Influence of incision on periodontal parameters after apical surgery: a meta-analysis

Castro-Calderón, Adriana; Toledano‐Serrabona, Jorge; Sánchez‐Torres, Alba; Camps‐Font, Octavi; Sánchez-Garcés, María Ángeles; Gay‐Escoda, Cosme

doi:10.1007/s00784-020-03761-z

Cited by 4 publications

(3 citation statements)

References 38 publications

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“…Cirurgias associadas ao desenvolvimento de materiais retrobturadores mais recentes, tem possibilitado uma taxa de sucesso superior a 90% (NOGA, 2013). Calderón et al (2021) demonstraram que a incisão intra-sulcular é considerada a abordagem tradicional para os casos de apicectomia, com a incisão horizontal na linha do sulco e com duas relaxantes. Apesar de proporcionar uma excelente visibilidade do campo, tem como principal desvantagem a possibilidade de retração gengival e reabsorção óssea, pois esse tipo de retalho envolve toda a papila dentária e tecido gengival.…”

Section: Materiais E Instrumentais Empregadosunclassified

Odontologia: uma visão contemporânea - Volume 15

Freitas,

Gondim,

Cantanhede

et al. 2024

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Este e-book apresenta uma coletânea de estudos que visam aprofundar os conhecimentos na área de Odontologia nas suas mais diversas especialidades: Cirurgia Oral, Endodontia, Dentística, Odontopediatria, Ortodontia, Odontologia Legal, Prótese Dentária, Estomatopatologia Oral, Periodontia, Odontologia Hospitalar e Saúde Coletiva. Os conteúdos abordados focam em uma Odontologia baseada em evidências científicas e que proporcionam uma reflexão da teoria e da prática clínica atual.

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Section: Materiais E Instrumentais Empregadosunclassified

Odontologia: uma visão contemporânea - Volume 15

Freitas,

Gondim,

Cantanhede

et al. 2024

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“…Gingival and periodontal tissue healing is assessed by measuring changes in parameters such as gingival margin level, periodontal probing depths, clinical attachment loss, width of keratinised tissue, width of attached gingivae and crestal bone level (Albanyan et al, 2020;Castro-Calderon et al, 2021;Kreisler et al, 2009;Taschieri et al, 2014Taschieri et al, , 2016Velvart et al, 2004;von Arx et al, 2017;von Arx, Jensen, & Hänni, 2007). All of these parameters mostly remain stable after modern root-end surgery (Albanyan et al, 2020;von Arx et al, 2017), and therefore, no significant associations with sex, age, gingival biotype or incision technique have been found, except between gingival recession and age (von Arx et al, 2017).…”

Section: Factors Influencing Gingival and Periodontal Tissue Healingmentioning

confidence: 99%

“…Amongst the different soft tissue incision techniques (intrasulcular incision with or without involvement of interproximal papilla, submarginal, papilla base), all studies reported negligible marginal recession when adopting a flap design avoiding the interproximal papilla (Castro-Calderon et al, 2021;Kreisler et al, 2009;Velvart, 2002;Velvart et al, 2003Velvart et al, , 2004. However, successful execution of the papilla-base incision requires careful planning and high technical precision, leading Kirkevant et al (2018) to recommend that novices avoid it.…”

Section: Factors Influencing Gingival and Periodontal Tissue Healingmentioning

confidence: 99%

Factors that influence the outcomes of surgical endodontic treatment

Gulabivala

2023

Int Endodontic J

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Surgical endodontic treatment encompasses a broad spectrum of procedures, amongst which root-end cavity preparation and filling, retrograde root canal treatment and through-and-through endodontic surgery, may be classified under the umbrella term 'Root-end surgery'. This narrative review considers the available data on periapical healing, soft tissue healing, tooth survival and oral health-related quality of life (OHRQoL), following root-end surgery and the factors that affect its outcomes.The pooled periapical healed rate for the studies published up to 2021 was 69% (95% CI: 65%, 73%) but increased to 76% (95% CI: 66%, 86%) when only data from the 2020's studies were analysed. The prognostic factors consistently reported for periapical healing have included: pre-operative periapical lesion with complete loss of buccal plate, quality of root-end preparation, remaining thickness of apical root dentine and restorative status. Soft tissue healing of the reflected flap was found to have a positive association with periapical healing. The survival rates following root-end surgery range from 48% to 93%, with failure of periapical healing associated with root and crown fracture, being the predominant reasons for tooth extraction. The factors influencing impact of root-end surgery on patients' quality of life could not be adequately evaluated due to design flaws in the available studies. In conclusion, if root canal treatment failure due to leakage through cracks, fractures or restoration margin are excluded, the remaining cases may represent localized residual infection and inflammation at the periapex that should be amenable to predictable management with the aid of modern root-end surgery.

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Research protocol to identify the effect of concentrated growth factors on healing of apicomarginal defects

Zheng,

Yang,

Sun

et al. 2024

International Journal of Surgery Protocols

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Periapical periodontitis can cause damage to both the tooth and the periodontium, thereby affecting the life quality of patients. Traditional periapical surgery takes a long time to heal, and postoperative pain and swelling are obvious. Seeking a good treatment strategy for faster and better healing of periapical periodontitis is an urgent issue that needs to be addressed. Concentrated growth factor (CGF) is considered an ideal biomaterial for retaining abundant and denser growth factors in accelerating bone formation. To investigate the effect of CGF on healing of apicomarginal defects, this prospective study aims to enroll 72 patients with periapical periodontitis in their anterior teeth or premolars who have undergone comprehensive root canal treatment. The patients will be randomly allocated into the following four groups: control group, which will receive apical surgery alone (including apicoectomy, inflammation debridement, and retrofilling of the root apex); bone group, which will undergo apical surgery in conjunction with the use of bone substitute; CGF group, which will undergo apical surgery in conjunction with the use of CGF; and CGF+bone group, which will undergo apical surgery in conjunction with the use of bone substitute and CGF gel. Each group will comprise 18 patients, and all surgeries will be conducted by the same proficient surgeon. The participants will undergo a 1-year follow-up with the assistance of a physician, including questionnaire data and daily records of pain and swelling at 2, 6, and 12 h and 7 days after the surgery. Cone-beam computed tomography images will be taken before the surgery, immediately after the surgery, and at 3, 6, and 12 months after the surgery. This study aims to explore the therapeutic effect of CGF on apicomarginal defects, in order to help clinical doctors find better treatment methods.

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Influence of incision on periodontal parameters after apical surgery: a meta-analysis

Cited by 4 publications

References 38 publications

Odontologia: uma visão contemporânea - Volume 15

Odontologia: uma visão contemporânea - Volume 15

Factors that influence the outcomes of surgical endodontic treatment

Research protocol to identify the effect of concentrated growth factors on healing of apicomarginal defects

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