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Oral and Maxillofacial Surgery

, Volume 13, Issue 1, pp 21–26 | Cite as

Endodontic surgery with and without inserts of bioactive glass PerioGlas®—a clinical and radiographic follow-up

  • Alexander PantchevEmail author
  • Eva Nohlert
  • Åke Tegelberg
Original Article

Abstract

Objective

This study evaluated the use of bioactive glass, PerioGlas®, after retrograde filling with Super EBA™ cement in the treatment of periapical bone destruction.

Study design

Healing outcomes were followed up after endodontic surgery in 186 teeth. Outcomes were divided into two groups according to follow-up time: short- and long-term. The EBA™ group (n = 110) underwent endodontic surgery and retrograde filling with EBA™ cement. In the EBA™ + PerioGlas® group (n = 76), PerioGlas® was embedded in the bone cavity after retrograde filling.

Results

The success rate in the EBA™ + PerioGlas® group was 72% compared with 56% in the Super EBA™ group at the short-term follow-up and 74% and 84%, respectively, at the long-term follow-up. Healing of periapical bone destruction classified as uncertain at the short-term follow-up was considered successful in two out of three cases at the long-term follow-up.

Conclusion

This study found that PerioGlas® as bone substitute did not significantly improve endodontic healing outcome.

Keywords

Bone graft evaluation Bone regeneration Endodontic surgery PerioGlas® Retrograde filling 

Notes

Acknowledgments

We thank the Centre for Clinical Research, Uppsala University in Västerås for their support of this project and especially research assistant Petra Wahlén and PhD Andreas Rosenblad for help with the statistical analyzes.

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Alexander Pantchev
    • 1
    Email author
  • Eva Nohlert
    • 2
  • Åke Tegelberg
    • 1
    • 2
  1. 1.Department of Oral Rehabilitation/EndodonticsCentral HospitalVästeråsSweden
  2. 2.Centre for Clinical ResearchUppsala University, Central HospitalVästeråsSweden

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