Clinical and radiographic assessment of various predictors for healing outcome 1 year after periapical surgery

Thomas von Arx, Simon Storgård Jensen, Stefan Hänni

60 Citations (Scopus)

Abstract

This clinical study prospectively evaluated the influence of various predictors on healing outcome 1 year after periapical surgery. The study cohort included 194 teeth in an equal number of patients. Three teeth were lost for the follow-up (1.5% drop-out rate). Clinical and radiographic measures were used to determine the healing outcome. For statistical analysis, results were dichotomized (healed versus nonhealed). The overall success rate was 83.8% (healed cases). The only individual predictors to prove significant for the outcome were pain at initial examination (p=0.030) and other clinical signs or symptoms at initial examination (p=0.042), meaning that such teeth had lower healing rates 1 year after periapical surgery compared with teeth without such signs or symptoms. Logistic regression revealed that pain at initial examination (odds ratio=2.59, confidence interval=1.2-5.6, p=0.04) was the only predictor reaching significance. Several predictors almost reached statistical significance: lesion size (p=0.06), retrofilling material (p=0.06), and postoperative healing course (p=0.06).

Original languageEnglish
JournalJournal of Endodontics
Volume33
Issue number2
Pages (from-to)123-8
Number of pages6
ISSN0099-2399
DOIs
Publication statusPublished - Feb 2007

Keywords

  • Adult
  • Alveolar Bone Loss/diagnostic imaging
  • Apicoectomy
  • Dental Restoration Failure
  • Female
  • Follow-Up Studies
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Periapical Periodontitis/diagnostic imaging
  • Prognosis
  • Prospective Studies
  • Radiography
  • Retrograde Obturation/methods
  • Root Canal Filling Materials
  • Toothache
  • Wound Healing

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