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Updated: Jun 3, 2026

Effects of Mechanical Methods Used in Peri-implantitis Treatment on Implant Surface Decontamination and Roughness
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Effects of Mechanical Methods Used in Peri-implantitis Treatment on Implant Surface Decontamination and Roughness

Published on: March 14, 2025

Endodontic surgery prognostic factors.

Amir Azarpazhooh1, Prakesh S Shah

  • 1Disciplines of Dental Public Health and Endodontics, Faculty of Dentistry, University of Toronto, Canada.

Evidence-Based Dentistry
|March 26, 2011
PubMed
Summary
This summary is machine-generated.

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Apical surgery success depends on factors like preoperative pain, root canal filling density, and lesion size. Endoscopic treatment may improve healing rates, but patient and tooth factors are key prognostic determinants.

Area of Science:

  • Endodontics
  • Oral Surgery
  • Dental Research

Background:

  • This study systematically reviewed prognostic factors influencing the success of apical surgery with root-end filling.
  • Included were clinical studies with at least ten patients and a six-month follow-up, excluding apicectomy alone or orthograde root canal filling studies.

Discussion:

  • Patient- and tooth-related factors, such as absence of preoperative pain, good root canal filling density, and small periapical lesion size (≤ 5 mm), significantly predict healing.
  • Treatment-related factors, including the use of an endoscope, showed a trend towards higher healed rates, suggesting potential benefits of advanced techniques.

Key Insights:

  • Absence of preoperative pain, dense root canal fillings, and small periapical lesions are critical for successful apical surgery outcomes.

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Last Updated: Jun 3, 2026

Effects of Mechanical Methods Used in Peri-implantitis Treatment on Implant Surface Decontamination and Roughness
06:36

Effects of Mechanical Methods Used in Peri-implantitis Treatment on Implant Surface Decontamination and Roughness

Published on: March 14, 2025

  • Endoscopic techniques may enhance healing rates in apical surgery, although patient and tooth characteristics remain primary determinants.

    • Outlook:

    • Further research could explore the specific mechanisms by which endoscopic interventions impact apical surgery success.
    • Integrating knowledge of prognostic factors into treatment planning can optimize patient selection and decision-making for apical surgery versus alternative treatments.