Clinical Outcome of Teeth Treated Endodontically with a Nonstandardized Protocol and Root Filled with Resilon

Abstract 

The purpose of this study was to evaluate the clinical outcomes of root canal treatment in private practice and filled with Resilon. Immediate postoperative radiographs were compared to follow-up radiographs of at least 1 year in 82 randomly selected primary endodontic cases treated according to a nonstandardized protocol but root-filled with Resilon. The Periapical Index (PAI) and the Clinical Impression of Healing (CIH) quantification procedures were used to determine the status and change in the condition of the teeth. The PAI evaluation revealed that 90% of the teeth that were healthy at the initial reading (PAI, 1or 2) maintained the condition at follow-up evaluation. Of those teeth that were unhealthy (PAI, 3–5) at the initial reading, 73.3% were judged healthy (50%) or improved (23.3) at the last evaluation. In contrast, the proportion of healthy or healing with the CIH evaluation was 89.4%. The findings of this study support the contention that regardless of treatment protocol, healing rates for Resilon-filled teeth in private practice were within the range of success rates for studies with uniform treatment techniques mostly in university settings with gutta-percha root filling.

Key Words: Endodontic infections, outcomes analysis, periradicular lesions, Resilon