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Verfasst von:Mente, Johannes [VerfasserIn]   i
 Leo, Meltem [VerfasserIn]   i
 Michel, Annemarie [VerfasserIn]   i
 Gehrig, Holger [VerfasserIn]   i
 Saure, Daniel [VerfasserIn]   i
 Pfefferle, Thorsten [VerfasserIn]   i
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

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