Effect of Endodontic Sealer in Young Molars Treated by Undergraduate Students - A Randomized Clinical Trial
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Dental Journal |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402020000600589 |
Resumo: | Abstract The progression of caries in permanent molar teeth of young patients, frequently result in endodontic treatment. This randomized blinded clinical trial assessed the effect of two endodontic sealers (Sealer 26 and AH Plus) on the incidence of pain and apical repair after endodontic treatment of young molar teeth, and secondly identify factors associated with the outcomes. Endodontic treatment was performed by undergraduate students in molar teeth (n=69) of young patients (n=54) at the Endodontic and Restorative Public Extension Clinic Service. Protaper Next was used and the endodontic sealers were allocated which were restored with direct composite resin. Two primary clinical outcomes - apical repair and postoperative pain, were assessed after 12 and 24 months for blinded operators. Description of incidence rates and mixed-model regression using Generalized Estimation Equations (GEE). After 2 years 69 molar teeth of 54 patients were evaluated. No effect of the endodontic sealer was observed irrespective of period of evaluation. Apical repair incidences and asymptomatic teeth were, respectively, 90.5 and 89.3, 96.8 and 90.0% during 1 and 2 years of follow-up. Failed apical repair was associated with unsatisfactory pulpectomy (p=0.003) and periapical conditions (p=0.007) as well as their interaction (p=0.016). None of these independent variables was able to predict the occurrence of pain in both periods. Prognosis of apical repair is dependent on the initial conditions. Endodontic treatment of young molars associated with composite resin restorations performed by undergraduate students have satisfactory results after 2 years and was effective to prevent the risk of permanent teeth loss. |
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Effect of Endodontic Sealer in Young Molars Treated by Undergraduate Students - A Randomized Clinical Trialpainperiapical tissueyoung molar teethroot canal therapyAbstract The progression of caries in permanent molar teeth of young patients, frequently result in endodontic treatment. This randomized blinded clinical trial assessed the effect of two endodontic sealers (Sealer 26 and AH Plus) on the incidence of pain and apical repair after endodontic treatment of young molar teeth, and secondly identify factors associated with the outcomes. Endodontic treatment was performed by undergraduate students in molar teeth (n=69) of young patients (n=54) at the Endodontic and Restorative Public Extension Clinic Service. Protaper Next was used and the endodontic sealers were allocated which were restored with direct composite resin. Two primary clinical outcomes - apical repair and postoperative pain, were assessed after 12 and 24 months for blinded operators. Description of incidence rates and mixed-model regression using Generalized Estimation Equations (GEE). After 2 years 69 molar teeth of 54 patients were evaluated. No effect of the endodontic sealer was observed irrespective of period of evaluation. Apical repair incidences and asymptomatic teeth were, respectively, 90.5 and 89.3, 96.8 and 90.0% during 1 and 2 years of follow-up. Failed apical repair was associated with unsatisfactory pulpectomy (p=0.003) and periapical conditions (p=0.007) as well as their interaction (p=0.016). None of these independent variables was able to predict the occurrence of pain in both periods. Prognosis of apical repair is dependent on the initial conditions. Endodontic treatment of young molars associated with composite resin restorations performed by undergraduate students have satisfactory results after 2 years and was effective to prevent the risk of permanent teeth loss.Fundação Odontológica de Ribeirão Preto2020-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402020000600589Brazilian Dental Journal v.31 n.6 2020reponame:Brazilian Dental Journalinstname:Fundação Odontológica de Ribeirão Preto (FUNORP)instacron:FUNORP10.1590/0103-6440202003258info:eu-repo/semantics/openAccessCunha,Suely AparecidaSoares,Carlos JoséRosatto,Camila Maria PeresVieira,João Victor Soares MendonçaPereira,Renata Afonso da SilvaSoares,Priscilla Barbosa FerreiraLeles,Cláudio RodriguesMoura,Camilla Christian Gomeseng2020-11-20T00:00:00Zoai:scielo:S0103-64402020000600589Revistahttps://www.scielo.br/j/bdj/https://old.scielo.br/oai/scielo-oai.phpbdj@forp.usp.br||sergio@fosjc.unesp.br1806-47600103-6440opendoar:2020-11-20T00:00Brazilian Dental Journal - Fundação Odontológica de Ribeirão Preto (FUNORP)false |
dc.title.none.fl_str_mv |
