OBJECTIVES: This prospective randomized study compared the outcome of retreatment and surgical intervention in root canal treated teeth with nonhealing periradicular pathosis. STUDY DESIGN: One such tooth from each of 38 patients was randomly allotted to retreatment or root-end resection and root-end filling. Treatment outcome after 1 year was evaluated and compared clinically and radiographically. RESULTS: The success rate for surgery was higher than for conventional retreatment, but the difference was not statistically significant. CONCLUSIONS: For management of nonhealing periradicular pathosis associated with root canal treated teeth, surgical intervention should be considered as an alternative to retreatment. In cases with a similar prognosis for both modes of treatment, the choice should be governed by consideration of intrinsic and extrinsic factors.
RCT Entities:
OBJECTIVES: This prospective randomized study compared the outcome of retreatment and surgical intervention in root canal treated teeth with nonhealing periradicular pathosis. STUDY DESIGN: One such tooth from each of 38 patients was randomly allotted to retreatment or root-end resection and root-end filling. Treatment outcome after 1 year was evaluated and compared clinically and radiographically. RESULTS: The success rate for surgery was higher than for conventional retreatment, but the difference was not statistically significant. CONCLUSIONS: For management of nonhealing periradicular pathosis associated with root canal treated teeth, surgical intervention should be considered as an alternative to retreatment. In cases with a similar prognosis for both modes of treatment, the choice should be governed by consideration of intrinsic and extrinsic factors.
Authors: M Kunkel; S Allroggen; C Appel; C Bargholz; R Biffar; P Boehme; P Engel; W Esser; J Fedderwitz; M Frank; M Georgi; T Heurich; I Kopp; B Kreusser; T E Reichert; F Sanner; R Singer; H J Staehle; H Terheyden; W Wagner; G Wahl; D Weingart; R Werkmeister; M Hülsmann Journal: Mund Kiefer Gesichtschir Date: 2007-11
Authors: Mario Dioguardi; Camilla Stellacci; Lucia La Femina; Francesca Spirito; Diego Sovereto; Enrica Laneve; Massimo Francesco Manfredonia; Alfonso D'Alessandro; Andrea Ballini; Stefania Cantore; Lorenzo Lo Muzio; Giuseppe Troiano Journal: Medicina (Kaunas) Date: 2022-07-04 Impact factor: 2.948