Two-Year Healing Success Rates after Endodontic Treatment Using 3D Cleaning Technique: A Prospective Multicenter Clinical Study
Background: Various irrigation techniques for cleansing the endodontic space have been proposed, and internal heating combined with ultrasonic activation (3D cleaning technique) is considered an effective technique. This prospective multicenter clinical study aims to evaluate healing rates for teeth...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/20/6213 |
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| author | Giuseppe Pantaleo Alessandra Amato Alfredo Iandolo Dina Abdellatif Federica Di Spirito Mario Caggiano Massimo Pisano Andrea Blasi Roberto Fornara Massimo Amato |
| author_facet | Giuseppe Pantaleo Alessandra Amato Alfredo Iandolo Dina Abdellatif Federica Di Spirito Mario Caggiano Massimo Pisano Andrea Blasi Roberto Fornara Massimo Amato |
| author_sort | Giuseppe Pantaleo |
| collection | DOAJ |
| description | Background: Various irrigation techniques for cleansing the endodontic space have been proposed, and internal heating combined with ultrasonic activation (3D cleaning technique) is considered an effective technique. This prospective multicenter clinical study aims to evaluate healing rates for teeth after root canal treatment utilizing the 3D cleaning technique and to report predictive values for success. Material and Methods: Ninety patients referred for a root canal treatment were included. All enrolled patients were treated with the 3D cleaning protocol. Four endodontists performed the clinical procedures and follow-up evaluations. Preoperative, postoperative and follow-up data were gathered from the consented patients. Each patient was assessed for any clinical signs or symptoms. Afterwards, two trained, blinded, and independent evaluators scored the subject’s periapical radiographs. This score was made by checking for the presence or absence of apical periodontitis using the periapical index (PAI). Then, the teeth were classified as healing or healed and were considered a success based on a cumulative success rate of healing. Statistical analysis was performed using the Fisher’s exact test, Pearson correlation, and logistic regression analyses of the preoperative prognostic factors at a 0.05 significance level. Results: 90 patients were evaluated at two years with a follow-up rate of 97.7%. The cumulative success rate of healing was 95.4%. Eight predicting aspects were identified by employing bivariate analyses. Then, using logistic analyses, the two prognostic significant variables directly correlated to healing were the preoperative presence of periapical index (<i>p</i> value = 0.016). Conclusions: In this two-year clinical study, the cumulative success rate of healing was 95.4% when patients were treated with the 3D cleaning protocol. |
| first_indexed | 2024-03-09T12:13:24Z |
| format | Article |
| id | doaj.art-f24922aad6424dd08e7ead79b9b6ef7d |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T12:13:24Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-f24922aad6424dd08e7ead79b9b6ef7d2023-11-30T22:49:41ZengMDPI AGJournal of Clinical Medicine2077-03832022-10-011120621310.3390/jcm11206213Two-Year Healing Success Rates after Endodontic Treatment Using 3D Cleaning Technique: A Prospective Multicenter Clinical StudyGiuseppe Pantaleo0Alessandra Amato1Alfredo Iandolo2Dina Abdellatif3Federica Di Spirito4Mario Caggiano5Massimo Pisano6Andrea Blasi7Roberto Fornara8Massimo Amato9Department of Medicine and Surgery, University of Salerno, 84081 Salerno, ItalyDepartment of Medicine and Surgery, University of Salerno, 84081 Salerno, ItalyDepartment of Medicine and Surgery, University of Salerno, 84081 Salerno, ItalyDepartment of Endodontics, Faculty of Dentistry, University of Alexandria, Alexandria 21531, EgyptDepartment of Medicine and Surgery, University of Salerno, 84081 Salerno, ItalyDepartment of Medicine and Surgery, University of Salerno, 84081 Salerno, ItalyDepartment of Medicine and Surgery, University of Salerno, 84081 Salerno, ItalyDepartment of Periodontics, Faculty of Dentistry, University of Naples, Federico II, 80138 Napoli, ItalyIndependent Researcher, 20010 Milan, ItalyDepartment of Medicine and Surgery, University of Salerno, 84081 Salerno, ItalyBackground: Various irrigation techniques for cleansing the endodontic space have been proposed, and internal heating combined with ultrasonic activation (3D cleaning technique) is considered an effective technique. This prospective multicenter clinical study aims to evaluate healing rates for teeth after root canal treatment utilizing the 3D cleaning technique and to report predictive values for success. Material and Methods: Ninety patients referred for a root canal treatment were included. All enrolled patients were treated with the 3D cleaning protocol. Four endodontists performed the clinical procedures and follow-up evaluations. Preoperative, postoperative and follow-up data were gathered from the consented patients. Each patient was assessed for any clinical signs or symptoms. Afterwards, two trained, blinded, and independent evaluators scored the subject’s periapical radiographs. This score was made by checking for the presence or absence of apical periodontitis using the periapical index (PAI). Then, the teeth were classified as healing or healed and were considered a success based on a cumulative success rate of healing. Statistical analysis was performed using the Fisher’s exact test, Pearson correlation, and logistic regression analyses of the preoperative prognostic factors at a 0.05 significance level. Results: 90 patients were evaluated at two years with a follow-up rate of 97.7%. The cumulative success rate of healing was 95.4%. Eight predicting aspects were identified by employing bivariate analyses. Then, using logistic analyses, the two prognostic significant variables directly correlated to healing were the preoperative presence of periapical index (<i>p</i> value = 0.016). Conclusions: In this two-year clinical study, the cumulative success rate of healing was 95.4% when patients were treated with the 3D cleaning protocol.https://www.mdpi.com/2077-0383/11/20/62133D cleaningNaOClultrasonicinternal heatinghealing rateroot canal treatment |
| spellingShingle | Giuseppe Pantaleo Alessandra Amato Alfredo Iandolo Dina Abdellatif Federica Di Spirito Mario Caggiano Massimo Pisano Andrea Blasi Roberto Fornara Massimo Amato Two-Year Healing Success Rates after Endodontic Treatment Using 3D Cleaning Technique: A Prospective Multicenter Clinical Study Journal of Clinical Medicine 3D cleaning NaOCl ultrasonic internal heating healing rate root canal treatment |
| title | Two-Year Healing Success Rates after Endodontic Treatment Using 3D Cleaning Technique: A Prospective Multicenter Clinical Study |
| title_full | Two-Year Healing Success Rates after Endodontic Treatment Using 3D Cleaning Technique: A Prospective Multicenter Clinical Study |
| title_fullStr | Two-Year Healing Success Rates after Endodontic Treatment Using 3D Cleaning Technique: A Prospective Multicenter Clinical Study |
| title_full_unstemmed | Two-Year Healing Success Rates after Endodontic Treatment Using 3D Cleaning Technique: A Prospective Multicenter Clinical Study |
| title_short | Two-Year Healing Success Rates after Endodontic Treatment Using 3D Cleaning Technique: A Prospective Multicenter Clinical Study |
| title_sort | two year healing success rates after endodontic treatment using 3d cleaning technique a prospective multicenter clinical study |
| topic | 3D cleaning NaOCl ultrasonic internal heating healing rate root canal treatment |
| url | https://www.mdpi.com/2077-0383/11/20/6213 |
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