Factors Affecting the Outcome of Periapical Surgery; a Prospective Longitudinal Clinical Study

Applied Sciences

Syed Hani Abidi¹  Mohammed Mustafa²  Muhammad Adeel Ahmed³  Muhammad Furqan Bari⁴  Fahim Vohra⁵  Nouman Mughal⁶  Ali Alrahlah⁷ 

[1] Department of Biological and Biomedical Sciences, Aga Khan University, Karachi 74800, Pakistan;Department of Conservative Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia;Department of Operative Dentistry and Institute of Biomedical Sciences, Dow University of Health Sciences, Karachi 74200, Pakistan;Department of Pathology, Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences, Dow University of Health Sciences, Karachi 74200, Pakistan;Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia;Department of Surgery, Aga Khan University, Karachi 74800, Pakistan;Engineer Abdullah Bugshan Research Chair for Dental and Oral Rehabilitation (Department), College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia;

关键词: periapical surgery;    surgical endodontic treatment;    preoperative factors;    prospective study;   

DOI  :  10.3390/app112411768

来源: DOAJ

【 摘 要 】

Wound healing following periapical surgery is influenced by age, gender, smoking, periapical lesion size, type of root-end filling, method of root-end cavity preparation and the use of microsurgical or conventional technique. This study aimed to evaluate the influence of various preoperative factors such as age, gender, smoking, preoperative pain, and preoperative periapical lesion size on the outcome of surgical endodontic treatment. A thorough history, examination, and investigation were performed to establish patient age, gender, smoking status, periapical lesion size, and the presence of preoperative pain. Forty patients aged between 15–57 years presented with persistent chronic apical periodontitis of single-rooted anterior teeth after conventional re-root canal treatment were enrolled for periapical surgery. Following periapical surgery, all patients were recalled for evaluation of periapical healing after 12 months based on clinical and periapical X-ray examination due to inaccessibility of an advanced imaging system (CBCT). Chi-squared and Fisher’s exact test were applied, which revealed a statistically significant association of periapical healing with age (p = 0.025), smoking (p = 0.029), and lesion size (p < 0.001). Although, the success of periapical healing was higher in males 78.6% (22/28) compared to females 58.3% (7/12) however, no statistically significant relationship was found between gender and healing (p = 0.254). Patient age, smoking status, and size of the preoperative lesion had a strong influence on periapical healing after surgical endodontic treatment.

【 授权许可】

Unknown