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https://hdl.handle.net/10316/106430
Título: | Long-Term Prognosis of Endodontic Microsurgery-A Systematic Review and Meta-Analysis | Autor: | Pinto, Diogo Marques, Andréa Pereira, Joana F. Palma, Paulo J. Santos, João Miguel |
Palavras-chave: | endodontic microsurgery; endoscope; root canal therapy; systematic review; surgical endodontic retreatment; survival rate; treatment outcome | Data: | 3-Set-2020 | Editora: | MDPI | Título da revista, periódico, livro ou evento: | Medicina (Lithuania) | Volume: | 56 | Número: | 9 | 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. | URI: | https://hdl.handle.net/10316/106430 | ISSN: | 1648-9144 | DOI: | 10.3390/medicina56090447 | Direitos: | openAccess |
Aparece nas coleções: | FMUC Med. Dentária - Artigos em Revistas Internacionais FMUC Medicina - Artigos em Revistas Internacionais |
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Ficheiro | Descrição | Tamanho | Formato | |
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Longterm-prognosis-of-endodontic-microsurgery-a-systematic-review-and-metaanalysisMedicina-Lithuania.pdf | 1.59 MB | Adobe PDF | Ver/Abrir |
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