A 4‐year follow‐up of root canal obturation using a calcium silicate‐based sealer and a zinc oxide‐eugenol sealer: A randomized clinical trial
Aim This randomized clinical trial assessed the outcomes of nonsurgical root canal treatment (RCT), comparing a calcium silicate‐based sealer (CSBS) with the single‐cone technique (SC) with a zinc oxide‐eugenol (ZOE) sealer and warm vertical compaction (WVC). Methodology Ninety‐two single‐ and multi...
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| Veröffentlicht in: | International endodontic journal 2025-02, Vol.58 (2), p.193-208 |
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| creator | Bardini, Giulia Bellido, Montse Mercade Rossi‐Fedele, Giampiero Casula, Laura Dettori, Claudia Ideo, Francesca Cotti, Elisabetta |
| description | Aim
This randomized clinical trial assessed the outcomes of nonsurgical root canal treatment (RCT), comparing a calcium silicate‐based sealer (CSBS) with the single‐cone technique (SC) with a zinc oxide‐eugenol (ZOE) sealer and warm vertical compaction (WVC).
Methodology
Ninety‐two single‐ and multi‐rooted teeth were divided into two groups and treated using either the SC with BioRoot™ RCS (BIO) or WVC with Pulp Canal Sealer™ EWT (PCS). Teeth with apical periodontitis (AP) in both groups were further divided into BIOAP and PCSAP subgroups. Standardized instrumentation and disinfection protocols were followed. Periapical index (PAI) was recorded, and clinical and radiographic follow‐ups were conducted at 1, 3, 6, 12, 24, and 48 months. Outcomes considered included success rate (under strict and loose criteria), extraction, length of filling, voids, and extrusion rate, as well as changes in PAI score from baseline. Outcome variables and prognostic factors were analysed using binary and multiple logistic regression at p .05). The pattern of PAI reduction was similar in both groups (p = .806).
Conclusion
Treatment using the SC‐CSBS technique and the ZOE sealer with the WVC technique demonstrated a similar success rate. |
| doi_str_mv | 10.1111/iej.14167 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmed_primary_39655615</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3146611655</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2997-c244ba713766db8a6f5ea53aaa99091b28cd5203d5a51619668ecec4b3af3c53</originalsourceid><addsrcrecordid>eNp1kcFu1DAQhi0EotvCgRdAlrjQw7aZOHZiLmhVFSiqxKV3a-I4i1eOvdgJZXviEThy7LP0UXgSvOxSARI-2LLmm0-j-Ql5BsUJ5HNqzeoEKhD1AzIDJvi85BIeklkBFZuXTcMPyGFKq6IoeMHgMTlgUnAugM_I9wWtfnz9tjEYaR-cC9f5N61p6GkMYaQaPToa2nGKONrg6ZSsX1LMBaftNNzdJuusxtHkvhaT6Wgy6Eyk6LuM3Vivafhiu23dTEvjg9sTr-ji7jZmLAz2JvdpZ302OTpGi-4JedSjS-bp_j0iV2_Or87ezS8_vL04W1zOdSllne-qarEGVgvRtQ2KnhvkDBGlLCS0ZaM7Xhas48hBgBSiMdroqmXYM83ZEXm9066ndjCdNn6M6NQ62gHjRgW06u-Ktx_VMnxWADVwYDIbXu4NMXyaTBrVYJM2zqE3YUqKQSUEQF54Rl_8g67CFPOCtxQvZS2rssnU8Y7SMaQUTX8_DRRqm7fKeatfeWf2-Z_j35O_A87A6Q64ts5s_m9SF-fvd8qfNFG8hw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3152979428</pqid></control><display><type>article</type><title>A 4‐year follow‐up of root canal obturation using a calcium silicate‐based sealer and a zinc oxide‐eugenol sealer: A randomized clinical trial</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Bardini, Giulia ; Bellido, Montse Mercade ; Rossi‐Fedele, Giampiero ; Casula, Laura ; Dettori, Claudia ; Ideo, Francesca ; Cotti, Elisabetta</creator><creatorcontrib>Bardini, Giulia ; Bellido, Montse Mercade ; Rossi‐Fedele, Giampiero ; Casula, Laura ; Dettori, Claudia ; Ideo, Francesca ; Cotti, Elisabetta</creatorcontrib><description>Aim
This randomized clinical trial assessed the outcomes of nonsurgical root canal treatment (RCT), comparing a calcium silicate‐based sealer (CSBS) with the single‐cone technique (SC) with a zinc oxide‐eugenol (ZOE) sealer and warm vertical compaction (WVC).
