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Related Experiment Videos

Long-term, postsurgical results on teeth with periapical radiolucencies

D S August1

  • 1Department of Dentistry, York Hospital, PA, USA.

Journal of Endodontics
|July 1, 1996
PubMed
Summary

Surgical endodontics, including apicoectomy, demonstrated high long-term success rates even before modern advancements. These procedures, performed over a decade ago, yielded favorable healing outcomes in the majority of evaluated cases.

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Area of Science:

  • Dentistry
  • Endodontics
  • Surgical Endodontics

Background:

  • Clinical observations suggested higher success rates for endodontic surgery than reported failures.
  • A discrepancy existed between perceived clinical success and published failure rates of endodontic surgical procedures.

Purpose of the Study:

  • To evaluate the long-term success rates of endodontic surgical procedures performed prior to the widespread adoption of modern technologies.
  • To assess the clinical outcomes of apicoectomy and root amputation procedures performed more than ten years ago.

Main Methods:

  • A retrospective study was conducted on endodontic surgical cases treated over 10 years ago.
  • Forty-one teeth from 39 patients were evaluated, including those that underwent apicoectomy, apicoectomy with root-end amalgam, or root amputation.

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Main Results:

  • Apicoectomy alone resulted in a complete healing rate of 82.6% (19 out of 23 teeth).
  • Apicoectomy followed by a root-end amalgam filling showed a complete healing rate of 62.5% (10 out of 16 teeth).
  • These outcomes were achieved despite the procedures predating magnification, modern filling materials, and ultrasonic technology.

Conclusions:

  • Surgical endodontic procedures performed over a decade ago, even without advanced technologies, achieved a high rate of success.
  • The findings support the long-term efficacy of traditional surgical endodontic techniques.