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Effects of fast- and slow-setting calcium silicate–based root-end filling materials on the outcome of endodontic microsurgery: a retrospective study up to 6 years

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Abstract

Objectives

The purpose of this retrospective study was to evaluate and compare the effects of fast- and slow-setting calcium silicate–based materials (CSMs) used for root-end filling on the outcome of endodontic microsurgery.

Materials and methods

We searched a clinical database for patients who had received endodontic microsurgery between 2001 and 2016. Included cases were divided into two groups according to the type of CSM used for root-end filling: slow-setting CSM (SCSM) and fast-setting CSM (FCSM). The cases in two groups were subjected to 1:1 nearest neighbor propensity score matching for the following variables: age, sex, tooth type, quality of canal filling, lesion type, and postoperative restoration. For each matched case, the outcome was determined as success or failure according to clinical and radiographic evaluations performed at least 1 year after surgery. Multivariate logistic regression analysis was performed to identify prognostic factors and estimate their effects.

Results

In total, 304 cases of endodontic microsurgery (179 SCSM and 125 FCSM) were identified, and 1:1 propensity score matching finally included 122 cases from each group. After matching, all covariates were associated with an absolute standardized difference of < 0.1. The overall success rates were 85.2% and 93.4% for the SCSM and FCSM groups, respectively (p = 0.062). Age, tooth type, lesion type, and CSM type were significantly associated with the outcome of endodontic microsurgery (p < 0.05).

Conclusions

Within the limitations, the outcome of endodontic microsurgery using FCSMs was comparable with that of SCSMs. The findings suggest that the type of CSM used for root-end filling, particularly in terms of the initial setting time, could affect the outcome of endodontic microsurgery.

Clinical relevance

FCSMs could be considered for use as root-end filling materials in endodontic microsurgery, particularly in complicated clinical situations which require rapid initial setting of the materials.

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Funding

This study was funded by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (NRF-2018R1D1A1A09081906).

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Author notes

  1. Dohyun Kim and Hyunjung Lee contributed equally to this work.

Authors and Affiliations

  1. Microscope Center, Department of Conservative Dentistry and Oral Science Research Center, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea

    Dohyun Kim, Hyunjung Lee, Minsun Chung, Sunil Kim & Euiseong Kim

  2. Department of Conservative Dentistry, College of Dentistry, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan-si, Chungcheongnam-do, 31116, Republic of Korea

    Minju Song

  3. Department of Electrical & Electronic Engineering, Yonsei University College of Engineering, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea

    Euiseong Kim

Authors
  1. Dohyun Kim
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  2. Hyunjung Lee
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  3. Minsun Chung
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  4. Sunil Kim
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Correspondence to Euiseong Kim.

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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. Approval for this project was obtained from the Yonsei University Committee for Research on Human Subjects (2004-4).

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Kim, D., Lee, H., Chung, M. et al. Effects of fast- and slow-setting calcium silicate–based root-end filling materials on the outcome of endodontic microsurgery: a retrospective study up to 6 years. Clin Oral Invest 24, 247–255 (2020). https://doi.org/10.1007/s00784-019-02937-6

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  • DOI: https://doi.org/10.1007/s00784-019-02937-6

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