Journal article
Treatment decisions in 330 cases referred for apical surgery.
- von Arx T Department of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Bern, Switzerland. Electronic address: thomas.vonarx@zmk.unibe.ch.
- Roux E Department of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Bern, Switzerland.
- Bürgin W Department of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Bern, Switzerland.
- 2014-01-28
Published in:
- Journal of endodontics. - 2014
Apical surgery
case selection
treatment planning
Adolescent
Adult
Aged
Aged, 80 and over
Apicoectomy
Child
Decision Making
Female
Humans
Male
Middle Aged
Patient Care Planning
Periapical Diseases
Periodontal Attachment Loss
Periodontal Pocket
Post and Core Technique
Radiography, Bitewing
Referral and Consultation
Retreatment
Retrospective Studies
Root Canal Obturation
Root Canal Therapy
Tooth Extraction
Tooth Mobility
Toothache
Young Adult
English
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.
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.
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.
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.
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.
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.
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.
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.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.joen.2013.10.024
- PMID 24461402
- Persistent URL
- https://sonar.ch/global/documents/172759
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