic><topic>Composite Resins - chemistry</topic><topic>Dental Materials - chemistry</topic><topic>dental pulp cavity</topic><topic>Dental Pulp Cavity - diagnostic imaging</topic><topic>dental pulp diseases</topic><topic>Dental Restoration, Permanent - methods</topic><topic>Dentistry</topic><topic>Endocrinology & Metabolism</topic><topic>endodontics</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Methacrylates - chemistry</topic><topic>Middle Aged</topic><topic>Percussion</topic><topic>Periapical Tissue - diagnostic imaging</topic><topic>Pulpitis - therapy</topic><topic>Radiography</topic><topic>Resin Cements - chemistry</topic><topic>Root Canal Filling Materials - therapeutic use</topic><topic>Root Canal Obturation - methods</topic><topic>Root Canal Therapy - methods</topic><topic>Root Canal Therapy - standards</topic><topic>Tooth Apex - diagnostic imaging</topic><topic>Tooth Loss - etiology</topic><topic>Toothache - etiology</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jordan, Rainer A., MSc, DDS, PhD</creatorcontrib><creatorcontrib>Holzner, Anna L., DDS</creatorcontrib><creatorcontrib>Markovic, Ljubisa, DDS</creatorcontrib><creatorcontrib>Brueckner, Inga, DDS</creatorcontrib><creatorcontrib>Zimmer, Stefan, MPHD, DDS, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endodontics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jordan, Rainer A., MSc, DDS, PhD</au><au>Holzner, Anna L., DDS</au><au>Markovic, Ljubisa, DDS</au><au>Brueckner, Inga, DDS</au><au>Zimmer, Stefan, MPHD, DDS, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Effectiveness of Basic Root Canal Treatment after 24 Months: A Randomized Controlled Trial</atitle><jtitle>Journal of endodontics</jtitle><addtitle>J Endod</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>40</volume><issue>4</issue><spage>465</spage><epage>470</epage><pages>465-470</pages><issn>0099-2399</issn><eissn>1878-3554</eissn><abstract>Abstract Introduction The purpose of this study was to investigate the effectiveness of basic root canal treatment (BRT) with tactile working length determination in terms of radiographic and clinical outcome parameters compared with endodontic treatment with standard radiographic working length control. Methods This was a clinical, multicenter, controlled, open-label trial to evaluate BRT effectiveness after 24 months. The primary end point was the apical extension score of the radiographic quality parameter of root canal fillings. The secondary radiographic end point was the periapical index, and the secondary clinical end point was tooth tender to percussion. The safety end point was tooth loss as a consequence of endodontic failure. Statistical analyses of binary and categoric data were calculated using cross tables and the chi-square test. Results BRT with tactile working length determination compared with standard radiographic working length control did not significantly differ in terms of radiographic and clinical outcomes after 24 months. The apical extension of the root canal fillings and the periapical anatomic structures showed no significant differences according to radiographic analyses ( P = .5). Corresponding results were found in clinical aspects of tooth tender to percussion ( P = .6) and tooth loss ( P = .7). Conclusions Tactile working length determination in BRT resulted in comparable treatment outcomes compared with standard endodontic treatment with radiographic working length control and turned out to be an accurate method in BRT.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24666893</pmid><doi>10.1016/j.joen.2013.10.028</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-6697-2548</orcidid></addata></record> |
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| subjects | Adolescent Adult Aged Clinical trial Composite Resins - chemistry Dental Materials - chemistry dental pulp cavity Dental Pulp Cavity - diagnostic imaging dental pulp diseases Dental Restoration, Permanent - methods Dentistry Endocrinology & Metabolism endodontics Female Follow-Up Studies Humans Male Methacrylates - chemistry Middle Aged Percussion Periapical Tissue - diagnostic imaging Pulpitis - therapy Radiography Resin Cements - chemistry Root Canal Filling Materials - therapeutic use Root Canal Obturation - methods Root Canal Therapy - methods Root Canal Therapy - standards Tooth Apex - diagnostic imaging Tooth Loss - etiology Toothache - etiology Treatment Outcome Young Adult |
| title | Clinical Effectiveness of Basic Root Canal Treatment after 24 Months: A Randomized Controlled Trial |
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