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- Title
Clinical outcome in periradicular surgery: Effect of patient- and tooth-related factors--A multicenter study.
- Authors
Kreisler, Matthias; Gockel, Ricarda; Aubell-Falkenberg, Silvia; Kreisler, Thomas; Weihe, Christoph; Filippi, Andreas; Kühl, Sebastian; Schütz, Silvio; d¿Hoedt, Bernd
- Abstract
Objective: To evaluate the effect of patient- and tooth-related factors on the outcome of apical surgery in a multicenter study. Method and Materials: A total of 281 teeth in 255 patients undergoing periradicular surgery were investigated clinically and radiographically 6 to 12 months postoperatively. Results: The overall success rate was 88.0%. Sex was a significant (P = .024) predictor, with a success rate of 89.8% in females and 84.0% in males. The success rate was significantly higher in patients 31 to 40 years of age. The treatment of premolars resulted in a significantly higher success rate (91.9%) than the treatment of anterior teeth (86.1%, P = .042) and molars (86.4 %, P = .026). The loss of the buccal bone plate and the extension of apical osteolysis to the furcation area in molars resulted in a considerably lower success rate. Lesion size, preoperative pain, tenderness to percussion, fistula, and resurgery were significant factors.Conclusion: There are several factors influencing the success rate of apical surgery that must be taken into account when considering apical surgery as a treatment alternative.
- Publication
Quintessence International, 2013, Vol 44, Issue 1, p53
- ISSN
0033-6572
- Publication type
Journal Article
- DOI
10.3290/j.qi.a28742