Effect of Endodontic Sealer in Young Molars Treated by Undergraduate Students - A Randomized Clinical Trial |
title |
Effect of Endodontic Sealer in Young Molars Treated by Undergraduate Students - A Randomized Clinical Trial |
spellingShingle |
Effect of Endodontic Sealer in Young Molars Treated by Undergraduate Students - A Randomized Clinical Trial Cunha,Suely Aparecida pain periapical tissue young molar teeth root canal therapy |
title_short |
Effect of Endodontic Sealer in Young Molars Treated by Undergraduate Students - A Randomized Clinical Trial |
title_full |
Effect of Endodontic Sealer in Young Molars Treated by Undergraduate Students - A Randomized Clinical Trial |
title_fullStr |
Effect of Endodontic Sealer in Young Molars Treated by Undergraduate Students - A Randomized Clinical Trial |
title_full_unstemmed |
Effect of Endodontic Sealer in Young Molars Treated by Undergraduate Students - A Randomized Clinical Trial |
title_sort |
Effect of Endodontic Sealer in Young Molars Treated by Undergraduate Students - A Randomized Clinical Trial |
author |
Cunha,Suely Aparecida |
author_facet |
Cunha,Suely Aparecida Soares,Carlos José Rosatto,Camila Maria Peres Vieira,João Victor Soares Mendonça Pereira,Renata Afonso da Silva Soares,Priscilla Barbosa Ferreira Leles,Cláudio Rodrigues Moura,Camilla Christian Gomes |
author_role |
author |
author2 |
Soares,Carlos José Rosatto,Camila Maria Peres Vieira,João Victor Soares Mendonça Pereira,Renata Afonso da Silva Soares,Priscilla Barbosa Ferreira Leles,Cláudio Rodrigues Moura,Camilla Christian Gomes |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Cunha,Suely Aparecida Soares,Carlos José Rosatto,Camila Maria Peres Vieira,João Victor Soares Mendonça Pereira,Renata Afonso da Silva Soares,Priscilla Barbosa Ferreira Leles,Cláudio Rodrigues Moura,Camilla Christian Gomes |
dc.subject.por.fl_str_mv |
pain periapical tissue young molar teeth root canal therapy |
topic |
pain periapical tissue young molar teeth root canal therapy |
description |
Abstract The progression of caries in permanent molar teeth of young patients, frequently result in endodontic treatment. This randomized blinded clinical trial assessed the effect of two endodontic sealers (Sealer 26 and AH Plus) on the incidence of pain and apical repair after endodontic treatment of young molar teeth, and secondly identify factors associated with the outcomes. Endodontic treatment was performed by undergraduate students in molar teeth (n=69) of young patients (n=54) at the Endodontic and Restorative Public Extension Clinic Service. Protaper Next was used and the endodontic sealers were allocated which were restored with direct composite resin. Two primary clinical outcomes - apical repair and postoperative pain, were assessed after 12 and 24 months for blinded operators. Description of incidence rates and mixed-model regression using Generalized Estimation Equations (GEE). After 2 years 69 molar teeth of 54 patients were evaluated. No effect of the endodontic sealer was observed irrespective of period of evaluation. Apical repair incidences and asymptomatic teeth were, respectively, 90.5 and 89.3, 96.8 and 90.0% during 1 and 2 years of follow-up. Failed apical repair was associated with unsatisfactory pulpectomy (p=0.003) and periapical conditions (p=0.007) as well as their interaction (p=0.016). None of these independent variables was able to predict the occurrence of pain in both periods. Prognosis of apical repair is dependent on the initial conditions. Endodontic treatment of young molars associated with composite resin restorations performed by undergraduate students have satisfactory results after 2 years and was effective to prevent the risk of permanent teeth loss. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-11-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402020000600589 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402020000600589 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0103-6440202003258 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Fundação Odontológica de Ribeirão Preto |
publisher.none.fl_str_mv |
Fundação Odontológica de Ribeirão Preto |
dc.source.none.fl_str_mv |
Brazilian Dental Journal v.31 n.6 2020 reponame:Brazilian Dental Journal instname:Fundação Odontológica de Ribeirão Preto (FUNORP) instacron:FUNORP |
instname_str |
Fundação Odontológica de Ribeirão Preto (FUNORP) |
instacron_str |
FUNORP |
institution |
FUNORP |
reponame_str |
Brazilian Dental Journal |
collection |
Brazilian Dental Journal |
repository.name.fl_str_mv |
Brazilian Dental Journal - Fundação Odontológica de Ribeirão Preto (FUNORP) |
repository.mail.fl_str_mv |
bdj@forp.usp.br||sergio@fosjc.unesp.br |
_version_ |
1754204096161644544 |