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Comparison of Two Base Materials Regarding Their Effect on Root Canal Treatment Success in Primary Molars with Furcation Lesions

View Article: PubMed Central - PubMed

ABSTRACT

Introduction. The aim of this study was to compare MTA with another base material, IRM, which is generally used on pulpal floor after root canal treatment, regarding their effect on the success of root canal treatment of primary teeth with furcation lesions. Materials and Methods. Fifty primary teeth with furcation lesions were divided into 2 groups. Following root canal treatment, the pulpal floor was coated with MTA in the experimental group and with IRM in the control group. Teeth were followed up considering clinical (pain, pathological mobility, tenderness to percussion and palpation, and any soft tissue pathology and sinus tract) and radiographical (pathological root resorption, reduced size or healing of existing lesion, and absence of new lesions at the interradicular or periapical area) criteria for 18 months. For the statistical analysis, Fisher's exact test and Pearson's chi-square tests were used and a p value of <0.05 was considered to be statistically significant. Results. Although there were no statistically significant differences between two groups in terms of treatment success, lesions healed significantly faster in the MTA group. Conclusion. In primary teeth with furcation lesions, usage of MTA on the pulpal floor following root canal treatment can be a better alternative since it induced faster healing.

No MeSH data available.


(a) Radiograph of second primary mandibular molar with a lesion in the interradicular area in IRM group. (b) Radiograph of the tooth after treatment. (c) Radiograph of the tooth at the 3rd month visit. (d) Radiograph of the tooth at the 12th month visit. (e) Radiograph of the tooth at the 18th month visit.
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fig2: (a) Radiograph of second primary mandibular molar with a lesion in the interradicular area in IRM group. (b) Radiograph of the tooth after treatment. (c) Radiograph of the tooth at the 3rd month visit. (d) Radiograph of the tooth at the 12th month visit. (e) Radiograph of the tooth at the 18th month visit.

Mentions: At the end of 18 months, for 9 teeth in IRM group and 6 teeth in MTA group, pulpectomies were considered as failures radiographically. Neither of the teeth showed clinical signs or symptoms; therefore there were no clinical failures (Figure 1). Representative successful cases from each group can be seen in Figures 2 and 3. The statistical analysis showed no significant difference between two groups regarding treatment success (p > 0.05) (Table 2). Also there were no statistical differences between the success rates at different follow-up appointments (p > 0.0025). When the successful cases were evaluated regarding healing time, the statistical analysis revealed that the total healing of the lesions was significantly faster in the MTA group when compared to IRM (p < 0.05) (Table 3).


Comparison of Two Base Materials Regarding Their Effect on Root Canal Treatment Success in Primary Molars with Furcation Lesions
(a) Radiograph of second primary mandibular molar with a lesion in the interradicular area in IRM group. (b) Radiograph of the tooth after treatment. (c) Radiograph of the tooth at the 3rd month visit. (d) Radiograph of the tooth at the 12th month visit. (e) Radiograph of the tooth at the 18th month visit.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5121461&req=5

fig2: (a) Radiograph of second primary mandibular molar with a lesion in the interradicular area in IRM group. (b) Radiograph of the tooth after treatment. (c) Radiograph of the tooth at the 3rd month visit. (d) Radiograph of the tooth at the 12th month visit. (e) Radiograph of the tooth at the 18th month visit.
Mentions: At the end of 18 months, for 9 teeth in IRM group and 6 teeth in MTA group, pulpectomies were considered as failures radiographically. Neither of the teeth showed clinical signs or symptoms; therefore there were no clinical failures (Figure 1). Representative successful cases from each group can be seen in Figures 2 and 3. The statistical analysis showed no significant difference between two groups regarding treatment success (p > 0.05) (Table 2). Also there were no statistical differences between the success rates at different follow-up appointments (p > 0.0025). When the successful cases were evaluated regarding healing time, the statistical analysis revealed that the total healing of the lesions was significantly faster in the MTA group when compared to IRM (p < 0.05) (Table 3).

View Article: PubMed Central - PubMed

ABSTRACT

Introduction. The aim of this study was to compare MTA with another base material, IRM, which is generally used on pulpal floor after root canal treatment, regarding their effect on the success of root canal treatment of primary teeth with furcation lesions. Materials and Methods. Fifty primary teeth with furcation lesions were divided into 2 groups. Following root canal treatment, the pulpal floor was coated with MTA in the experimental group and with IRM in the control group. Teeth were followed up considering clinical (pain, pathological mobility, tenderness to percussion and palpation, and any soft tissue pathology and sinus tract) and radiographical (pathological root resorption, reduced size or healing of existing lesion, and absence of new lesions at the interradicular or periapical area) criteria for 18 months. For the statistical analysis, Fisher's exact test and Pearson's chi-square tests were used and a p value of &lt;0.05 was considered to be statistically significant. Results. Although there were no statistically significant differences between two groups in terms of treatment success, lesions healed significantly faster in the MTA group. Conclusion. In primary teeth with furcation lesions, usage of MTA on the pulpal floor following root canal treatment can be a better alternative since it induced faster healing.

No MeSH data available.