Assessment of bone quality of apical periodontitis treated with MTA plug and regenerative endodontic techniques
AUSTRALIAN ENDODONTIC JOURNAL, cilt.48, sa.3, ss.444-450, 2022 (SCI-Expanded, Scopus)
- 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
- Karadeniz Teknik 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.