Apical surgery failures: Extraction or re-surgery? Report of five cases

Torul, Damla; Kurt, Sevda; Kamberoglu, Kamber

doi:10.15171/joddd.2018.018

Cited by 5 publications

(4 citation statements)

References 23 publications

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“…Teeth fracture resistances (von Mises stress) are not significantly reduced until over 6 mm of root-end resections [ 33 ]. Thus, re-surgery can be an effective treatment options for prior inadequate root-end resections and fillings [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

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: 99%

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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“…Apicectomy is considered as the last resort to preserve natural teeth after the failure of endodontic treatment. The main goal of endodontic microsurgery is to create a tight seal in the root apex and thereby to prevent the occurrence of a pathway between the root canal system and peri-radicular tissues [7]. Regarding the follow-up period, surgical retreatment cases are prone to heal faster than nonsurgical ones [8].…”

Section: Discussionmentioning

confidence: 99%

Apicectomy of Upper Lateral Incisor with Symptomatic Persistent Cystic Lesion Previously Treated with Nonsurgical Retreatment

Vázquez¹

2022

Open Access J Dent Oral Surg

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Endodontic failure caused by transportation, drilling, overfilling and failure to repair an injury apical sometimes lead to surgical therapy. With periapical surgery consisting of exposure of the apex, root resection and preparation of a cavity that is hermetically sealed, we will correct the persistent defects. The combination of this surgical technique with retrograde obturation provides high success rates. There are several widely used retrofilling materials, such as: IRM, Retroplast, SuperEBA or mineral trioxide aggregate (MTA) whick allow a retrograde sealing of the preparations. A case of a patient with recurrent apical lesion, describes the surgical technique of apicectomy and retrograde filling to preserve an upper lateral incisor with failed root canal retreatment and symptomatic persistent apical lesion.

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“…However, periapical endodontic lesions remain in some cases and additional treatment should be considered when periodontitis apical persists [18] . Apical surgery or apicoectomy has been considered one of the last attempts to save teeth that cannot be treated with a conventional endodontic approach [19] . Apicoectomy involves surgical treatment of a tooth with a periapical lesion that cannot be resolved by routine endodontic treatment [20] .…”

Section: Apicoectomymentioning

confidence: 99%

“…The goal of apical surgery is to obtain tissue regeneration, creating a barrier between the root canal system and the periradicular tissues. This goal should be achieved by resection of the root end, preparation of the root end cavity, and a bacterial tight closure of the root canal system at the end of the cut root with a retrograde filling, complete debridement of the periapical pathology by curettage to eliminate any source of infection [19,21] . Factors associated with a better chance of success with apicoectomy include patients under 45 years of age, upper anterior or premolar teeth, cases without preoperative pain, lesions without periodontal compromise, absence of perforating lesions, and teeth with only one periapical surgery.…”

Section: Apicoectomymentioning

confidence: 99%

Alternative treatments to endodontic failure at different stages

Cedillo¹,

Cepeda²,

Rangel³

et al. 2020

Int. J. Appl. Dent. Sci.

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Introduction:The main objectives of root canal treatment are to provide comfort, function, aesthetics and long-term prevention of re-infection. Endodontic treatment has success rates of between 86% and 98%. Treatment options after initial unsuccessful treatment include non-surgical retreatment, endodontic surgery, dental autotransplantation, intentional reimplantation and extraction. Objective: To review the literature on possible treatments to be performed following conventional endodontic treatment. Methodology: Information was searched in PubMed, SCOPUS and Google Scholar. Key words were used to search for information such as: "non-surgical retreatment", "apical surgery", "apicectomy", "autotransplantation", "intentional reimplantation". Results: Endodontic retreatment is a non-surgical procedure that involves the removal of previous filling materials, followed by cleaning, shaping and filling the canals. Apicoectomy involves surgical treatment of a tooth with a periapical lesion that cannot be resolved by routine endodontic treatment. Autotransplantation is the repositioning of an autogenous tooth at another site to replace teeth. Intentional replantation involves purposefully removing a compromised tooth and replanting the tooth in its socket. Conclusion:The first choice when dental treatment fails is non-surgical retreatment, which will allow the previously treated canal to be cleaned and better results to be obtained. Intentional reimplantation, although not the most appropriate treatment, has been shown to be successful and is considered one of the last treatment options.

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Apical surgery failures: Extraction or re-surgery? Report of five cases

Cited by 5 publications

References 23 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

Apicectomy of Upper Lateral Incisor with Symptomatic Persistent Cystic Lesion Previously Treated with Nonsurgical Retreatment

Alternative treatments to endodontic failure at different stages

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