Methodology
Ninety‐two single‐ and multi‐rooted teeth were divided into two groups and treated using either the SC with BioRoot™ RCS (BIO) or WVC with Pulp Canal Sealer™ EWT (PCS). Teeth with apical periodontitis (AP) in both groups were further divided into BIOAP and PCSAP subgroups. Standardized instrumentation and disinfection protocols were followed. Periapical index (PAI) was recorded, and clinical and radiographic follow‐ups were conducted at 1, 3, 6, 12, 24, and 48 months. Outcomes considered included success rate (under strict and loose criteria), extraction, length of filling, voids, and extrusion rate, as well as changes in PAI score from baseline. Outcome variables and prognostic factors were analysed using binary and multiple logistic regression at p < .05.
Results
Sixty‐seven teeth were included (recall rate, 73%). At 4‐year follow‐up, the overall success rates (BIO + PCS) were 89.6% by loose criteria and 83.3% by strict criteria. Subgroup success rates (BIOAP+PCSAP) were 88.5% by loose criteria and 80.4% by strict criteria. There were no significant differences between the groups in terms of success rate, extraction rate, length of filling, voids, or extrusion (p > .05). The pattern of PAI reduction was similar in both groups (p = .806).
Conclusion
Treatment using the SC‐CSBS technique and the ZOE sealer with the WVC technique demonstrated a similar success rate.</description><identifier>ISSN: 0143-2885</identifier><identifier>ISSN: 1365-2591</identifier><identifier>EISSN: 1365-2591</identifier><identifier>DOI: 10.1111/iej.14167</identifier><identifier>PMID: 39655615</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; bioactive sealers ; Calcium Compounds - therapeutic use ; Calcium oxide ; calcium silicate‐based sealers ; Clinical Research ; Clinical trials ; Dental pulp ; endodontic outcome ; Endodontics ; Eugenol ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Original ; Periapical Periodontitis - therapy ; Periodontitis ; Root Canal Filling Materials - therapeutic use ; root canal obturation ; Root Canal Obturation - methods ; Root canals ; Sealing compounds ; Silicates - therapeutic use ; single cone technique ; Success ; Teeth ; Treatment Outcome ; Zinc oxide ; Zinc Oxide-Eugenol Cement - therapeutic use ; Zinc oxides</subject><ispartof>International endodontic journal, 2025-02, Vol.58 (2), p.193-208</ispartof><rights>2024 The Author(s). published by John Wiley & Sons Ltd on behalf of British Endodontic Society.</rights><rights>2024 The Author(s). International Endodontic Journal published by John Wiley & Sons Ltd on behalf of British Endodontic Society.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2997-c244ba713766db8a6f5ea53aaa99091b28cd5203d5a51619668ecec4b3af3c53</cites><orcidid>0000-0002-8314-5410 ; 0000-0003-1073-8597 ; 0000-0003-1303-3787</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fiej.14167$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fiej.14167$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,777,781,882,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39655615$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bardini, Giulia</creatorcontrib><creatorcontrib>Bellido, Montse Mercade</creatorcontrib><creatorcontrib>Rossi‐Fedele, Giampiero</creatorcontrib><creatorcontrib>Casula, Laura</creatorcontrib><creatorcontrib>Dettori, Claudia</creatorcontrib><creatorcontrib>Ideo, Francesca</creatorcontrib><creatorcontrib>Cotti, Elisabetta</creatorcontrib><title>A 4‐year follow‐up of root canal obturation using a calcium silicate‐based sealer and a zinc oxide‐eugenol sealer: A randomized clinical trial</title><title>International endodontic journal</title><addtitle>Int Endod J</addtitle><description>Aim
This randomized clinical trial assessed the outcomes of nonsurgical root canal treatment (RCT), comparing a calcium silicate‐based sealer (CSBS) with the single‐cone technique (SC) with a zinc oxide‐eugenol (ZOE) sealer and warm vertical compaction (WVC).
Methodology
Ninety‐two single‐ and multi‐rooted teeth were divided into two groups and treated using either the SC with BioRoot™ RCS (BIO) or WVC with Pulp Canal Sealer™ EWT (PCS). Teeth with apical periodontitis (AP) in both groups were further divided into BIOAP and PCSAP subgroups. Standardized instrumentation and disinfection protocols were followed. Periapical index (PAI) was recorded, and clinical and radiographic follow‐ups were conducted at 1, 3, 6, 12, 24, and 48 months. Outcomes considered included success rate (under strict and loose criteria), extraction, length of filling, voids, and extrusion rate, as well as changes in PAI score from baseline. Outcome variables and prognostic factors were analysed using binary and multiple logistic regression at p < .05.
