Outcome of Endodontic Surgery: A Meta-analysis of the Literature—Part 3: Comparison of Endodontic Microsurgical Techniques with 2 Different Root-end Filling Materials

Kohli, Meetu R.; Berenji, Homayon; Setzer, Frank C.; Lee, Su‐Min; Karabucak, Bekir

doi:10.1016/j.joen.2018.02.021

Cited by 73 publications

(69 citation statements)

References 81 publications

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“…Since the introduction of ultrasound technology for root-end preparation in the 1990s, several studies have confirmed it as a technical improvement with positive impact in the clinical outcome of endodontic microsurgery [ 4 , 15 , 35 , 36 , 37 ]. Hence, the present study contributes with uttermost relevance to the improvement of a technique that has proven to greatly affect the treatment outcome and tooth survivability, as well as to understanding which materials may perform better in root-end preparation and consequently provide conditions for long-term clinical success with less debris and possible improvement of the root-end seal which may prevent recurring pathology.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Root-End Preparation with Two Different Endodontic Microsurgery Ultrasonic Tips

et al. 2020

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The aim of this study is to compare root-end preparation performed with two different ultrasonic tips—CVDentus and NSK—and respective time requirements. After root-end resection, 32 teeth were randomly divided in two groups, according to the ultrasonic tip used for root-end preparation. Preparation time was recorded. Photomicrographs were taken to assess the following parameters: root surface microcracking, marginal integrity and presence of debris. One ultrasonic tip from each group was analyzed through scanning electron microscopy before and after root-end preparation. The significance level was set at α = 0.05. Incidence of microcracks in both groups was 12.5%. Solely intracanal microcracking was found, consistently positioned within the widest side of the remaining dentine. No statistically significant differences were verified between both experimental groups regarding marginal integrity (p = 0.102) and preparation time (p = 0.780), whereas statistical differences (p = 0.003) were found concerning the presence of debris (the minimum registered score was mostly verified in CVDentus group). NSK tips showed major morphological changes, with extensive surface wear and noticeable loss of particles, which was not verified on CVDentus tips. Our findings suggest significant differences regarding root-end preparation walls quality, with CVDentus tips showing better results. Concerning microcracking, as well as preparation time and marginal integrity, both ultrasonic tips showed similar results. Qualitative analysis exposed NSK tips major morphological changes and wear after use, which was not verified on CVDentus tips.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Root-End Preparation with Two Different Endodontic Microsurgery Ultrasonic Tips

et al. 2020

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“…During the past 25 years, the root-end surgery has experienced noticeable changes and emerged into endodontic microsurgery (EMS), which involve the use of magnification devices, technological advancement, micro-instruments, and biocompatible filling materials (3). With these developments, EMS treatment has emanated as a more successful and favorable clinical outcome over the traditional root-end surgery technique (4).…”

Section: Introductionmentioning

confidence: 99%

Oral Fine Motor Control of Teeth Treated with Endodontic Microsurgery: A Single-Blinded Case-control Study

Al‐Manei¹,

Almotairy

Kumar

et al. 2021

Journal of Endodontics

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Moreover, a systematic review and meta-analysis developed by Seltzer et al [ 21 ] concluded that endodontic microsurgery showed significantly better prognosis than traditional root-end surgery (TRS), with a 94% success rate to treat apical periodontitis through EMS. However, such a conclusion is based on studies with a minimum follow-up period of 6-months [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

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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Outcome of Endodontic Surgery: A Meta-analysis of the Literature—Part 3: Comparison of Endodontic Microsurgical Techniques with 2 Different Root-end Filling Materials

Cited by 73 publications

References 81 publications

Evaluation of Root-End Preparation with Two Different Endodontic Microsurgery Ultrasonic Tips

Evaluation of Root-End Preparation with Two Different Endodontic Microsurgery Ultrasonic Tips

Oral Fine Motor Control of Teeth Treated with Endodontic Microsurgery: A Single-Blinded Case-control Study

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

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