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Prognostic Factors of Clinical Outcomes in Endodontic Microsurgery: A Prospective Study

Authors
 Minju Song  ;  Sahng Gyoon Kim  ;  Seung-Jong Lee  ;  Baekil Kim  ;  Euiseong Kim 
Citation
 JOURNAL OF ENDODONTICS, Vol.39(12) : 1491-1497, 2013 
Journal Title
 JOURNAL OF ENDODONTICS 
ISSN
 0099-2399 
Issue Date
2013
MeSH
Adult ; Aluminum Compounds/therapeutic use ; Apicoectomy/methods* ; Calcium Compounds/therapeutic use ; Crowns ; Dental Abutments ; Dental Arch/anatomy & histology ; Dental Pulp Diseases/surgery ; Dentin-Bonding Agents/therapeutic use ; Drug Combinations ; Female ; Follow-Up Studies ; Humans ; Male ; Mandible/anatomy & histology ; Maxilla/anatomy & histology ; Methylmethacrylates/therapeutic use ; Microsurgery/instrumentation ; Microsurgery/methods* ; Middle Aged ; Oxides/therapeutic use ; Periapical Diseases/surgery ; Piezosurgery/instrumentation ; Piezosurgery/methods ; Prognosis ; Prospective Studies ; Retrograde Obturation/instrumentation ; Retrograde Obturation/methods ; Root Canal Filling Materials/therapeutic use ; Silicates/therapeutic use ; Tooth/surgery ; Treatment Outcome ; Young Adult ; Zinc Oxide-Eugenol Cement/therapeutic use
Keywords
Endodontic microsurgery ; healing outcome ; prognostic factors ; prospective clinical study ; tooth position
Abstract
INTRODUCTION: This prospective study examined the potential prognostic factors of endodontic microsurgery and compared the predictors of an isolated endodontic lesion with those of both an isolated endodontic lesion and an endodontic-periodontal lesion. METHODS: Data were collected from the Microscope Center of the Department of Conservative Dentistry at the Dental College of Yonsei University, Seoul, Korea, between March 2001 and March 2011. A total number of 584 teeth were included, and all clinical procedures were performed by a single operator (E.K.). The evaluation was performed at least 1 year after surgery. For statistical analysis of the predisposing factors, the chi-square test and logistic regression were performed. RESULTS: Of the 584 cases treated, 431 cases came for recall after a period of at least 12 months. Sex (female), tooth position (anterior), arch type (maxilla), and lesion type (isolated endodontic lesion) were found to have a positive effect on surgical outcome. With regards to isolated endodontic lesions, the tooth position (anterior), arch type (maxilla), and type of restoration (single/splinted crown, short bridge, and removable partial denture abutment) were found to be pure positive predictors. CONCLUSIONS: In endodontic microsurgery, it is likely that preoperative factors, particularly the tooth position and arch type, have a greater influence on the healing outcome than intra- and post-operative factors.
Full Text
http://www.sciencedirect.com/science/article/pii/S0099239913007541
DOI
10.1016/j.joen.2013.08.026
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Preventive Dentistry and Public Oral Health (예방치과학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Conservative Dentistry (보존과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Baek Il(김백일) ORCID logo https://orcid.org/0000-0001-8234-2327
Kim, Eui Seong(김의성) ORCID logo https://orcid.org/0000-0003-2126-4761
Song, Min Ju(송민주)
Lee, Seung Jong(이승종)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88495
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