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Follow-up study of apicectomised anterior teeth
1Department of Restorative Dentistry, Faculty of Dentistry, College of Health Sciences, Obafemi Awolowo University, Ile-lfe, Osun State, Nigeria. aoginni@oauife.edu.ng
Summary
A retrospective study on apicectomy for anterior teeth found an overall success rate of 71.9%. Radicular cysts were the most common reason for treatment, with no significant impact from symptoms on outcomes.
Area of Science:
- Endodontics
- Oral Surgery
- Dental Research
Background:
- Apicectomy is a surgical procedure to treat persistent apical periodontitis.
- Anterior teeth often require endodontic retreatment or apicectomy due to complex root canal anatomy or previous treatment failures.
Purpose of the Study:
- To evaluate the long-term success rates of apicectomy in anterior teeth.
- To identify factors influencing treatment outcomes, including reasons for surgery and filling techniques.
Main Methods:
- A retrospective cohort study analyzing data from 1995-1997.
- Inclusion criteria: anterior teeth treated with apicectomy.
- Data collected on reasons for treatment, filling materials, and clinical outcomes.
Main Results:
- Overall success rate was 71.9%, with 14.0% doubtful outcomes.
- Radicular cyst (47.3%) and chronic apical infection/granuloma (44.0%) were primary indications.
- No statistically significant effect of pre- or postoperative symptoms on outcomes.
- Retrograde amalgam fillings showed a trend towards higher success than orthograde fillings, though not statistically significant.
- Radicular cysts had higher success rates than granulomas.
Conclusions:
- Apicectomy demonstrates a favorable success rate for treating anterior teeth with apical periodontitis.
- Histopathological diagnosis (radicular cyst vs. granuloma) may influence healing, though further research is needed.
- Surgical technique and management of apical lesions are critical for successful outcomes.