Review finds better endodontic surgery outcomes with microscope use

Area of Science:

• Endodontics
• Oral Surgery
• Dental Research

Background:

• This meta-analysis compares the success rates of Traditional Root Canal Treatment (TRS) and Endodontic Microsurgery (EMS).
• A systematic literature search was conducted across major databases (Medline, Embase, PubMed) and specialized endodontic and oral surgery journals.
• Included studies were clinical trials with at least six months of follow-up, assessed via clinical and radiographic examinations.

Discussion:

• Data extraction and assessment were performed independently by researchers.
• Weighted pooled success rates and relative risk were calculated using a random effects model for a robust meta-analysis.
• The analysis focused on comparing the efficacy of TRS versus EMS in endodontic treatments.

Key Insights:

• The weighted pooled success rate for Traditional Root Canal Treatment (TRS) was 59% (95% CI: 0.55-0.6308).
• The weighted pooled success rate for Endodontic Microsurgery (EMS) was significantly higher at 94% (95% CI: 0.8889-0.9816).
• The probability of success for EMS was 1.58 times greater than for TRS (P < .0005).

Outlook:

• Endodontic Microsurgery (EMS) demonstrates superior outcomes compared to Traditional Root Canal Treatment (TRS).
• Further research may explore factors influencing success rates in both procedures.
• Clinical decision-making in endodontics should consider the enhanced efficacy of EMS.