Incomplete healing (scar tissue) after periapical surgery—radiographic findings 8 to 12 years after treatment

Molven, Olav; Halse, Agnar; Grung, Bjarte

doi:10.1016/s0099-2399(06)80146-9

Cited by 148 publications

(116 citation statements)

References 9 publications

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“…The rationale for this definition of success is derived from Rud et al (38), who demonstrated that the radiographic criteria for categorizing a tooth as exhibiting incomplete healing correlate histologically with an apical scar. This is also consistent with Molven et al (50), who reported that patients exhibiting radiographic findings suggestive of healing by scar tissue 1 year postoperatively remain predictably stable during recalls up to 12 years and should therefore be considered successful.…”

Section: Discussionsupporting

confidence: 90%

Outcomes of Nonsurgical Retreatment and Endodontic Surgery: A Systematic Review

Torabinejad

Corr

Handysides

et al. 2009

Journal of Endodontics

362

210

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Introduction: The purpose of this systematic review was to compare the clinical and radiographic outcomes of nonsurgical retreatment with those of endodontic surgery to determine which modality offers more favorable outcomes. Methods: The study began with targeted electronic searches of MEDLINE, PubMed, and Cochrane databases, followed with exhaustive hand searching and citation mining for all articles reporting clinical and/or radiographic outcomes for at least a mean follow-up of 2 years for these procedures. Pooled and weighted success rates were determined from a meta-analysis of the data abstracted from the articles. Results: A significantly higher success rate was found for endodontic surgery at 2-4 years (77.8%) compared with nonsurgical retreatment for the same follow-up period (70.9%; P < .05). At 4-6 years, however, this relationship was reversed, with nonsurgical retreatment showing a higher success rate of 83.0% compared with 71.8% for endodontic surgery (P < .05). Insufficient numbers of articles were available to make comparisons after 6 years of follow-up period. Endodontic surgery studies showed a statistically significant decrease in success with each increasing follow-up interval (P < .05). The weighted success for 2-4 years was 77.8%, which declined at 4-6 years to 71.8% and further declined at 6+ years to 62.9% (P < .05). Conversely, the nonsurgical retreatment success rates demonstrated a statistically significant increase in weighted success from 2-4 years (70.9%) to 4-6 years (83.0%; P < .05). Conclusions: On the basis of these results it appears that endodontic surgery offers more favorable initial success, but nonsurgical retreatment offers a more favorable long-term outcome. (J Endod 2009;35:930-937)

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Section: Discussionsupporting

confidence: 90%

Outcomes of Nonsurgical Retreatment and Endodontic Surgery: A Systematic Review

Torabinejad

Corr

Handysides

et al. 2009

Journal of Endodontics

362

210

View full text Add to dashboard Cite

show abstract

“…This is consistent with Molven et al (19) who noted that patients who exhibit scar tissue, 1 yr postoperatively, can be considered successful. During a prolonged observation period, patients whose healing was incomplete after 1 yr, often completely healed or remained in the scar tissue group.…”

Section: Discussionsupporting

confidence: 90%

Retrospective Evaluation of Surgical Endodontic Treatment: Traditional versus Modern Technique

Tsesis¹,

Rosen²,

Schwartz‐Arad³

et al. 2006

Journal of Endodontics

177

130

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“…Radiographic criteria established by MOLVEN et al 12,13 were used for outcome assessment. At each scheduled clinical appointment, clinical evaluation was made, following the guidelines of GUT-MANN and HARRISON 8 .…”

Section: Patient Selection and Inclusion Criteriamentioning

confidence: 99%