Assessment of bone quality of apical periodontitis treated with MTA plug and regenerative endodontic techniques

Aricioglu B., GÜNAÇAR D. N., KOŞAR T., Cikman A. S., Hatipoglu F. P., MARAŞ E.

AUSTRALIAN ENDODONTIC JOURNAL, cilt.48, sa.3, ss.444-450, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 48 Sayı: 3
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1111/aej.12697
  • Dergi Adı: AUSTRALIAN ENDODONTIC JOURNAL
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.444-450
  • Anahtar Kelimeler: fractal analysis, MTA plug, periapical bone quality, regenerative endodontic treatment, MINERAL TRIOXIDE AGGREGATE, IMMATURE PERMANENT TEETH, FRACTAL ANALYSIS, CALCIUM HYDROXIDE, NECROTIC PULPS, APEXIFICATION, OUTCOMES, REVASCULARIZATION, RETREATMENT, DIMENSION
  • Recep Tayyip Erdoğan Üniversitesi Adresli: Evet

Özet

Fractal analysis (FA) is a quantitative, objective and non-invasive method that facilitates the characterisation of the tissue architecture. This study aims to compare the periapical healing at 1-year follow-up by evaluating newly generated trabecular bone with FA after Mineral trioxide aggregate (MTA) plug and regenerative endodontic treatment (RET). A total of 55 asymptomatic teeth with a single-canal, open apex and periapical lesion, treated with MTA plug or RET, were evaluated retrospectively. After considering the inclusion/exclusion criteria, FA was conducted on 30 periapical images using the box-counting method. In both groups, a significant decrease was observed in the periapical lesion size at 1-year follow-up (p < 0.01). However, there was no significant difference between the MTA plug and RET (p > 0.01). Significantly higher fractal dimension values were detected at 1-year follow-up in both MTA plug and RET cases (p < 0.01). However, the difference was not significant between the groups (p > 0.01). Both procedures seem to improve periapical healing with a new resistant bone of similar density and complexity.