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Quintessence International



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Quintessence Int 44 (2013), No. 1     28. Nov. 2012
Quintessence Int 44 (2013), No. 1  (28.11.2012)

Page 53-60, doi:10.3290/j.qi.a28742, PubMed:23444162

Clinical outcome in periradicular surgery: Effect of patient- and tooth-related factors - A multicenter study
Kreisler, Matthias / Gockel, Ricarda / Aubell-Falkenberg, Silvia / Kreisler, Thomas / Weihe, Christoph / Filippi, Andreas / Kühl, Sebastian / Schütz, Silvio / d'Hoedt, Bernd
Objective: To evaluate the effect of patient- and tooth-related factors on the outcome of apical surgery in a multicenter study.
Method and Materials: A total of 281 teeth in 255 patients undergoing periradicular surgery were investigated clinically and radiographically 6 to 12 months postoperatively.
Results: The overall success rate was 88.0%. Sex was a significant (P = .024) predictor, with a success rate of 89.8% in females and 84.0% in males. The success rate was significantly higher in patients 31 to 40 years of age. The treatment of premolars resulted in a significantly higher success rate (91.9%) than the treatment of anterior teeth (86.1%, P = .042) and molars (86.4 %, P = .026). The loss of the buccal bone plate and the extension of apical osteolysis to the furcation area in molars resulted in a considerably lower success rate. Lesion size, preoperative pain, tenderness to percussion, fistula, and resurgery were significant factors.
Conclusion: There are several factors influencing the success rate of apical surgery that must be taken into account when considering apical surgery as a treatment alternative.

Keywords: clinical study, endodontic surgery, predictors, success rate