Assessing Periapical Bone Healing via Fractal Analysis: Calcium Hydroxide vs. Tricalcium Silicate Sealers in Single-Visit Root Canal Treatment

Özgün Gülderen; Esma Sarıçam

doi:10.24938/kutfd.1795839

August 12, 2026Kırıkkale Üniversitesi Tıp Fakültesi Dergisi

Assessing Periapical Bone Healing via Fractal Analysis: Calcium Hydroxide vs. Tricalcium Silicate Sealers in Single-Visit Root Canal Treatment

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Key Points

To compare the efficacy of calcium hydroxide-based (Sealapex) and tricalcium silicate-based (AH Plus Bioceramic) sealers in promoting periapical bone healing following single-visit root canal treatment.
Retrospectively analyzed periapical radiographs of 14 mandibular molars (28 roots total) with periapical lesions split equally between Sealapex and AH Plus Bioceramic groups.
Measured fractal dimension (FD) values of trabecular bone structure immediately post-treatment and at 3-6-month follow-up using the box-counting method in ImageJ.
Performed statistical comparisons using dependent and independent t-tests.
Evaluated shifts in trabecular bone architecture and fractal dimension (FD) values between baseline and 3-6-month follow-up.
Assessed comparative differences in periapical bone healing between the calcium hydroxide-based sealer and the tricalcium silicate-based sealer.

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Implication

Retrospective study evaluates periapical bone healing via fractal analysis after single-visit root canal treatment, comparing calcium hydroxide and tricalcium silicate sealers.

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Gülderen et al. (2026) studied this question.

synapsesocial.com/papers/6a7ec78db70b84ec8b913f07 https://doi.org/10.24938/kutfd.1795839

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Assessing Periapical Bone Healing via Fractal Analysis: Calcium Hydroxide vs. Tricalcium Silicate Sealers in Single-Visit Root Canal Treatment

Key Points

No abstract yet

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Implication

Discussion

Cite This Study

Assessing Periapical Bone Healing via Fractal Analysis: Calcium Hydroxide vs. Tricalcium Silicate Sealers in Single-Visit Root Canal Treatment

Key Points

No abstract yet

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Implication

Discussion

Cite This Study

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