[One year evaluation of endodontic microsurgery in 54 cases with persistent apical periodontitis].
Jing Shen, Haifeng Zhang, Shufeng Jin, Ningning Li, Jianrong Fan
Abstract
Jing Shen, Haifeng Zhang, Shufeng Jin, Ningning Li, Jianrong Fan
Abstract
OBJECTIVE: To evaluate the outcome of endodontic microsurgery in 54 cases with persistent apical periodontitis. METHODS: All surgical procedures were performed under a dental operating microscope after root canal treatment. Surgical procedures included periapical curettage, root-end resection, retropreparation with ultrasonic microtips, and root-end filling with mineral trioxide aggregate (MTA). Healing was monitored clinically and radiographically. RESULTS: One year later, 31 (57.41%) cases were cured, 19 (35.19%) cases were improved, 4 (7.41%) cases were failure. There were no statistical difference between sex, age, tooth location, size of the lesion and pathological features (P>0.05). CONCLUSION: The outcome of the present study indicates that endodontic microsurgery may result in a predictable treatment outcome in teeth with persistent periradicular lesions.
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OBJECTIVE: To evaluate the outcome of endodontic microsurgery in 54 cases with persistent apical periodontitis. METHODS: All surgical procedures were performed under a dental operating microscope after root canal treatment. Surgical procedures included periapical curettage, root-end resection, retropreparation with ultrasonic microtips, and root-end filling with mineral trioxide aggregate (MTA). Healing was monitored clinically and radiographically. RESULTS: One year later, 31 (57.41%) cases were cured, 19 (35.19%) cases were improved, 4 (7.41%) cases were failure. There were no statistical difference between sex, age, tooth location, size of the lesion and pathological features (P>0.05). CONCLUSION: The outcome of the present study indicates that endodontic microsurgery may result in a predictable treatment outcome in teeth with persistent periradicular lesions.
Key concepts: Microsurgery, Medicine, Mineral trioxide aggregate, Dentistry, Periodontitis, Curettage, Root canal, Operating microscope