DOI
https://doi.org/10.25772/EVYS-JN34
Author ORCID Identifier
0000-0002-7734-8596
Defense Date
2021
Document Type
Thesis
Degree Name
Master of Science in Dentistry
Department
Dentistry
First Advisor
Dr. Garry Myers
Second Advisor
Dr. Caroline Carrico
Third Advisor
Dr. Shawn McMahon
Abstract
INTRODUCTION:
The aim of this retrospective cohort study was to assess the treatment outcome of orthograde perforation repair using bio-ceramic based materials.
METHODs:
Data from the VCU graduate endodontic practice were analyzed retrospectively. Treatment had been conducted by VCU endodontic residents under the supervision of qualified endodontists during the period from August 2014-December 2020. All cases in which a bio-ceramic based material had been used as a perforation repair material were included. Bio-ceramic based materials included MTA, EndoSequence Root Repair Material Putty and Paste (ERRM), and iRoot BP Plus Root Repair Material (BP-RRM). Perforation repair was performed using a dental operating microscope. Two calibrated examiners assessed the radiographic outcome 6 to 24 months after treatment. The relationship between the pre-operative factors and treatment outcome was analyzed using binary logistic regression analysis.
RESULTS:
Forty-seven cases were initially identified from August 2014 to December 2020. Of these, 24 cases were examined at follow-up (51% recall rate). Overall, 16 of the included teeth (66%) were classified as healed/healing, and 8 teeth (33%) were classified as non-healing. The results of the binary logistic regression analysis showed that none of the 7-pre-operative variables included in the model were significantly associated with the outcome (p > 0.05).
CONCLUSION:
Based on the binary logistic regression model, newer calcium silicate-based materials, ERRM and BP-RRM, are comparable to the clinical performance of MTA in perforation repair procedures.
Rights
© The Author
Is Part Of
VCU University Archives
Is Part Of
VCU Theses and Dissertations
Date of Submission
5-10-2021