Five-Year Longitudinal Assessment of the Prognosis of Apical Microsurgery

Three-year outcomes of apicectomy (apicoectomy): Mining an insurance database

“…A comparison with existing data is therefore difficult. The rates we found were within the wide range of those reported from clinical trials and systematic reviews (2,4,(11)(12)(13)(14)(15)(16)(17). However, we have to consider that we reported real survival rates.…”

“…In consequence, this leads to an underestimation of failure. On the other hand, some clinical trials exclude extracted teeth from their final success evaluations which is an underestimation of failure itself (4,18).…”

“…The comparison of study data for apicoectomy is limited due to different techniques, varying outcomes and study designs. Modern techniques were reported to deliver significantly increased and high success rates (3)(4)(5)(6)(7). In a clinical trial, an overall success rate of 88.0 % was found after 6 to 12 months (8).…”

Mineral Trioxide Aggregate and Evidence-Based Practice

“…Hence, the prognosis of AP after surgical endodontic treatment is related to a number of factors, including age [odds ratio (OR), 2.5; confi dence interval (CI), 1.01-6.00], preoperative root-fi lling length (OR, 3.4; CI, 1.34-8.76) and size of the surgical crypt (OR, 1.9; CI, 1.19-3.16) [ 19 ], as well as interproximal bone levels at the treated tooth (OR, 5.10; CI, 1.67-16.21), the type of root-end fi lling material used (OR, 7.65; CI, 2.60-25.27) [ 120 ] and the position of treated teeth (OR, 3.52; CI, 1.78-6.96) [ 103 ]. According to the results of these three prognostic studies, treatment outcome was superior in subjects older than 45 years, in anterior teeth, tooth with inadequate (versus adequate) root canal fi llings, surgical crypt smaller or equal to 1 cm, bone level from the cementoenamel junction more than 3 mm and root-end fi llings with ProRoot MTA.…”

“…A recent study reported that the 5-year prognosis of post-endodontic surgery to be 8 % poorer than the 1-year prognosis [ 120 ], showing that recall time can infl uence analysis of treatment outcomes. In addition, the similarity between the treatment outcomes in the intervention and control groups in three randomised controlled trials [ 31 , 60 , 104 ] reveals that 'expected power of study' was dissimilar to 'observed power' at the end of the trials.…”