Results
Sixty‐seven teeth were included (recall rate, 73%). At 4‐year follow‐up, the overall success rates (BIO + PCS) were 89.6% by loose criteria and 83.3% by strict criteria. Subgroup success rates (BIOAP+PCSAP) were 88.5% by loose criteria and 80.4% by strict criteria. There were no significant differences between the groups in terms of success rate, extraction rate, length of filling, voids, or extrusion (p > .05). The pattern of PAI reduction was similar in both groups (p = .806).
Conclusion
Treatment using the SC‐CSBS technique and the ZOE sealer with the WVC technique demonstrated a similar success rate.</description><subject>Adult</subject><subject>bioactive sealers</subject><subject>Calcium Compounds - therapeutic use</subject><subject>Calcium oxide</subject><subject>calcium silicate‐based sealers</subject><subject>Clinical Research</subject><subject>Clinical trials</subject><subject>Dental pulp</subject><subject>endodontic outcome</subject><subject>Endodontics</subject><subject>Eugenol</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Periapical Periodontitis - therapy</subject><subject>Periodontitis</subject><subject>Root Canal Filling Materials - therapeutic use</subject><subject>root canal obturation</subject><subject>Root Canal Obturation - methods</subject><subject>Root canals</subject><subject>Sealing compounds</subject><subject>Silicates - therapeutic use</subject><subject>single cone technique</subject><subject>Success</subject><subject>Teeth</subject><subject>Treatment Outcome</subject><subject>Zinc oxide</subject><subject>Zinc Oxide-Eugenol Cement - therapeutic use</subject><subject>Zinc oxides</subject><issn>0143-2885</issn><issn>1365-2591</issn><issn>1365-2591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kcFu1DAQhi0EotvCgRdAlrjQw7aZOHZiLmhVFSiqxKV3a-I4i1eOvdgJZXviEThy7LP0UXgSvOxSARI-2LLmm0-j-Ql5BsUJ5HNqzeoEKhD1AzIDJvi85BIeklkBFZuXTcMPyGFKq6IoeMHgMTlgUnAugM_I9wWtfnz9tjEYaR-cC9f5N61p6GkMYaQaPToa2nGKONrg6ZSsX1LMBaftNNzdJuusxtHkvhaT6Wgy6Eyk6LuM3Vivafhiu23dTEvjg9sTr-ji7jZmLAz2JvdpZ302OTpGi-4JedSjS-bp_j0iV2_Or87ezS8_vL04W1zOdSllne-qarEGVgvRtQ2KnhvkDBGlLCS0ZaM7Xhas48hBgBSiMdroqmXYM83ZEXm9066ndjCdNn6M6NQ62gHjRgW06u-Ktx_VMnxWADVwYDIbXu4NMXyaTBrVYJM2zqE3YUqKQSUEQF54Rl_8g67CFPOCtxQvZS2rssnU8Y7SMaQUTX8_DRRqm7fKeatfeWf2-Z_j35O_A87A6Q64ts5s_m9SF-fvd8qfNFG8hw</recordid><startdate>202502</startdate><enddate>202502</enddate><creator>Bardini, Giulia</creator><creator>Bellido, Montse Mercade</creator><creator>Rossi‐Fedele, Giampiero</creator><creator>Casula, Laura</creator><creator>Dettori, Claudia</creator><creator>Ideo, Francesca</creator><creator>Cotti, Elisabetta</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><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>7QP</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8314-5410</orcidid><orcidid>https://orcid.org/0000-0003-1073-8597</orcidid><orcidid>https://orcid.org/0000-0003-1303-3787</orcidid></search><sort><creationdate>202502</creationdate><title>A 4‐year follow‐up of root canal obturation using a calcium silicate‐based sealer and a zinc oxide‐eugenol sealer: A randomized clinical trial</title><author>Bardini, Giulia ; Bellido, Montse Mercade ; Rossi‐Fedele, Giampiero ; Casula, Laura ; Dettori, Claudia ; Ideo, Francesca ; Cotti, Elisabetta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2997-c244ba713766db8a6f5ea53aaa99091b28cd5203d5a51619668ecec4b3af3c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Adult</topic><topic>bioactive sealers</topic><topic>Calcium Compounds - therapeutic use</topic><topic>Calcium oxide</topic><topic>calcium silicate‐based sealers</topic><topic>Clinical Research</topic><topic>Clinical trials</topic><topic>Dental pulp</topic><topic>endodontic outcome</topic><topic>Endodontics</topic><topic>Eugenol</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Periapical Periodontitis - therapy</topic><topic>Periodontitis</topic><topic>Root Canal Filling Materials - therapeutic use</topic><topic>root canal obturation</topic><topic>Root Canal Obturation - methods</topic><topic>Root canals</topic><topic>Sealing compounds</topic><topic>Silicates - therapeutic use</topic><topic>single cone technique</topic><topic>Success</topic><topic>Teeth</topic><topic>Treatment