Comparative Analysis of Carrier-Based Obturation and Lateral Compaction: A Retrospective Clinical Outcomes Study

The purpose of this retrospective study was to compare the outcome of primary endodontic treatment using a standardized cleaning and shaping technique and obturation with either lateral compaction or carrier-based obturation. Patients received primary endodontic treatment in the predoctoral dental c...

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Main Authors: Robert Hale, Robert Gatti, Gerald N. Glickman, Lynne A. Opperman
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2012/954675
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author Robert Hale
Robert Gatti
Gerald N. Glickman
Lynne A. Opperman
author_facet Robert Hale
Robert Gatti
Gerald N. Glickman
Lynne A. Opperman
author_sort Robert Hale
collection DOAJ
description The purpose of this retrospective study was to compare the outcome of primary endodontic treatment using a standardized cleaning and shaping technique and obturation with either lateral compaction or carrier-based obturation. Patients received primary endodontic treatment in the predoctoral dental clinic using a standardized cleaning and shaping protocol. All root canals were obturated using AH PlusTM sealer with lateral compaction of gutta-percha (LC) or carrier-based obturation (CBO). A total of 205 cases met the inclusion criteria. 71 teeth in 60 patients were recalled after 2 years and evaluated both clinically and radiographically by two independent examiners. Success was defined as a lack of clinical symptoms and a normal periodontal ligament space or reduction in size of a previously existing periapical radiolucency. Chi-square and logistic regression were used for statistical analysis with a significance level of P<0.05. There was no difference in success rates between cases obturated with LC or CBO (P=0.802); overall success rate was 83%. Molars had a significantly lower success rate (53%) than premolar and anterior teeth (89%) (P=0.005), irrespective of the obturation technique used. When a standardized cleaning and shaping protocol was used by predoctoral dental students in a controlled university setting, there was no difference in success rates between cases obturated with LC or CBO.
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spelling doaj-art-5ec9a5b15be3473985295419509637ca2025-02-03T05:50:55ZengWileyInternational Journal of Dentistry1687-87281687-87362012-01-01201210.1155/2012/954675954675Comparative Analysis of Carrier-Based Obturation and Lateral Compaction: A Retrospective Clinical Outcomes StudyRobert Hale0Robert Gatti1Gerald N. Glickman2Lynne A. Opperman3Department of Endodontics, Texas A&M Health Science Center, Baylor College of Dentistry, 3302 Gaston Avenue, Dallas, TX 75246, USADepartment of Endodontics, Texas A&M Health Science Center, Baylor College of Dentistry, 3302 Gaston Avenue, Dallas, TX 75246, USADepartment of Endodontics, Texas A&M Health Science Center, Baylor College of Dentistry, 3302 Gaston Avenue, Dallas, TX 75246, USADepartment of Biomedical Sciences, Texas A&M Health Science Center, Baylor College of Dentistry, 3302 Gaston Avenue, Dallas, TX 75246, USAThe purpose of this retrospective study was to compare the outcome of primary endodontic treatment using a standardized cleaning and shaping technique and obturation with either lateral compaction or carrier-based obturation. Patients received primary endodontic treatment in the predoctoral dental clinic using a standardized cleaning and shaping protocol. All root canals were obturated using AH PlusTM sealer with lateral compaction of gutta-percha (LC) or carrier-based obturation (CBO). A total of 205 cases met the inclusion criteria. 71 teeth in 60 patients were recalled after 2 years and evaluated both clinically and radiographically by two independent examiners. Success was defined as a lack of clinical symptoms and a normal periodontal ligament space or reduction in size of a previously existing periapical radiolucency. Chi-square and logistic regression were used for statistical analysis with a significance level of P<0.05. There was no difference in success rates between cases obturated with LC or CBO (P=0.802); overall success rate was 83%. Molars had a significantly lower success rate (53%) than premolar and anterior teeth (89%) (P=0.005), irrespective of the obturation technique used. When a standardized cleaning and shaping protocol was used by predoctoral dental students in a controlled university setting, there was no difference in success rates between cases obturated with LC or CBO.http://dx.doi.org/10.1155/2012/954675
spellingShingle Robert Hale
Robert Gatti
Gerald N. Glickman
Lynne A. Opperman
Comparative Analysis of Carrier-Based Obturation and Lateral Compaction: A Retrospective Clinical Outcomes Study
International Journal of Dentistry
title Comparative Analysis of Carrier-Based Obturation and Lateral Compaction: A Retrospective Clinical Outcomes Study
title_full Comparative Analysis of Carrier-Based Obturation and Lateral Compaction: A Retrospective Clinical Outcomes Study
title_fullStr Comparative Analysis of Carrier-Based Obturation and Lateral Compaction: A Retrospective Clinical Outcomes Study
title_full_unstemmed Comparative Analysis of Carrier-Based Obturation and Lateral Compaction: A Retrospective Clinical Outcomes Study
title_short Comparative Analysis of Carrier-Based Obturation and Lateral Compaction: A Retrospective Clinical Outcomes Study
title_sort comparative analysis of carrier based obturation and lateral compaction a retrospective clinical outcomes study
url http://dx.doi.org/10.1155/2012/954675
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AT robertgatti comparativeanalysisofcarrierbasedobturationandlateralcompactionaretrospectiveclinicaloutcomesstudy
AT geraldnglickman comparativeanalysisofcarrierbasedobturationandlateralcompactionaretrospectiveclinicaloutcomesstudy
AT lynneaopperman comparativeanalysisofcarrierbasedobturationandlateralcompactionaretrospectiveclinicaloutcomesstudy