Clinical and radiographic assessment of various predictors for healing outcome 1 year after periapical surgery

被引:88
作者
von Arx, Thomas
Jensen, Simon Storgard
Haenni, Stefan
机构
[1] Univ Bern, Sch Dent Med, Dept Oral Surg & Stomatol, CH-3010 Bern, Switzerland
[2] Copenhagen Univ Hosp, Dept Oral & Maxillofacial Surg, Glostrup, Denmark
[3] Univ Bern, Sch Dent Med, Dept Restorat Dent, Bern, Switzerland
关键词
clinical study; follow-up; healing outcome; periapical surgery; predictors;
D O I
10.1016/j.joen.2006.10.001
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
This clinical study prospectively evaluated the influence of various predictors on healing outcome 1 year after periapical surgery. The study cohort included 194 teeth in an equal number of patients. Three teeth were lost for the follow-up (1.5% drop-out rate). Clinical and radiographic measures were used to determine the healing outcome. For statistical analysis, results were dichotomized (healed versus nonhealed). The overall success rate was 83.8% (healed cases). The only individual predictors to prove significant for the outcome were pain at initial examination (p = 0.030) and other clinical signs or symptoms at initial examination (p = 0.042), meaning that such teeth had lower healing rates 1 year after periapical surgery compared with teeth without such signs or symptoms. Logistic regression revealed that pain at initial examination (odds ratio = 2.59, confidence interval = 1.2-5.6, p = 0.04) was the only predictor reaching significance. Several predictors almost reached statistical significance: lesion size (p = 0,06), retrofilling material (p = 0.06), and postoperative healing course (p = 0.06).
引用
收藏
页码:123 / 128
页数:6
相关论文
共 41 条
  • [1] Longitudinal sealing ability of mineral trioxide aggregate as a root-end filling material
    Bates, CF
    Carnes, DL
    delRio, CE
    [J]. JOURNAL OF ENDODONTICS, 1996, 22 (11) : 575 - 578
  • [2] Carr G B, 1997, Dent Clin North Am, V41, P541
  • [3] A prospective clinical study of Mineral Trioxide Aggregate and IRM when used as root-end filling materials in endodontic surgery
    Chong, BS
    Ford, TRP
    Hudson, MB
    [J]. INTERNATIONAL ENDODONTIC JOURNAL, 2003, 36 (08) : 520 - 526
  • [4] Clinical management of nonhealing periradicular pathosis - Surgery versus endodontic retreatment
    Danin, J
    Stromberg, T
    Forsgren, H
    Linder, LE
    Ramskold, LO
    [J]. ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 1996, 82 (02): : 213 - 217
  • [5] RETROGRADE FILLING MATERIALS - A RETROSPECTIVE SUCCESS-FAILURE STUDY OF AMALGAM, EBA, AND IRM
    DORN, SO
    GARTNER, AH
    [J]. JOURNAL OF ENDODONTICS, 1990, 16 (08) : 391 - 393
  • [6] EQUIVALENCE OF WEIGHTED KAPPA AND INTRACLASS CORRELATION COEFFICIENT AS MEASURES OF RELIABILITY
    FLEISS, JL
    COHEN, J
    [J]. EDUCATIONAL AND PSYCHOLOGICAL MEASUREMENT, 1973, 33 (03) : 613 - 619
  • [7] TREATMENT RESULTS OF APICAL SURGERY IN PREMOLAR AND MOLAR TEETH
    FRIEDMAN, S
    LUSTMANN, J
    SHAHARABANY, V
    [J]. JOURNAL OF ENDODONTICS, 1991, 17 (01) : 30 - 33
  • [8] Friedman S, 2006, Endod Topics, V11, P219, DOI 10.1111/j.1601-1546.2005.00187.x
  • [9] Periapical resurgery versus periapical surgery: a 5-year longitudinal comparison
    Gagliani, MM
    Gorni, FGM
    Strohmenger, L
    [J]. INTERNATIONAL ENDODONTIC JOURNAL, 2005, 38 (05) : 320 - 327
  • [10] PERIAPICAL SURGERY IN A NORWEGIAN COUNTY HOSPITAL - FOLLOW-UP FINDINGS OF 477 TEETH
    GRUNG, B
    MOLVEN, O
    HALSE, A
    [J]. JOURNAL OF ENDODONTICS, 1990, 16 (09) : 411 - 417