Critical Factors Affecting Outcomes of Endodontic Microsurgery: A Retrospective Japanese Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Sample Selection
- No medical contraindications for surgical endodontic therapy (ASA-PS class I or II).
- Diagnosis of periapical periodontitis by preoperative cone-beam computed tomography (CBCT).
- Root resection and retrograde root canal filling were conducted with the aid of a surgical microscope and with specialized instruments and treatment protocols optimized for EMS.
- The patient provided informed consent for the treatment.
2.3. Surgical Treatment Procedures and Follow-Up
2.4. Data Collection and Outcome Assessment
2.5. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Pathological Diagnosis | n (%) |
---|---|
Radicular cyst | 26 (65) |
Radicular granuloma | 8 (20) |
Inflammatory granulation tissue | 6 (7.5) |
Not collected | 6 (7.5) |
Variable/Factor (n) | Clinical Success (%) | Clinical Failure (%) | OR (95%CI) | p Value | |
---|---|---|---|---|---|
Sex (46) | Female | 31 (67.4) | 3 (6.5) | 0 | 0.557 |
Male | 12 (26.1) | 0 (0) | (0–7.012) | ||
Age, y (46) | <45 | 29 (63.1) | 2 (4.3) | 1.035 | 1 |
≥45 | 14 (30.4) | 1 (2.2) | (0.02–21.50) | ||
Arch (46) | Maxillary | 39 (84.8) | 1 (2.2) | 17.08 | 0.041 * |
Mandibular | 4 (8.7) | 2 (4.3) | (0.75–1165.82) | ||
Lesion size, mm (46) | <5 | 17 (37) | 0 (0) | Inf | 0.524 |
≥5 | 27 (58.7) | 2 (4.3) | (0.11–Inf) | ||
Lesion type (34) | Granuloma | 24 (70.6) | 2 (5.9) | 3.27 | 0.432 |
Cyst | 7 (20.6) | 1 (2.9) | (0.04–279.35) | ||
Pre-RCT (46) | Yes | 33 (71.8) | 0 (0) | Inf | 0.019 * |
No | 10 (21.7) | 3 (6.5) | (1.14–Inf) | ||
Post core (46) | Yes | 17 (37) | 2 (4.3) | 0.561 | 0.561 |
No | 26 (56.5) | 1 (2.2) | (0.01–6.91) | ||
Isthmus (46) | Yes | 18 (39.1) | 2 (4.3) | 0.368 | 0.572 |
No | 25 (54.4) | 1 (2.2) | (0.01–7.58) |
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Yamada, M.; Kasahara, N.; Matsunaga, S.; Fujii, R.; Miyayoshi, N.; Sekiya, S.; Ding, I.; McCulloch, C.A. Critical Factors Affecting Outcomes of Endodontic Microsurgery: A Retrospective Japanese Study. Dent. J. 2024, 12, 266. https://doi.org/10.3390/dj12080266
Yamada M, Kasahara N, Matsunaga S, Fujii R, Miyayoshi N, Sekiya S, Ding I, McCulloch CA. Critical Factors Affecting Outcomes of Endodontic Microsurgery: A Retrospective Japanese Study. Dentistry Journal. 2024; 12(8):266. https://doi.org/10.3390/dj12080266
Chicago/Turabian StyleYamada, Masashi, Norio Kasahara, Satoru Matsunaga, Rie Fujii, Norihito Miyayoshi, Sayo Sekiya, Isabel Ding, and Christopher A. McCulloch. 2024. "Critical Factors Affecting Outcomes of Endodontic Microsurgery: A Retrospective Japanese Study" Dentistry Journal 12, no. 8: 266. https://doi.org/10.3390/dj12080266