|Title:||Outcome assessment of apical surgery: A study of 234 teeth||Authors:||Liao W.-C.
|Issue Date:||2019||Publisher:||Elsevier B.V.||Journal Volume:||118||Journal Issue:||6||Start page/Pages:||854-863||Source:||Journal of the Formosan Medical Association||Abstract:||
Background/Purpose: Apical surgery is an option for management of endodontically-treated tooth with persistent periapical lesions or symptom and sign. The objective of this study was to investigate the correlation between the demography, preoperative, postoperative factors and healed rate of apical surgery. Methods: Subjects were retrospectively collected from patients who received apical surgery/apicoectomy at the Endodontic Department, National Taiwan University Hospital from January 2013 to June 2015. The standard apical surgery procedures were performed. The demography, preoperative clinical and radiographic examination data as well as postoperative variables were collected. The outcome assessment was carried out after surgery. Statistical analysis was performed by chi square test to evaluate the potential outcome predictors. Results: Total 187 patients and 234 teeth receiving apical surgery were included. 53 male and 134 female patients were collected. The age was ranged between 17 and 89 years old and the mean age was 43.64 years old. Better healed rate with significant differences were observed in female patient (p < 0.05), age ?60 years old (p < 0.01), preoperative root canal filling material >2 mm short of apex (p < 0.01), lesion size from ?2 mm to ?12 mm (p < 0.05) and follow-up period ≧12 months (p < 0.01) groups. Conclusion: Gender, age, preoperative root canal filling material extent, lesion size and follow-up period may affect the outcome of apical surgery. Tooth type, post, prosthesis, and lesion area showed no marked effect on apical healing. These results provide more detailed information for the clinical practitioners to make treatment plans and are important for clinical endodontic practices. ? 2018 Formosan Medical Association
|ISSN:||0929-6646||DOI:||10.1016/j.jfma.2018.10.019||metadata.dc.subject.other:||root canal filling material; root canal filling material; adolescent; adult; aged; apicoectomy; Article; clinical examination; dental surgery; female; follow up; human; major clinical study; male; middle aged; molar tooth; outcome assessment; premolar tooth; preoperative evaluation; retrospective study; root canal obturation; Taiwan; tooth apex; tooth periapical disease; tooth radiography; very elderly; child; diagnostic imaging; tooth apex; tooth pulp disease; treatment outcome; young adult; Adolescent; Adult; Aged; Aged, 80 and over; Apicoectomy; Child; Female; Humans; Male; Middle Aged; Radiography, Dental; Retrospective Studies; Root Canal Filling Materials; Taiwan; Tooth Apex; Tooth, Nonvital; Treatment Outcome; Young Adult
|Appears in Collections:||臨床牙醫學研究所|
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