Outcome</topic><topic>Zinc oxide</topic><topic>Zinc Oxide-Eugenol Cement - therapeutic use</topic><topic>Zinc oxides</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bardini, Giulia</creatorcontrib><creatorcontrib>Bellido, Montse Mercade</creatorcontrib><creatorcontrib>Rossi‐Fedele, Giampiero</creatorcontrib><creatorcontrib>Casula, Laura</creatorcontrib><creatorcontrib>Dettori, Claudia</creatorcontrib><creatorcontrib>Ideo, Francesca</creatorcontrib><creatorcontrib>Cotti, Elisabetta</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International endodontic journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bardini, Giulia</au><au>Bellido, Montse Mercade</au><au>Rossi‐Fedele, Giampiero</au><au>Casula, Laura</au><au>Dettori, Claudia</au><au>Ideo, Francesca</au><au>Cotti, Elisabetta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A 4‐year follow‐up of root canal obturation using a calcium silicate‐based sealer and a zinc oxide‐eugenol sealer: A randomized clinical trial</atitle><jtitle>International endodontic journal</jtitle><addtitle>Int Endod J</addtitle><date>2025-02</date><risdate>2025</risdate><volume>58</volume><issue>2</issue><spage>193</spage><epage>208</epage><pages>193-208</pages><issn>0143-2885</issn><issn>1365-2591</issn><eissn>1365-2591</eissn><abstract>Aim
This randomized clinical trial assessed the outcomes of nonsurgical root canal treatment (RCT), comparing a calcium silicate‐based sealer (CSBS) with the single‐cone technique (SC) with a zinc oxide‐eugenol (ZOE) sealer and warm vertical compaction (WVC).
Methodology
Ninety‐two single‐ and multi‐rooted teeth were divided into two groups and treated using either the SC with BioRoot™ RCS (BIO) or WVC with Pulp Canal Sealer™ EWT (PCS). Teeth with apical periodontitis (AP) in both groups were further divided into BIOAP and PCSAP subgroups. Standardized instrumentation and disinfection protocols were followed. Periapical index (PAI) was recorded, and clinical and radiographic follow‐ups were conducted at 1, 3, 6, 12, 24, and 48 months. Outcomes considered included success rate (under strict and loose criteria), extraction, length of filling, voids, and extrusion rate, as well as changes in PAI score from baseline. Outcome variables and prognostic factors were analysed using binary and multiple logistic regression at p < .05.
Results
Sixty‐seven teeth were included (recall rate, 73%). At 4‐year follow‐up, the overall success rates (BIO + PCS) were 89.6% by loose criteria and 83.3% by strict criteria. Subgroup success rates (BIOAP+PCSAP) were 88.5% by loose criteria and 80.4% by strict criteria. There were no significant differences between the groups in terms of success rate, extraction rate, length of filling, voids, or extrusion (p > .05). The pattern of PAI reduction was similar in both groups (p = .806).
Conclusion
Treatment using the SC‐CSBS technique and the ZOE sealer with the WVC technique demonstrated a similar success rate.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>39655615</pmid><doi>10.1111/iej.14167</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0002-8314-5410</orcidid><orcidid>https://orcid.org/0000-0003-1073-8597</orcidid><orcidid>https://orcid.org/0000-0003-1303-3787</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | International endodontic journal, 2025-02, Vol.58 (2), p.193-208 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult bioactive sealers Calcium Compounds - therapeutic use Calcium oxide calcium silicate‐based sealers Clinical Research Clinical trials Dental pulp endodontic outcome Endodontics Eugenol Female Follow-Up Studies Humans Male Middle Aged Original Periapical Periodontitis - therapy Periodontitis Root Canal Filling Materials - therapeutic use root canal obturation Root Canal Obturation - methods Root canals Sealing compounds Silicates - therapeutic use single cone technique Success Teeth Treatment Outcome Zinc oxide Zinc Oxide-Eugenol Cement - therapeutic use Zinc oxides |
| title | A 4‐year follow‐up of root canal obturation using a calcium silicate‐based sealer and a zinc oxide‐eugenol sealer: A randomized clinical trial |
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