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Radiographic evaluation of cases referred for surgical endodontics
H Doornbusch1, L Broersma, G Boering
1Department of Oral and Maxillo-facial Surgery, University of Groningen, Groningen, the Netherlands.
International Endodontic Journal
|June 13, 2002
Summary
Many patients referred for periradicular surgery could benefit from nonsurgical root canal retreatment. This study found that orthograde nonsurgical root canal treatment was a viable option in most evaluated cases.
Area of Science:
- Dentistry
- Endodontics
- Oral Surgery
Background:
- Failed root canal treatments often lead to periradicular issues.
- Referral patterns for endodontic complications are not fully understood.
Purpose of the Study:
- To evaluate whether periradicular surgery or nonsurgical retreatment is more frequently recommended for endodontic failures.
- To assess the feasibility of nonsurgical retreatment for cases referred for surgery.
Main Methods:
- Analysis of 278 periapical radiographs of patients referred for periradicular surgery.
- Independent evaluation by an oral and maxillofacial surgeon, an endodontist, and a general dental practitioner.
- Assessment of the indication for surgery versus nonsurgical root canal (re)treatment.
Main Results:
- Orthograde root canal (re)treatment was deemed possible in 63% of cases overall.
- Examiner agreement varied: oral surgeon (41%), general dental practitioner (67%), and endodontist (80%) found nonsurgical treatment feasible.
- A significant proportion of cases referred for surgery could potentially be managed nonsurgically.
Conclusions:
- Most teeth referred for periradicular surgery could be treated with orthograde nonsurgical root canal treatment.
- Current referral patterns may lead to unnecessary surgical interventions.
- Further investigation into optimal treatment pathways for endodontic failures is warranted.