Endodontic treatment and retreatment: a large systematic review
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | MedNEXT Journal of Medical and Health Sciences |
Texto Completo: | https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/242 |
Resumo: | Introduction: In the context of treatment endodontics, endodontic surgery encompasses various procedures for the treatment of teeth with a history of endodontic treatment failures, such as apical surgery, crown and root resections, surgical repair of perforations, and intentional replantation. Endodontic microsurgery is the evolution of traditional apicectomy techniques and incorporates high magnification, ultrasonic preparation of the root end, and filling of the root end with biocompatible materials. Objective: It was to carry out a vast literature review in a systematic way to show the main considerations of endodontic treatment and retreatment. Methods: The systematic review rules of the PRISMA Platform were followed. The research was carried out from September to November 2022 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 120 articles were found, and 75 articles were evaluated and 35 were included in this systematic review. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 20 studies with a high risk of bias and 13 studies that did not meet GRADE. Most studies showed homogeneity in their results, with I2 =96.2% >50%. Modern endodontic surgery uses the dental operating microscope and cone beam computed tomography for preoperative diagnosis and treatment planning. In the presence of persistent endodontic lesions or endodontic failure, endodontic treatment or endodontic surgery is required. In the long term, the risk of failure is identical for both groups, with only a slightly higher risk of failure for non-surgical endodontic retreatments when only two years of follow-up are considered. |
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Endodontic treatment and retreatment: a large systematic reviewEndodontic treatmentsEndodontic RetreatmentsClinical ResearchIntroduction: In the context of treatment endodontics, endodontic surgery encompasses various procedures for the treatment of teeth with a history of endodontic treatment failures, such as apical surgery, crown and root resections, surgical repair of perforations, and intentional replantation. Endodontic microsurgery is the evolution of traditional apicectomy techniques and incorporates high magnification, ultrasonic preparation of the root end, and filling of the root end with biocompatible materials. Objective: It was to carry out a vast literature review in a systematic way to show the main considerations of endodontic treatment and retreatment. Methods: The systematic review rules of the PRISMA Platform were followed. The research was carried out from September to November 2022 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 120 articles were found, and 75 articles were evaluated and 35 were included in this systematic review. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 20 studies with a high risk of bias and 13 studies that did not meet GRADE. Most studies showed homogeneity in their results, with I2 =96.2% >50%. Modern endodontic surgery uses the dental operating microscope and cone beam computed tomography for preoperative diagnosis and treatment planning. In the presence of persistent endodontic lesions or endodontic failure, endodontic treatment or endodontic surgery is required. In the long term, the risk of failure is identical for both groups, with only a slightly higher risk of failure for non-surgical endodontic retreatments when only two years of follow-up are considered.Faceres2022-12-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/otherapplication/pdfhttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/24210.54448/mdnt22S612MedNEXT Journal of Medical and Health Sciences; Vol. 3 No. S6 (2022): MedNEXT - Supplement 6 - September 2022MedNEXT Journal of Medical and Health Sciences; v. 3 n. S6 (2022): MedNEXT - Supplement 6 - September 20222763-567810.54448/mdnt22S6reponame:MedNEXT Journal of Medical and Health Sciencesinstname:Faculdade de Medicina em São José do Rio Preto (Faceres)instacron:FACERESenghttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/242/230Copyright (c) 2022 Gabriela Pondian Alcalde, Leticia Martins B de Paula, Eduarda Nazaro de Paula, Fábio Pereira Linhares de Castrohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAlcalde, Gabriela Pondian Paula, Leticia Martins B dePaula, Eduarda Nazaro deCastro, Fábio Pereira Linhares de2022-12-26T21:59:45Zoai:ojs2.mednext.zotarellifilhoscientificworks.com:article/242Revistahttps://mednext.zotarellifilhoscientificworks.com/index.php/mednextPUBhttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/oaimednextjmhs@zotarellifilhoscientificworks.com2763-56782763-5678opendoar:2022-12-26T21:59:45MedNEXT Journal of Medical and Health Sciences - Faculdade de Medicina em São José do Rio Preto (Faceres)false |
