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COMPARATIVE STUDY OF TREATMENT OUTCOME IN APICECTOMIES WITH OR WITHOUT ROOT-END FILLING.

J O Ajayi1, I M F Abiodun-Solanke2, O A Olusile3

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|June 21, 2019
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Summary
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Apicectomy without root-end filling showed a higher success rate in endodontic retreatment. However, this difference was not statistically significant, suggesting both techniques are viable options.

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Area of Science:

  • Endodontics
  • Surgical Endodontics
  • Dental Surgery

Background:

  • Conventional endodontic treatment has a high success rate.
  • Re-treatment or surgical endodontics is recommended for cases of endodontic failure.
  • Apicectomy is a surgical endodontic procedure to treat persistent periapical pathology.

Purpose of the Study:

  • To compare the treatment outcomes of apicectomy with and without retrograde root-end filling.
  • To evaluate the effectiveness of different apicectomy techniques in endodontic retreatment.

Main Methods:

  • Fifty-three patients with periapical pathology requiring apicectomy were randomly assigned to two groups.
  • Group A: Apicectomy without root-end filling.
  • Group B: Apicectomy with root-end filling. Outcomes were assessed clinically and radiologically after 12 months.

Main Results:

  • 33 patients completed the 12-month follow-up.
  • The overall success rate for apicectomy was 80%.
  • Teeth treated without root-end filling had a success rate of 88.5%, while those with root-end filling had a success rate of 64.3%.

Conclusions:

  • Apicectomy without root-end filling demonstrated a higher success percentage.
  • The difference in success rates between apicectomy with and without root-end filling was not statistically significant (p=0.15).
  • Both techniques are considered viable for endodontic retreatment, though further research may be warranted.