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Treatment decisions in 330 cases referred for apical surgery.
- Source :
-
Journal of endodontics [J Endod] 2014 Feb; Vol. 40 (2), pp. 187-91. Date of Electronic Publication: 2013 Dec 07. - Publication Year :
- 2014
-
Abstract
- Introduction: Apical surgery is an important treatment option for teeth with postendodontic apical periodontitis. However, little information is available regarding treatment planning in cases referred for apical surgery. This study evaluated the decisions made in such cases and analyzed the variables influencing the decision-making process.<br />Methods: The study retrospectively assessed clinical and radiographic data of 330 teeth that had been referred to a specialist in apical surgery with regard to the treatment decisions made in those teeth. The clinical and radiographic variables were divided into subcategories to analyze which factors influenced the decision-making process.<br />Results: The treatment decisions included apical surgery (59.1%), tooth extraction (25.8%), no treatment (9.1%), and nonsurgical endodontic retreatment (6.1%). Variables that showed statistically significant differences comparing treatment decisions among subcategories included probing depth (P = .001), clinical attachment level (P = .0001), tooth mobility (P = .012), pain (P = .014), clinical signs (P = .0001), length (P = .041) and quality (P = .026) of the root canal filling, and size (P = .0001) and location (P = .0001) of the periapical lesion.<br />Conclusions: This study shows that apical surgery was the most frequently made treatment decision in teeth referred to a specialist in apical surgery, but every fourth tooth was considered nonretainable and was scheduled for extraction. The data showed that the most common variables that influenced the decision to extract teeth were teeth with an increased probing depth and tooth mobility and teeth presenting with lesions not located at the apex.<br /> (Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Child
Female
Humans
Male
Middle Aged
Patient Care Planning
Periapical Diseases diagnostic imaging
Periodontal Attachment Loss complications
Periodontal Pocket complications
Post and Core Technique
Radiography, Bitewing methods
Referral and Consultation
Retreatment
Retrospective Studies
Root Canal Obturation standards
Root Canal Therapy methods
Tooth Extraction methods
Tooth Mobility complications
Toothache complications
Young Adult
Apicoectomy methods
Decision Making
Subjects
Details
- Language :
- English
- ISSN :
- 1878-3554
- Volume :
- 40
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of endodontics
- Publication Type :
- Academic Journal
- Accession number :
- 24461402
- Full Text :
- https://doi.org/10.1016/j.joen.2013.10.024