Long-term Follow-up for Apical Microsurgery of Teeth with Core and Post Restorations

Truschnegg, Astrid; Rugani, Petra; Kirnbauer, Barbara; Kqiku, Lumnije; Jakse, Norbert; Kirmeier, Robert

doi:10.1016/j.joen.2019.11.002

Cited by 20 publications

(30 citation statements)

References 41 publications

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“…Interestingly, a history of prior apical surgery on the root did not significantly affect the success of additional microsurgery. Along with other studies [ 29 , 30 , 31 , 32 ], this shows that the prognosis is not dependent on prior surgery but on identifying and resolving the cause of apical periodontitis. Teeth fracture resistances (von Mises stress) are not significantly reduced until over 6 mm of root-end resections [ 33 ].…”

Section: Discussionsupporting

confidence: 76%

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: Discussionsupporting

confidence: 76%

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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“…Of the 10 included studies, 6 PCSs [ 2 , 7 , 32 , 35 , 36 , 37 ] and 4 RCTs [ 9 , 11 , 38 , 39 ] were selected. The minimum sample size amongst all studies was 87 teeth [ 35 ], while the maximum was 339 treated teeth [ 32 ]. Concerning the follow-up time, the minimum follow-up period was 2-years [ 9 , 36 , 39 ], and the maximum was 10 to 13 years [ 35 ].…”

Section: Resultsmentioning

confidence: 99%

“…The minimum sample size amongst all studies was 87 teeth [ 35 ], while the maximum was 339 treated teeth [ 32 ]. Concerning the follow-up time, the minimum follow-up period was 2-years [ 9 , 36 , 39 ], and the maximum was 10 to 13 years [ 35 ]. Different types of root-end filling materials were used in the evaluated procedure, such as Mineral Trioxide Aggregate (MTA) [ 2 , 7 , 11 , 32 , 36 , 37 , 38 , 39 ] and Super ethoxybenzoic acid (SuperEBA) cements [ 7 , 32 ].…”

Section: Resultsmentioning

confidence: 99%

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Long-Term Prognosis of Endodontic Microsurgery—A Systematic Review and Meta-Analysis

et al. 2020

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Background and objectives: The long-term outcome of endodontic microsurgery (EMS) performed on root-filled teeth affected by post-treatment apical periodontitis (AP) has been a matter of debate, re-launched by the introduction of novel root-end filling materials which have been proven to improve the short-term outcome of EMS. The purpose of this systematic review and meta-analysis is to evaluate the clinical and radiographic long-term outcome of endodontic microsurgery in teeth diagnosed with secondary AP through radiographic evaluation. Materials and Methods: This systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Inclusion and exclusion criteria were defined a priori to select the best longitudinal evidence. Only randomized clinical trials (RCT) and prospective clinical studies (PCS), with a follow-up ≥ 2-year, and exhibiting well-established clinical and radiographic outcome criteria, were selected. Results: A total of 573 articles were obtained, from which 10 fulfill inclusion criteria: 6 PCS and 4 RCT. Meta-analysis showed a pooled proportion of success rate of 91.3%, from an overall amount of 453 treated teeth included in RCT; from overall 839 included teeth in PCS, a pooled success rate of 78.4% was observed, with the follow-up time ranging from 2 to 13-years. Survival rate outcomes varied from 79 to 100% for the same follow-up period. Five prognostic factors with influence on the outcome were disclosed: smoking habits, tooth location and type, absence/presence of dentinal defects, interproximal bone level, and root-end filling material. Conclusions: High success rates and predictable results can be expected when EMS is performed by trained endodontists, allowing good prognosis and preservation of teeth affected by secondary AP.

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“…Another factor influencing peri-implant bone loss and dental implant survival is smoking [12,42,[72][73][74][75][76]. According to various studies, smoking has a negative effect on osseointegration [77][78][79][80][81][82][83] and its dose-related impact [84].…”

Section: Smokingmentioning

confidence: 99%

Factors influencing the failure of dental implants: A Systematic Review

Bazli

khoramabadi

Chahardehi

et al. 2020

jcc

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vascular disease) affecting therapyial preliminary considerations of dental implant treatment. However, in case of HIV-positive patients, the dental implant failure rate would not increase due to affective factors (e.g., prophylactic antibiotic treatment, the administration of active antiretroviral therapy, and control of the CD 4+ T lymphocyte counts). Therefore, these patients have no clinical signs of mobility or infection in this treatment and much more attention should be paid to these patients and they should be treated with controlled oral surgical procedures.

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Long-term Follow-up for Apical Microsurgery of Teeth with Core and Post Restorations

Cited by 20 publications

References 41 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

Long-Term Prognosis of Endodontic Microsurgery—A Systematic Review and Meta-Analysis

Factors influencing the failure of dental implants: A Systematic Review

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