Success rate 1 year after apical surgery: a retrospective analysis

Sutter, Eveline; Valdec, Silvio; Bichsel, Dominique; Wiedemeier, Daniel B.; Rücker, Martin; Stadlinger, Bernd

doi:10.1007/s10006-019-00815-9

Cited by 9 publications

(17 citation statements)

References 16 publications

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“…Differences between anteriors and molars were significant (OR = 5.405), whereas differences between anteriors and premolars were not. Similarly, previous studies showed higher anterior success [ 9 , 18 , 21 , 22 ], attributed to ease of surgical access and less complex root canal anatomy than molars [ 12 ].…”

Section: Discussionmentioning

confidence: 58%

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Prognostic Factors of Long-Term Outcomes in Endodontic Microsurgery: A Retrospective Cohort Study over Five Years

Yoo

Kim

Perinpanayagam

et al. 2020

JCM

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The aim of this study was to analyze the long-term outcomes of endodontic microsurgeries in a cohort and identify their association with prognostic factors. A cohort of endodontic microsurgeries followed up periodically with complete clinical and radiographic records for at least 5 years were reviewed retrospectively. Their survival and healing status and profile characteristics were analyzed by Pearson chi-square test and logistic regression (α = 0.05) to identify prognostic factors that influenced outcomes. Of 652 cases in the cohort, 225 (34.5%) were included. The mean follow-up period was 90.4 months (range, 60–168 months). The long-term success rate was 80.5%, and the 5-year survival rate was 83.5%. Logistic regression showed higher success in anteriors compared to molars (OR = 5.405, (95% CI, 1.663–17.571; p = 0.005)) and in teeth with crown restorations (OR = 10.232, (95% CI, 3.374–31.024; p < 0.001)). Conversely, lower success was found in teeth with periodontal disease (OR = 0.170, (95% CI, 0.032–0.900; p = 0.037)) and maxillary sinus involvement (OR = 0.187, (95% CI, 0.035–0.994; p = 0.049)). Endodontic microsurgery has a highly favorable long-term outcome. Tooth position, crown restoration, periodontal disease, and maxillary sinus involvement were identified as main prognostic factors.

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Section: Discussionmentioning

confidence: 58%

“…Pre-existing pain and pain on percussion, palpation, or biting were insignificant threats to success, as reported by others [ 21 , 22 ]. However, preoperative mobility diminished success, which was probably due to associated periodontal disease.…”

Section: Discussionmentioning

confidence: 64%

Prognostic Factors of Long-Term Outcomes in Endodontic Microsurgery: A Retrospective Cohort Study over Five Years

Yoo

Kim

Perinpanayagam

et al. 2020

JCM

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“…A cirurgia parendodôntica é uma opção de tratamento após o insucesso no tratamento convencional e/ou no retratamento ou quando algum destes não puderam ser realizados (Kohli, 2018;Sutter, 2020). Sendo assim, foi a opção de tratamento proposta a este caso visto que após tentativas frustradas de remoção do material obturador extravasado pelo acesso coronal persistia a sintomatologia dolorosa no elemento 11 relatada pela paciente.…”

Section: Discussionunclassified

“…A não associação da apicectomia à cirurgia parendodôntica seria negligenciar possíveis agentes causadores das lesões (Cunha, 2003). O objetivo da cirurgia apical é a remoção dos canais delta apical infectado junto a tecido patológico circundante e material obturador extravasado, quando presente, para garantir uma vedação hermética entre o canal radicular e o periodonto (Sutter et al, 2020).…”

Section: Discussionunclassified

Cirurgia parendodontica associada a terapia fotodinâmica: relato de caso com acompanhamento de 4 anos

Laranjeira

Silva

Vieira

et al. 2021

RSD

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A cirurgia parendodôntica constitui um conjunto de procedimentos que têm como objetivo reparar complicações que não puderam ser solucionados através da endodontia convencional, ou quando essa não é passível de execução. Este estudo teve como objetivo descrever o caso clínico de uma cirurgia parendodôntica associada a terapia fotodinâmica no elemento dental 11. O caso foi conduzido realizando o acesso ao sistema de canais radiculares de forma retrograda. Foram realizadas: antissepsia intra/ extra bucal, anestesia infiltrativa, retalho para acesso, confecção da loja óssea, apicectomia, retroinstrumentação, terapia fotodinâmica, retrobturação, preenchimento da loja óssea, reposicionamento do retalho e sutura com acompanhamento tomográfico de feixe cônico de 4 anos. Concluímos que, a associação do ato cirúrgico com a aplicação de laser de baixa potência através da terapia fotodinâmica potencializou a desinfecção e a eliminação de bactérias persistentes ao fracasso do tratamento endodôntico anterior, propiciando benefícios adicionais ao paciente quando comparado à técnicas cirúrgicas convencionais.

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“…Sutter et al in a very recent study (March 2020) reported that at the 1-year follow-up, 91.4% of the 81 teeth included in this retrospective study exhibited successful clinical and radiographic healing. They concluded that the type of tooth was significantly associated with the success of the surgery, but not other variables such as radiological severity of periapical inflammation, lesion histopathology, administration of antibiotics, smoker status, the quality of the root canal treatment, and preoperative pain and clinical signs of inflammation [ 9 ]. Alghamdi et al in their review found that in previous works authors stressed that the healing of periapical lesions after endodontic surgery is faster than other surgery treatment, although it is very difficult to make a comparison with different works in the literature which report different follow-up times [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

B.P.F.C.® Bio-Plasma® with Pure Growth Factors (BioPlasma®) Used for the Treatment of a Persistent Great Periapical Lesion of an Endodontically Treated Tooth: A New Therapeutic Option

Viganò

Disconzi

Bertini

et al. 2020

Case Reports in Dentistry

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The aim of this case report was to evaluate the efficacy of a new platelet-rich plasma preparation and its regenerative capacity of bone periapical tissue for the treatment of a very compromised endodontic treated tooth, with a periapical lesion of 1.5 cm in diameter, using a pure platelet concentrate. This is made without the use of anticoagulant or any type of activator, e.g., bovine thrombin, calcium chloride. For this reason, it has been called “Pure”; it is the B.P.F.C.® Bio-Plasma® with Pure Growth Factors (BioPlasma®) designed and developed by Dr. Raffaello Viganò. The patient has read and signed a written consent form. The study protocol was approved by the Ethics Committee for Human Studies, University of Varese. X-ray at 2 and 6 months and 4 years after endodontic surgery demonstrated the success of the treatment.

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Success rate 1 year after apical surgery: a retrospective analysis

Cited by 9 publications

References 16 publications

Prognostic Factors of Long-Term Outcomes in Endodontic Microsurgery: A Retrospective Cohort Study over Five Years

Prognostic Factors of Long-Term Outcomes in Endodontic Microsurgery: A Retrospective Cohort Study over Five Years

Cirurgia parendodontica associada a terapia fotodinâmica: relato de caso com acompanhamento de 4 anos

B.P.F.C.® Bio-Plasma® with Pure Growth Factors (BioPlasma®) Used for the Treatment of a Persistent Great Periapical Lesion of an Endodontically Treated Tooth: A New Therapeutic Option

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