Presentation Category
Research
Introduction/Context/Diagnosis
Objective : To determine the long term prognosis of Endodontic Microsurgery. Methods : Different keywords such as endodontic microsurgery, CBCT, apical resections, endo surgery were used to find the research papers. Various research papers were reviewed to collect the data. Results : The success rate for outcomes with VRF included was 86.9% for 1-4 yrs and 67.2% for 5-9 yrs. The success rates for the outcomes with VRF excluded was 92.5% for 1-4 years and 81.8% for 5-9 yrs.The prognosis was influenced by the crestal bone level lower probability of healing when the interproximal bone level is >3mm from CEJ and the outcome of EMS decreased over time. Different research papers has different data about the success depending on different prognostic factors .Evaluated the success after EMS for 424 molar teeth and revealed that Healing rate at 1 yr was significantly higher compared to later yrs i.e 82.2%(>1-5 yrs), 76.3% (>5-10 yrs) and 76.5% (>10 yrs). Conclusions : The long-term EMS outcome showed high pooled success rates, from 78 to 91% when followed up from 1 to 5 years. This treatment approach is predictable when performed under modern surgical techniques and associated with biocompatible and bioactive root-end filling materials, allowing tooth survival ranging from 79 to 95%, 1-5 years after treatment. Both success and survival rates dropped as the follow-up year increased to 5 or more years. Some potential prognostic factors for the success of EMS are smoking habits, tooth location and type, absence/presence of dentinal defect, interproximal bone level, and root-end filling material. Acknowledgements : Dr. Adham A. Azim BDS, DDS ,Associate Professor, Department Chair of Endodontics, UOP.
Location
Arthur A Dugoni School of Dentistry, 155 5th St, San Francisco, CA 94103, USA
Format
Presentation
Review of Long Term Prognosis of Endodontic Microsurgery
Arthur A Dugoni School of Dentistry, 155 5th St, San Francisco, CA 94103, USA
Objective : To determine the long term prognosis of Endodontic Microsurgery. Methods : Different keywords such as endodontic microsurgery, CBCT, apical resections, endo surgery were used to find the research papers. Various research papers were reviewed to collect the data. Results : The success rate for outcomes with VRF included was 86.9% for 1-4 yrs and 67.2% for 5-9 yrs. The success rates for the outcomes with VRF excluded was 92.5% for 1-4 years and 81.8% for 5-9 yrs.The prognosis was influenced by the crestal bone level lower probability of healing when the interproximal bone level is >3mm from CEJ and the outcome of EMS decreased over time. Different research papers has different data about the success depending on different prognostic factors .Evaluated the success after EMS for 424 molar teeth and revealed that Healing rate at 1 yr was significantly higher compared to later yrs i.e 82.2%(>1-5 yrs), 76.3% (>5-10 yrs) and 76.5% (>10 yrs). Conclusions : The long-term EMS outcome showed high pooled success rates, from 78 to 91% when followed up from 1 to 5 years. This treatment approach is predictable when performed under modern surgical techniques and associated with biocompatible and bioactive root-end filling materials, allowing tooth survival ranging from 79 to 95%, 1-5 years after treatment. Both success and survival rates dropped as the follow-up year increased to 5 or more years. Some potential prognostic factors for the success of EMS are smoking habits, tooth location and type, absence/presence of dentinal defect, interproximal bone level, and root-end filling material. Acknowledgements : Dr. Adham A. Azim BDS, DDS ,Associate Professor, Department Chair of Endodontics, UOP.
Comments/Acknowledgements
Presentation Category: Research