Long-Term Prognosis of Endodontic Microsurgery-A Systematic Review and Meta-Analysis
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/106430 https://doi.org/10.3390/medicina56090447 |
Resumo: | Background and objectives: The long-term outcome of endodontic microsurgery (EMS) performed on root-filled teeth affected by post-treatment apical periodontitis (AP) has been a matter of debate, re-launched by the introduction of novel root-end filling materials which have been proven to improve the short-term outcome of EMS. The purpose of this systematic review and meta-analysis is to evaluate the clinical and radiographic long-term outcome of endodontic microsurgery in teeth diagnosed with secondary AP through radiographic evaluation. Materials and Methods: This systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Inclusion and exclusion criteria were defined a priori to select the best longitudinal evidence. Only randomized clinical trials (RCT) and prospective clinical studies (PCS), with a follow-up ≥ 2-year, and exhibiting well-established clinical and radiographic outcome criteria, were selected. Results: A total of 573 articles were obtained, from which 10 fulfill inclusion criteria: 6 PCS and 4 RCT. Meta-analysis showed a pooled proportion of success rate of 91.3%, from an overall amount of 453 treated teeth included in RCT; from overall 839 included teeth in PCS, a pooled success rate of 78.4% was observed, with the follow-up time ranging from 2 to 13-years. Survival rate outcomes varied from 79 to 100% for the same follow-up period. Five prognostic factors with influence on the outcome were disclosed: smoking habits, tooth location and type, absence/presence of dentinal defects, interproximal bone level, and root-end filling material. Conclusions: High success rates and predictable results can be expected when EMS is performed by trained endodontists, allowing good prognosis and preservation of teeth affected by secondary AP. |
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Long-Term Prognosis of Endodontic Microsurgery-A Systematic Review and Meta-Analysisendodontic microsurgeryendoscoperoot canal therapysystematic reviewsurgical endodontic retreatmentsurvival ratetreatment outcomeHumansPrognosisProspective StudiesRoot Canal Filling MaterialsTreatment OutcomeEndodonticsMicrosurgeryBackground and objectives: The long-term outcome of endodontic microsurgery (EMS) performed on root-filled teeth affected by post-treatment apical periodontitis (AP) has been a matter of debate, re-launched by the introduction of novel root-end filling materials which have been proven to improve the short-term outcome of EMS. The purpose of this systematic review and meta-analysis is to evaluate the clinical and radiographic long-term outcome of endodontic microsurgery in teeth diagnosed with secondary AP through radiographic evaluation. Materials and Methods: This systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Inclusion and exclusion criteria were defined a priori to select the best longitudinal evidence. Only randomized clinical trials (RCT) and prospective clinical studies (PCS), with a follow-up ≥ 2-year, and exhibiting well-established clinical and radiographic outcome criteria, were selected. Results: A total of 573 articles were obtained, from which 10 fulfill inclusion criteria: 6 PCS and 4 RCT. Meta-analysis showed a pooled proportion of success rate of 91.3%, from an overall amount of 453 treated teeth included in RCT; from overall 839 included teeth in PCS, a pooled success rate of 78.4% was observed, with the follow-up time ranging from 2 to 13-years. Survival rate outcomes varied from 79 to 100% for the same follow-up period. Five prognostic factors with influence on the outcome were disclosed: smoking habits, tooth location and type, absence/presence of dentinal defects, interproximal bone level, and root-end filling material. Conclusions: High success rates and predictable results can be expected when EMS is performed by trained endodontists, allowing good prognosis and preservation of teeth affected by secondary AP.MDPI2020-09-03info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/106430http://hdl.handle.net/10316/106430https://doi.org/10.3390/medicina56090447eng1648-9144Pinto, DiogoMarques, AndréaPereira, Joana F.Palma, Paulo J.Santos, João Miguelinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-04-03T20:36:08Zoai:estudogeral.uc.pt:10316/106430Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:22:53.231836Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Long-Term Prognosis of Endodontic Microsurgery-A Systematic Review and Meta-Analysis |
