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Related Experiment Videos

An evaluation of root resections. A ten-year study

B Langer, S D Stein, B Wagenberg

    Journal of Periodontology
    |December 1, 1981
    PubMed
    Summary

    Long-term root resection outcomes reveal that while initial results are positive, many fail after five years, particularly in the mandible. Non-periodontal issues often cause these late failures, suggesting areas for improved surgical prognosis.

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    Erratum: Periodontal Soft Tissue Root Coverage Procedures: Practical Applications From the AAP Regeneration Workshop (Clinical Advances in Periodontics 2015;5:2-10).

    Clinical advances in periodontics·2020

    Area of Science:

    • Dental Surgery
    • Endodontics
    • Periodontology

    Background:

    • Root resection is a common endodontic surgical procedure.
    • Evaluating long-term success rates is crucial for patient outcomes and treatment planning.

    Purpose of the Study:

    • To assess the long-term efficacy and failure patterns of root resections.
    • To identify factors influencing the success or failure of resected teeth over a decade.

    Main Methods:

    • Retrospective review of 100 patient records.
    • Analysis of cases with root resections performed at least 10 years prior.
    • Categorization of failure reasons, distinguishing between periodontal and other causes.

    Main Results:

    • Immediate postoperative results were often favorable.
    • A significant failure rate was observed, with 84% of failures occurring more than 5 years post-surgery.
    • Failures were more prevalent in the mandibular arch and frequently attributed to non-periodontal etiologies.

    Conclusions:

    • The long-term prognosis of root resections can be variable, with a notable incidence of late failures.
    • Non-inflammatory periodontal disease factors play a significant role in the failure of resected teeth.
    • Strategies to enhance the long-term success of root resection procedures should be considered.

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