Use of Root-end Filling Materials After Root-end Resections Among Oral Surgeons: A National Survey

Year 2020, Volume: 21 Issue: 3, 196 - 203, 31.12.2020

Makbule Bilge Akbulut , Selen İnce Yusufoğlu , Dilek Menziletoğlu

Abstract

Objective: The placement of a root-end filling material to seal the end of the root canal is one of the most important procedures in apical surgery. In Turkey, root-end surgeries are most often performed by oral surgeons. This national survey aimed to evaluate and describe the use of root-end filling materials after apical resections among oral surgeons.
Materials and Methods: A web-based survey consisting of nine questions was prepared using Google forms, and the link to the survey was sent to the oral surgeons. The questionnaire collected information regarding age, gender, level of education, number of years of practice, type of institution, average frequency of root-end resections performed per month, whether root-end filling material was used after apical resections, type of the root-end filling material used and reasons for not placing a root-end filling material. Data was expressed as percentages and frequency rates. Chi-square test was used to identify associations between the usage patterns and surgeons’ demographics.
Results: A total of 155 questionnaires were returned. Most of the oral surgeons surveyed (82.6%) performed root-end resections at a rate of <20% per month. Our data indicated that 47.7% of the respondents routinely used a root-end filling material after an apical resection, whereas 9% of them never used it. Most of the participants who used root-end filling material preferred a calcium-silicate-based material (95.1%).
Conclusion: According to the survey results, a significant number of oral surgeons still do not use a root-end filling material after apical surgery for various reasons. Oral surgeons’ knowledge on this topic should be improved.

Keywords

Apical resection , calcium silicate-based materials , mineral trioxide aggregate , oral surgeon , root-end filling

References

• 1. Tsesis I, Faivishevsky V, Kfir A, Rosen E. Outcome of surgical endodontic treatment performed by a modern technique: a meta-analysis of literature. J Endod 2009; 35: 1505-11.
• 2. von Arx T, Walker WA, 3rd. Microsurgical instruments for root-end cavity preparation following apicoectomy: a literature review. Endod Dent Traumatol 2000; 16: 47-62.
• 3. Grung B, Molven O, Halse A. Periapical surgery in a Norwegian county hospital: follow-up findings of 477 teeth. J Endod 1990; 16: 411-7.
• 4. Rapp EL, Brown CE Jr., Newton CW. An analysis of success and failure of apicoectomies. J Endod 1991; 17: 508-12.
• 5. Christiansen R, Kirkevang LL, Horsted-Bindslev P, Wenzel A. Randomized clinical trial of root-end resection followed by root-end filling with mineral trioxide aggregate or smoothing of the orthograde gutta-percha root filling--1-year follow-up. Int Endod J 2009; 42: 105-14.
• 6. von Arx T, Penarrocha M, Jensen S. Prognostic factors in apical surgery with root-end filling: a meta-analysis. J Endod 2010; 36: 957-73.
• 7. von Arx T. Apical surgery: A review of current techniques and outcome. Saudi Dent J 2011; 23: 9-15.
• 8. Apaydin ES, Shabahang S, Torabinejad M. Hard-tissue healing after application of fresh or set MTA as root-end-filling material. J Endod 2004; 30: 21-4.
• 9. Torabinejad M, Hong CU, Lee SJ, Monsef M, Pitt Ford TR. Investigation of mineral trioxide aggregate for root-end filling in dogs. J Endod 1995; 21: 603-8.
• 10. Torabinejad M, Hong CU, McDonald F, Pitt Ford TR. Physical and chemical properties of a new root-end filling material. J Endod 1995; 21: 349-53.
• 11. Creasy JE, Mines P, Sweet M. Surgical trends among endodontists: the results of a web-based survey. J Endod 2009; 35: 30-4.
• 12. Global Digital Report 2019: Turkey. [https://wearesocial.com/global-digital-report-2019](https://wearesocial.com/global-digital-report-2019).
• 13. Taschieri S, Bettach R, Lolato A, Moneghini L, Fabbro MD. Endodontic surgery failure: SEM analysis of root-end filling. J Oral Sci 2011; 53: 393-6.
• 14. Song M, Shin SJ, Kim E. Outcomes of endodontic micro-resurgery: a prospective clinical study. J Endod 2011; 37: 316-20.
• 15. Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod 2006; 32: 601-23.
• 16. Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. J Endod 1999; 25: 197-205.
• 17. Torabinejad M, Hong CU, Pitt Ford TR, Kettering JD. Cytotoxicity of four root end filling materials. J Endod 1995; 21: 489-92.
• 18. Torabinejad M, Rastegar AF, Kettering JD, Pitt Ford TR. Bacterial leakage of mineral trioxide aggregate as a root-end filling material. J Endod 1995; 21: 109-12.
• 19. Ha WN, Duckmanton P, Kahler B, Walsh LJ. A survey of various endodontic procedures related to mineral trioxide aggregate usage by members of the Australian Society of Endodontology. Aust Endod J 2016; 42: 132-8.
• 20. Bronkhorst MA, Berge SJ, Van Damme PA, Borstlap WA, Merkx MA. \[Use of root-end filling materials in a surgical apical endodontic treatment in the Netherlands]. Nederlands tijdschrift voor tandheelkunde 2008; 115: 423-7.