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Outcome of secondary root canal treatment filled with Thermafil: a 5-year follow-up of retrospective cohort study

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Abstract

Objectives

The aim of the present retrospective cohort study was to assess the 5-year outcome and survival of secondary root canal treatments (2°RCT), exploring the influence of pre-, intra-, and post-operative variables.

Materials and methods

One hundred thirty-two endodontically retreated teeth were radiographically and clinically re-examined after 5 years. 2°RCT had been performed during a Masters program following standardized protocols and filled with AH Plus/Thermafil (TF). Pre-, intra-, and post-operative data were collected. The 5-year outcome was blindly evaluated and categorized as healed/diseased on the basis of the periapical index. Bivariate analysis and chi-square test evaluated the association between outcome and 31 demographic/clinical parameters. Multilevel analysis was performed at both patient and tooth level. Statistical significance was calculated at 5% level.

Results

At 5-year evaluation, survival rate was 80% with 7.5% lost for endodontic reasons. Eighty-three percent of the teeth were classified as healed. Multilevel analysis identified significant predictors of increased survival: female gender (p = 0.012), absence of a pre-operative metal post (p = 0.017), conservative apical preparation (diameter size < #35) (p = 0.039), teeth restored with a crown (p = 0.009), and final PAI (after 5 years) ≤ 2 (p = 0.001). Multilevel analysis identified as predictor healing: not being a smoker (p = 0.048) and conservative apical preparation < size #35 (p = 0.037).

Conclusions

Outcome of 2°RCT filled with Thermafil was successful at 5 years, showing a high rate of survived and healed teeth comparable to that reported previously for other obturation techniques.

Clinical relevance

Present findings confirm 2°RCT as a valid therapeutic option to retain natural teeth.

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Funding

The work was supported by the Master in Clinical Endodontology, Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum—University of Bologna, Bologna, Italy.

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Authors and Affiliations

  1. Department of Biomedical and Neuromotor Sciences (DIBINEM), School of Dentistry, Endodontic Clinical Section, Master in Clinical Endodontology, Alma Mater Studiorum University of Bologna, Via San Vitale 59, 40125, Bologna, Italy

    Chiara Pirani, Francesco Iacono, Maria Rosaria Gatto, Raquel Michelle Fitzgibbon, Stefano Chersoni & Carlo Prati

  2. Endodontology, Academic Center for Dentistry Amsterdam, University of Amsterdam and VU University, Amsterdam, Netherlands

    Hagay Shemesh

Authors
  1. Chiara Pirani
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  2. Francesco Iacono
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  3. Maria Rosaria Gatto
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  4. Raquel Michelle Fitzgibbon
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  5. Stefano Chersoni
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  6. Hagay Shemesh
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  7. Carlo Prati
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Corresponding author

Correspondence to Chiara Pirani.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

Disclaimer

Although a variety of Dentsply products have been provided to the University of Bologna as part of Dentsply’s global “School Grant Program”, Dentsply was neither aware of this study nor informed of the results prior to publication.

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Pirani, C., Iacono, F., Gatto, M.R. et al. Outcome of secondary root canal treatment filled with Thermafil: a 5-year follow-up of retrospective cohort study. Clin Oral Invest 22, 1363–1373 (2018). https://doi.org/10.1007/s00784-017-2229-5

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  • DOI: https://doi.org/10.1007/s00784-017-2229-5

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