Extruded Sealer Outcomes in Endodontically Treated Teeth
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13m
This research article examines the outcomes and factors influencing success in root canal treatments where sealer material unintentionally extends beyond the tooth's apex. The study analyzed a large dataset of endodontically treated teeth, finding that a high success rate is generally maintained even with this extrusion. Notably, the size of a pre-existing periapical lesion was identified as a significant predictor of treatment success, with larger lesions associated with lower healing rates. The type of extruded sealer did not appear to impact the treatment outcome, although calcium silicate-based sealers showed a higher rate of dissolution over time compared to epoxy resin-based sealers.
1.Bamrungwong, J., Ratisoontorn, C., Hiran-Us, S. & Sinsareekul, C. Outcomes and Prognostic Factors of Endodontically Treated Teeth with Unintentional Root Canal Sealer Extrusion: A Retrospective Cohort Study. J. Dent. 105804 (2025) doi:10.1016/j.jdent.2025.105804.
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