dc.title.none.fl_str_mv |
Endodontic treatment and retreatment: a large systematic review |
title |
Endodontic treatment and retreatment: a large systematic review |
spellingShingle |
Endodontic treatment and retreatment: a large systematic review Alcalde, Gabriela Pondian Endodontic treatments Endodontic Retreatments Clinical Research |
title_short |
Endodontic treatment and retreatment: a large systematic review |
title_full |
Endodontic treatment and retreatment: a large systematic review |
title_fullStr |
Endodontic treatment and retreatment: a large systematic review |
title_full_unstemmed |
Endodontic treatment and retreatment: a large systematic review |
title_sort |
Endodontic treatment and retreatment: a large systematic review |
author |
Alcalde, Gabriela Pondian |
author_facet |
Alcalde, Gabriela Pondian Paula, Leticia Martins B de Paula, Eduarda Nazaro de Castro, Fábio Pereira Linhares de |
author_role |
author |
author2 |
Paula, Leticia Martins B de Paula, Eduarda Nazaro de Castro, Fábio Pereira Linhares de |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Alcalde, Gabriela Pondian Paula, Leticia Martins B de Paula, Eduarda Nazaro de Castro, Fábio Pereira Linhares de |
dc.subject.por.fl_str_mv |
Endodontic treatments Endodontic Retreatments Clinical Research |
topic |
Endodontic treatments Endodontic Retreatments Clinical Research |
description |
Introduction: In the context of treatment endodontics, endodontic surgery encompasses various procedures for the treatment of teeth with a history of endodontic treatment failures, such as apical surgery, crown and root resections, surgical repair of perforations, and intentional replantation. Endodontic microsurgery is the evolution of traditional apicectomy techniques and incorporates high magnification, ultrasonic preparation of the root end, and filling of the root end with biocompatible materials. Objective: It was to carry out a vast literature review in a systematic way to show the main considerations of endodontic treatment and retreatment. Methods: The systematic review rules of the PRISMA Platform were followed. The research was carried out from September to November 2022 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 120 articles were found, and 75 articles were evaluated and 35 were included in this systematic review. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 20 studies with a high risk of bias and 13 studies that did not meet GRADE. Most studies showed homogeneity in their results, with I2 =96.2% >50%. Modern endodontic surgery uses the dental operating microscope and cone beam computed tomography for preoperative diagnosis and treatment planning. In the presence of persistent endodontic lesions or endodontic failure, endodontic treatment or endodontic surgery is required. In the long term, the risk of failure is identical for both groups, with only a slightly higher risk of failure for non-surgical endodontic retreatments when only two years of follow-up are considered. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-26 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/other |
format |
article |
status_str |
publishedVersion |
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https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/242 10.54448/mdnt22S612 |
url |
https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/242 |
identifier_str_mv |
10.54448/mdnt22S612 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/242/230 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Faceres |
publisher.none.fl_str_mv |
Faceres |
dc.source.none.fl_str_mv |
MedNEXT Journal of Medical and Health Sciences; Vol. 3 No. S6 (2022): MedNEXT - Supplement 6 - September 2022 MedNEXT Journal of Medical and Health Sciences; v. 3 n. S6 (2022): MedNEXT - Supplement 6 - September 2022 2763-5678 10.54448/mdnt22S6 reponame:MedNEXT Journal of Medical and Health Sciences instname:Faculdade de Medicina em São José do Rio Preto (Faceres) instacron:FACERES |
instname_str |
Faculdade de Medicina em São José do Rio Preto (Faceres) |
instacron_str |
FACERES |
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FACERES |
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MedNEXT Journal of Medical and Health Sciences |
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MedNEXT Journal of Medical and Health Sciences |
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MedNEXT Journal of Medical and Health Sciences - Faculdade de Medicina em São José do Rio Preto (Faceres) |
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mednextjmhs@zotarellifilhoscientificworks.com |
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