Endoscopic endodontic microsurgery: 2-year evaluation of healing and functionality

Abstract

This prospective clinical study aimed to evaluate the benefi ts of the endoscope as an aid to root-end management, and to assess the treatment outcome during 2 years following surgery. Forty-three endodontic surgical procedures in 30 patients were performed with the aid of an endoscope and followed for a period of 2 years. Radiographic criteria and clinical evaluation were used to assess the outcome. All cases were evaluated in terms of healing and functionality. 91.1% and 90.7% of the teeth evaluated after 1 and 2 years, respectively, were classifi ed as successful. We found no statistically signifi cant differences for both healing and functionality between the 1-and 2-year evaluations. No difference related to tooth type or tooth location was found at the 2-year follow-up. Fisher's exact test was used to statistically assess the difference between successful and unsuccessful cases for each of the variables considered. The endoscope can be an aid for endodontic surgical procedures in terms of both periapical healing and functionality up to 2 years follow-up.

Outcomes of Surgical Endodontic Treatment Performed by a Modern Technique: An Updated Meta-analysis of the Literature

“…2), 11 studies were considered to have a low risk of bias, of which 5 were RCTs (9, 19-22), 2 CCTs (23, 24), and 4 PCSs (10,11,25,26). Seven studies were considered to have a high risk of bias, of which 4 were RCTs (6,8,27,28) and 3 PCSs (5,7,13).…”

The use of optical magnifying devices in periradicular microsurgery

“…In using the microscope, when increasing the magnitude, any movement of either the microscope or the patient will cause the surgical fi eld to drift out of focus. This is one drawback of the microscope when used as an aid in enhancing the visualization of surgical fi eld (18). The operator can examine the morphological aspects of the roots from almost any angle in a very short time.…”

Surgical endodontics: past, present, and future

“…The use of the microscope and endoscopy has enhanced the delivery of surgical procedures (13,124,125) and has significantly impacted the probability of success (126)(127)(128)(129)(130).…”