| Online-Ressource |
Verfasst von: | Mente, Johannes [VerfasserIn]  |
| Leo, Meltem [VerfasserIn]  |
| Michel, Annemarie [VerfasserIn]  |
| Gehrig, Holger [VerfasserIn]  |
| Saure, Daniel [VerfasserIn]  |
| Pfefferle, Thorsten [VerfasserIn]  |
Titel: | Outcome of orthograde retreatment after failed apicoectomy |
Titelzusatz: | Use of a mineral trioxide aggregate apical plug |
Verf.angabe: | Johannes Mente, Priv-Doz, Dr med dent, Meltem Leo, Dr med dent, Annemarie Michel, Dr med dent, Holger Gehrig, Dr med dent, MSc, Daniel Saure, MSc, and Thorsten Pfefferle, Dr med dent |
E-Jahr: | 2015 |
Jahr: | 18 February 2015 |
Umfang: | 8 S. |
Fussnoten: | Gesehen am 18.08.2017 |
Titel Quelle: | Enthalten in: Journal of endodontics |
Ort Quelle: | Amsterdam [u.a.] : Elsevier, 1975 |
Jahr Quelle: | 2015 |
Band/Heft Quelle: | 41(2015), 5, Seite 613-620 |
ISSN Quelle: | 1878-3554 |
Abstract: | This controlled, single-center historic cohort study project evaluates treatment outcomes of a nonsurgical treatment approach after failed apicoectomy. The treatment outcomes of nonsurgical retreatment after a failed apicoectomy were evaluated clinically and radiographically. The study cohort consisted of teeth that had received primary root canal treatment and subsequent apicoectomy elsewhere before the patients presented with post-treatment disease. Orthograde retreatment and obturation using an apical mineral trioxide aggregate plug was performed by postgraduate students and endodontic specialists in 25 cases between 2004 and 2012. Pre-, intra-, and postoperative information and the potential effect on the retreatment outcome were evaluated and statistically analyzed using the chi-square test. Twenty-two patients with 23 teeth attended the follow-up examinations (recall rate = 92%). The follow-up periods ranged from 12 to 102 months (median = 35 months). Twenty teeth (87%) were classified as “success,” and 3 teeth were considered (17%) “failure.” The chi-square test confirmed that the preoperative factor “number of roots” had a statistically significant effect on treatment outcome (odds ratio = 0.08; 95% confidence interval, 0-1.76; P = .03). The factor “tooth location” was of borderline significance (odds ratio = 0.1; 95% confidence interval, 0-2.14; P = .05). The results of the present study suggest that orthograde retreatment combined with orthograde placement of an apical mineral trioxide aggregate plug is a promising long-term treatment option for teeth with postsurgical pathosis. The success rates were higher for single-rooted teeth. The use of cone-beam computed tomographic imaging in cases of inconclusive periapical radiographs is recommended to minimize the risk of misinterpretation when assessing treatment outcome. |
DOI: | doi:10.1016/j.joen.2015.01.002 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: http://dx.doi.org/10.1016/j.joen.2015.01.002 |
| Volltext: http://www.sciencedirect.com/science/article/pii/S0099239915000114 |
| DOI: https://doi.org/10.1016/j.joen.2015.01.002 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | Failed apicoectomy |
| mineral trioxide aggregate |
| orthograde retreatment |
| Treatment Outcome |
K10plus-PPN: | 1562488899 |
Verknüpfungen: | → Zeitschrift |
Outcome of orthograde retreatment after failed apicoectomy / Mente, Johannes [VerfasserIn]; 18 February 2015 (Online-Ressource)