Prospective clinical study evaluating endodontic microsurgery outcomes for cases with lesions of endodontic origin compared with cases with lesions of combined periodontal-endodontic origin.
The aim of this study was to evaluate the outcomes of endodontic microsurgery by comparing the healing success of cases having a lesion of endodontic origin compared with cases having a lesion of combined endodontic-periodontal origin. Data were collected from patients in the Department of Conservative Dentistry, Dental College, Yonsei University, Seoul, Korea between March 2001 and June 2005. A total number of 263 teeth from 227 patients requiring periradicular surgery were included in this study. Patients were recalled every 6 months for 2 years and every year thereafter to assess clinical and radiographic signs of healing. A recall rate of 73% (192 of 263 patients) was obtained. The successful outcome for isolated endodontic lesions was 95.2%. In endodontic-periodontal combined lesions, successful outcome was 77.5%, suggesting that lesion type (ABC vs DEF) had a strong effect on tissue and bone healing.
Kim
Euiseong
E
Department of Conservative Dentistry, Department of Oral Biology and Oral Science Research Center, College of Dentistry, Yonsei University, Seoul, South Korea.
Song
Jin-Seon
JS
Jung
Il-Young
IY
Lee
Seung-Jong
SJ
Kim
Syngcuk
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D016301:Alveolar Bone Loss / Q000601:surgery; D001047:Apicoectomy / Q000379:methods*; D002648:Child; D003751:Dental Fistula / Q000601:surgery; D003788:Dental Pulp Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D010485:Periapical Periodontitis / Q000601:surgery*; D011446:Prospective Studies; D012184:Retrograde Obturation / Q000379:methods*; D016896:Treatment Outcome; D014465:Ultrasonics