Evaluation of healing criteria for success after periapical surgery
- Miguel Peñarrocha Diago
- Bárbara Ortega Sánchez
- Berta García Mira
- Eva Martí Bowen
- Thomas von Arx 1
- Cosme Gay-Escoda
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1
University of Bern
info
ISSN: 1698-6946
Año de publicación: 2008
Volumen: 13
Número: 2
Páginas: 12
Tipo: Artículo
Otras publicaciones en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa
Resumen
Introduction: In periapical surgery, the absence of standardization between different studies makes it difficult to compare the outcomes. Objective: To compare the healing classification of different authors and evaluate the prognostic criteria of periapical surgery at 12 months. Material and methods: 278 patients (101 men and 177 women) with a mean age of 38.1 years (range 11 to 77) treated with periapical surgery using the ultrasound technique and a 2.6x magnifying glass, and silver amalgam as root-end filling material were included in the study. Evolution was analyzed using the clinical criteria of Mikkonen et al., 1983; radiographic criteria of Rud et al., 1972; the overall combined clinical and radiographic criteria of von Arx and Kurt, 1999; and the Friedman (2005) concept of functional tooth at 12 months of surgery. Results: After 12 months, 87.2% clinical success was obtained according to the Mikkonen et al., 1983 criteria; 73.9% complete radiographic healing using Rud et al. criteria; 62.1% overall success, following the clinical and radiographic parameters of von Arx and Kurt, and 91.9% of teeth were functional. The von Arx and Kurt criteria was found to be the most reliable. Conclusion: Overall evolution according to von Arx and Kurt agreed most closely with the other scales.