Endodontic Microsurgery Outcomes over 10 Years and Associated Prognostic Factors: A Retrospective Cohort Study

被引:5
作者
Yoo, Yeon-Jee [1 ]
Cho, Eun-Bee [1 ]
Perinpanayagam, Hiran [2 ]
Gu, Yu [3 ]
Zhu, Qiang [4 ]
Noblett, W. Craig [5 ]
Kum, Kee-Yeon [1 ]
机构
[1] Seoul Natl Univ, Sch Dent, Dent Res Inst, Dept Conservat Dent, Seoul, South Korea
[2] Univ Western Ontario, Schulich Sch Med & Dent, Div Endodont, London, ON, Canada
[3] Shandong Univ, Sch & Hosp Stomatol, Dept Endodont, Jinan, Shandong, Peoples R China
[4] Univ Connecticut, Sch Dent Med, Div Endodontol, Farmington, CT USA
[5] Univ Minnesota, Sch Dent, Dept Restorat Sci, Div Endodont, Minneapolis, MN USA
基金
新加坡国家研究基金会;
关键词
Cohort; endodontic microsurgery; long-term outcome; success; survival; PERIAPICAL SURGERY; APICAL SURGERY; ROOT LENGTH; TOOTH; RETREATMENT; TEETH; RATIO;
D O I
10.1016/j.joen.2024.04.009
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Introduction: This retrospective cohort study aimed to evaluate long-term healing outcomes (10 -17.5 years) after contemporary endodontic microsurgery (EMS) and identify the associated prognostic factors. Methods: Clinical and radiographic data of an EMS cohort (2006 - 2013) from the electronic database of the dental hospital were reviewed retrospectively by 2 independent examiners to determine their survival and healing outcomes, and potential prognostic factors were analyzed by Cox proportional hazards regression and logistic regression ( a = 0.05). Results: Through strict inclusion and exclusion criteria and 721 EMStreated teeth in the cohort, 309 (42.9%) were included (male = 35.0%; female = 65.0%; age = 45.83 +/- 15.53 years) with a mean final follow-up of 152.26 +/- 26.37 months (range, 120 -211 months; median = 148 months). Clinical and radiographic assessments found an 80.5% 10year survival rate with 63.4% of success. Collectively, tooth type, tooth mobility, preoperative lesion size, clinical crown -to -root ratio, and crown restorations at follow-up were signi ficantly associated with long-term success and survival over 10 years. Conclusions: The preoperative status and condition of the tooth including its alveolar bone support and adequate full -crown restorations may be relevant prognostic determinants of success and survival after EMS over time. (J Endod 2024;50:934 -943.)
引用
收藏
页码:934 / 943
页数:10
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