title: Influence of hemostatic agents upon the outcome of periapical surgery: dressings with anesthetic and vasoconstrictor or aluminum chloride.
abstract: OBJECTIVE
  To evaluate the effects of different hemostatic agents upon the outcome of periapical surgery.
  
  
  METHODS
  A retrospective study was made of patients subjected to periapical surgery between 2006-2009 with the ultrasound technique and using MTA as retrograde filler material. We included patients with a minimum follow-up of 12 months, divided into two groups according to the hemostatic agent used: A) dressings impregnated in anesthetic solution with adrenalin; or B) aluminum chloride paste (Expasyl). Radiological controls were made after 6 and 12 months, and on the last visit. The global evolution scale proposed by von Arx and Kurt (1999) was used to establish the outcome of periapical surgery.
  
  
  RESULTS
  A total of 96 patients (42 males and 54 females) with a mean age of 40.7 years were included. There were 50 patients in the aluminum chloride group and 46 patients in the anesthetic solution with vasoconstrictor group. No significant differences were observed between the two groups in terms of outcome after 12 months - the success rate being 58.6% and 61.7% in the anesthetic solution with vasoconstrictor and aluminum chloride groups, respectively (p > 0.05).
  
  
  CONCLUSIONS
  The outcome after 12 months of follow-up was better in the aluminum chloride group than in the anesthetic solution with vasoconstrictor group, though the difference was not significant.
authors.affiliation: Oral Surgery, Valencia University Medical and Dental School, Valencia, Spain.
authors.forename: María
authors.initials: M
authors.lastname: Peñarrocha-Diago
authors.forename: Laura
authors.initials: L
authors.lastname: Maestre-Ferrín
authors.forename: David
authors.initials: D
authors.lastname: Peñarrocha-Oltra
authors.forename: Thomas
authors.initials: T
authors.lastname: von Arx
authors.forename: Miguel
authors.initials: M
authors.lastname: Peñarrocha-Diago
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000077410:Aluminum Chloride; D017607:Aluminum Compounds / Q000627:therapeutic use*; D000779:Anesthetics, Local / Q000627:therapeutic use*; D001047:Apicoectomy; D001252:Astringents / Q000627:therapeutic use*; D001458:Bandages; D002648:Child; D002712:Chlorides / Q000627:therapeutic use*; D005260:Female; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014662:Vasoconstrictor Agents / Q000627:therapeutic use*; D055815:Young Adult
chemical_list: D017607:Aluminum Compounds; D000779:Anesthetics, Local; D001252:Astringents; D002712:Chlorides; D006490:Hemostatics; D014662:Vasoconstrictor Agents; D000077410:Aluminum Chloride