title |
Long-Term Prognosis of Endodontic Microsurgery-A Systematic Review and Meta-Analysis |
spellingShingle |
Long-Term Prognosis of Endodontic Microsurgery-A Systematic Review and Meta-Analysis Pinto, Diogo endodontic microsurgery endoscope root canal therapy systematic review surgical endodontic retreatment survival rate treatment outcome Humans Prognosis Prospective Studies Root Canal Filling Materials Treatment Outcome Endodontics Microsurgery |
title_short |
Long-Term Prognosis of Endodontic Microsurgery-A Systematic Review and Meta-Analysis |
title_full |
Long-Term Prognosis of Endodontic Microsurgery-A Systematic Review and Meta-Analysis |
title_fullStr |
Long-Term Prognosis of Endodontic Microsurgery-A Systematic Review and Meta-Analysis |
title_full_unstemmed |
Long-Term Prognosis of Endodontic Microsurgery-A Systematic Review and Meta-Analysis |
title_sort |
Long-Term Prognosis of Endodontic Microsurgery-A Systematic Review and Meta-Analysis |
author |
Pinto, Diogo |
author_facet |
Pinto, Diogo Marques, Andréa Pereira, Joana F. Palma, Paulo J. Santos, João Miguel |
author_role |
author |
author2 |
Marques, Andréa Pereira, Joana F. Palma, Paulo J. Santos, João Miguel |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Pinto, Diogo Marques, Andréa Pereira, Joana F. Palma, Paulo J. Santos, João Miguel |
dc.subject.por.fl_str_mv |
endodontic microsurgery endoscope root canal therapy systematic review surgical endodontic retreatment survival rate treatment outcome Humans Prognosis Prospective Studies Root Canal Filling Materials Treatment Outcome Endodontics Microsurgery |
topic |
endodontic microsurgery endoscope root canal therapy systematic review surgical endodontic retreatment survival rate treatment outcome Humans Prognosis Prospective Studies Root Canal Filling Materials Treatment Outcome Endodontics Microsurgery |
description |
Background and objectives: The long-term outcome of endodontic microsurgery (EMS) performed on root-filled teeth affected by post-treatment apical periodontitis (AP) has been a matter of debate, re-launched by the introduction of novel root-end filling materials which have been proven to improve the short-term outcome of EMS. The purpose of this systematic review and meta-analysis is to evaluate the clinical and radiographic long-term outcome of endodontic microsurgery in teeth diagnosed with secondary AP through radiographic evaluation. Materials and Methods: This systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Inclusion and exclusion criteria were defined a priori to select the best longitudinal evidence. Only randomized clinical trials (RCT) and prospective clinical studies (PCS), with a follow-up ≥ 2-year, and exhibiting well-established clinical and radiographic outcome criteria, were selected. Results: A total of 573 articles were obtained, from which 10 fulfill inclusion criteria: 6 PCS and 4 RCT. Meta-analysis showed a pooled proportion of success rate of 91.3%, from an overall amount of 453 treated teeth included in RCT; from overall 839 included teeth in PCS, a pooled success rate of 78.4% was observed, with the follow-up time ranging from 2 to 13-years. Survival rate outcomes varied from 79 to 100% for the same follow-up period. Five prognostic factors with influence on the outcome were disclosed: smoking habits, tooth location and type, absence/presence of dentinal defects, interproximal bone level, and root-end filling material. Conclusions: High success rates and predictable results can be expected when EMS is performed by trained endodontists, allowing good prognosis and preservation of teeth affected by secondary AP. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-09-03 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/106430 http://hdl.handle.net/10316/106430 https://doi.org/10.3390/medicina56090447 |
url |
http://hdl.handle.net/10316/106430 https://doi.org/10.3390/medicina56090447 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1648-9144 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
MDPI |
publisher.none.fl_str_mv |
MDPI |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799134117220057088 |