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Journal of Long-Term Effects of Medical Implants
SJR: 0.332 SNIP: 0.491 CiteScore™: 0.89

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v15.i6.110
pages 699-707

Surgical Endodontic Retrograde Root-End Filling Materials

Paul B. Osborne
Assistant Professor of Restorative Dentistry, Department of Oral Health Practice, University of Kentucky College of Dentistry, Lexington, Kentucky, USA
Pamela S. Stein
Assistant Professor of Anatomy and Neurobiology and Restorative Dentistry, Department of Oral Health Practice, University of Kentucky College of Dentistry, Lexington, Kentucky, USA
James E. Haubenreich
Assistant Professor of Restorative Dentistry, Department of Oral Health Practice, University of Kentucky, College of Dentistry, Lexington, Kentucky, USA
Kenneth B. Chance
Professor of Endodontics, Department of Oral Health Practice, University of Kentucky, College of Dentistry, Lexington, Kentucky, USA

ABSTRACT

The treatment of diseased and necrotic pulpal tissue in teeth spans has been well known throughout history. Root canal treatment in the twentieth century has included complete removal of pulpal remnants to remove the failing tissue and then obturating the canal space with biocompatible material. This treatment preserves individual teeth to further function as part of a whole dentition for the patient's well-being. Failed root canal treatment, however, sometimes requires surgical intervention to treat the teeth from the root end. This article reviews the materials placed in intimate contact with tissues in this surgical procedure. The implications of these various materials within the tissues are discussed, along with clinical signs and symptoms a healthcare provider might encounter when examining these patients. There is no clear-cut "best" material for root-end surgical obturation at this time. Therefore, major materials that might be used are included in this discussion.