J O Ajayi1, I M F Abiodun-Solanke2, O A Olusile3, A O Oginni3, T A Esan3. 1. Department of Dental and Maxillofacial Surgery, University of Abuja Teaching Hospital, Abuja, Nigeria. 2. Department of Restorative Dentistry, Faculty of Dentistry, University of Ibadan, Oyo state, Nigeria. 3. Department of Restorative Dentistry, Faculty of Dentistry, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Abstract
BACKGROUND: High success rate has been reported widely with conventional endodontic. When failure occurs, re-treatment alone or with surgical endodontics is the recommended treatment. OBJECTIVE: To compare the treatment outcome following apicectomy techniques, apicectomy with and without retrograde root - end filling. METHODOS: Fifty three patients presenting with clinical and radiological evidence of pulpal and periapical pathology ≥5mm that will require apicectomy were randomly recruited into the study groups A or B over a period of 12 month. In group A apicectomy was performed without root - end filling and in group B apicectomy was performed with root - end filling. Patients were recalled 12 months and assessed clinically and radiologically. RESULTS: 35 out of 53 recruited patients reported for 12 month re-call visit. Two were excluded because of missing baseline radiographs. 33 patients that reported at 12months recall visit with complete radiographs were used for analysis. Patients age ranged from 16 - 66 years, with those in age group 21 - 30 years predominant, Majority (57.6%) were males. Forty teeth were treated, 14 had root - end filling and 26 without root - end filling. Maxillary incisors were the most frequently apicectomized teeth. 32 (80%) out of 40 apicectomized teeth were successful, 14 (88.5%) out of 26 teeth treated without root end filling were successful, while 9 (64.3%) out of 14 teeth treated with apicectomy with retrofil were successful. CONCLUSION: Though apicectomized teeth without root-end filling had a higher percentage of success it was not statistically significant (p=0.15).
BACKGROUND: High success rate has been reported widely with conventional endodontic. When failure occurs, re-treatment alone or with surgical endodontics is the recommended treatment. OBJECTIVE: To compare the treatment outcome following apicectomy techniques, apicectomy with and without retrograde root - end filling. METHODOS: Fifty three patients presenting with clinical and radiological evidence of pulpal and periapical pathology ≥5mm that will require apicectomy were randomly recruited into the study groups A or B over a period of 12 month. In group A apicectomy was performed without root - end filling and in group B apicectomy was performed with root - end filling. Patients were recalled 12 months and assessed clinically and radiologically. RESULTS: 35 out of 53 recruited patients reported for 12 month re-call visit. Two were excluded because of missing baseline radiographs. 33 patients that reported at 12months recall visit with complete radiographs were used for analysis. Patients age ranged from 16 - 66 years, with those in age group 21 - 30 years predominant, Majority (57.6%) were males. Forty teeth were treated, 14 had root - end filling and 26 without root - end filling. Maxillary incisors were the most frequently apicectomized teeth. 32 (80%) out of 40 apicectomized teeth were successful, 14 (88.5%) out of 26 teeth treated without root end filling were successful, while 9 (64.3%) out of 14 teeth treated with apicectomy with retrofil were successful. CONCLUSION: Though apicectomized teeth without root-end filling had a higher percentage of success it was not statistically significant (p=0.15).
Authors: Miguel Peñarrocha Diago; Bárbara Ortega Sánchez; Berta García Mira; Eva Martí Bowen; Thomas von Arx; Cosme Gay Escoda Journal: Med Oral Patol Oral Cir Bucal Date: 2008-02-01