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Endodontic surgery using 2 different magnification devices: preliminary results of a randomized controlled study
Silvio Taschieri1, Massimo Del Fabbro, Tiziano Testori
1Department of Odontology, Istituto Ortopedico Galeazzi, University of Milan, Milan, Italy.
Summary
Ultrasonic root-end preparation with magnification loupes or endoscopes achieved a high success rate in endodontic surgery. Modern techniques and visual magnification contribute to successful outcomes in managing periradicular lesions.
Area of Science:
- Endodontics
- Microsurgery
- Dental Materials
Background:
- Microsurgical instruments and magnification enhance root-end management.
- Ultrasonic preparation and advanced filling materials improve endodontic surgery outcomes.
Purpose of the Study:
- To evaluate the outcomes of ultrasonic root-end preparation using magnification loupes versus an endoscope.
- To assess the influence of tooth location and post restoration on treatment success.
Main Methods:
- Prospective clinical study involving 59 patients with periradicular lesions of endodontic origin.
- Ultrasonic root-end cavity preparation with zirconium nitrate tips and EBA-reinforced cement fillings.
- Comparison of outcomes between magnification loupes (32 cases) and endoscope (39 cases) over a 1-year follow-up.
Main Results:
- A high overall success rate of 92.95% (67/71 teeth) was observed after 1 year.
- Endoscopic group showed 94.9% success; loupe group showed 90.6% success.
- No statistically significant differences in outcomes were found based on arch, post restoration, or magnification device type.
Conclusions:
- Adherence to strict endodontic surgical protocols is crucial for high success rates.
- Modern endodontic procedures combined with visual magnification yield excellent results.
- Ultrasonic root-end preparation with modern magnification devices is effective in treating periradicular lesions.