Cargando…
Factors Affecting the Success of Endodontic Microsurgery: A Cone-Beam Computed Tomography Study
The purpose of this retrospective study was to verify preoperative local parameters of periapical lesions evaluated on cone-beam computed tomography (CBCT) scans as a potential prognostic factor in endodontic microsurgery (EMS). Among 89 cases, local factors (dimensions of lesion, bone destruction p...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9323724/ https://www.ncbi.nlm.nih.gov/pubmed/35887756 http://dx.doi.org/10.3390/jcm11143991 |
_version_ | 1784756623503261696 |
---|---|
author | Bieszczad, Daniel Wichlinski, Jaroslaw Kaczmarzyk, Tomasz |
author_facet | Bieszczad, Daniel Wichlinski, Jaroslaw Kaczmarzyk, Tomasz |
author_sort | Bieszczad, Daniel |
collection | PubMed |
description | The purpose of this retrospective study was to verify preoperative local parameters of periapical lesions evaluated on cone-beam computed tomography (CBCT) scans as a potential prognostic factor in endodontic microsurgery (EMS). Among 89 cases, local factors (dimensions of lesion, bone destruction pattern, presence/absence of cortical bone destruction, height of buccal bone plate, apical extend of root canal filling, presence/absence of communication with anatomical cavities, type of lesion restriction) were measured on preoperative CBCT images before EMS. At least one year after surgery, the outcome of EMS was classified as a success or a failure. Ten cases (11.24%) were classified as a failure and 79 as a success (88.76%). Symptomatic lesions (OR = 0.088 (95% CI 0.011–0.731); p = 0.024), apicomarginal lesions (OR = 0.092 (0.021–0.402); p = 0.001) and an association with molar teeth (OR = 0.153 (0.032–0.732); p = 0.019) were found as negative predictive factors in the univariate analysis, whereas large apicocoronal dimension (OR = 0.664 (0.477–0.926); p = 0.016), apicomarginal lesions (OR = 0.058 (0.006–0.55); p = 0.013), and an association with molar teeth (OR = 0.047 (0.003–0.869); p = 0.04) were identified as negative predictive factors in the multivariate analysis model. Symptomatic lesions, apicomarginal lesions, lesions associated with molar teeth and large apicocoronal dimensions are significantly associated with the failure of EMS. |
format | Online Article Text |
id | pubmed-9323724 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-93237242022-07-27 Factors Affecting the Success of Endodontic Microsurgery: A Cone-Beam Computed Tomography Study Bieszczad, Daniel Wichlinski, Jaroslaw Kaczmarzyk, Tomasz J Clin Med Article The purpose of this retrospective study was to verify preoperative local parameters of periapical lesions evaluated on cone-beam computed tomography (CBCT) scans as a potential prognostic factor in endodontic microsurgery (EMS). Among 89 cases, local factors (dimensions of lesion, bone destruction pattern, presence/absence of cortical bone destruction, height of buccal bone plate, apical extend of root canal filling, presence/absence of communication with anatomical cavities, type of lesion restriction) were measured on preoperative CBCT images before EMS. At least one year after surgery, the outcome of EMS was classified as a success or a failure. Ten cases (11.24%) were classified as a failure and 79 as a success (88.76%). Symptomatic lesions (OR = 0.088 (95% CI 0.011–0.731); p = 0.024), apicomarginal lesions (OR = 0.092 (0.021–0.402); p = 0.001) and an association with molar teeth (OR = 0.153 (0.032–0.732); p = 0.019) were found as negative predictive factors in the univariate analysis, whereas large apicocoronal dimension (OR = 0.664 (0.477–0.926); p = 0.016), apicomarginal lesions (OR = 0.058 (0.006–0.55); p = 0.013), and an association with molar teeth (OR = 0.047 (0.003–0.869); p = 0.04) were identified as negative predictive factors in the multivariate analysis model. Symptomatic lesions, apicomarginal lesions, lesions associated with molar teeth and large apicocoronal dimensions are significantly associated with the failure of EMS. MDPI 2022-07-10 /pmc/articles/PMC9323724/ /pubmed/35887756 http://dx.doi.org/10.3390/jcm11143991 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Bieszczad, Daniel Wichlinski, Jaroslaw Kaczmarzyk, Tomasz Factors Affecting the Success of Endodontic Microsurgery: A Cone-Beam Computed Tomography Study |
title | Factors Affecting the Success of Endodontic Microsurgery: A Cone-Beam Computed Tomography Study |
title_full | Factors Affecting the Success of Endodontic Microsurgery: A Cone-Beam Computed Tomography Study |
title_fullStr | Factors Affecting the Success of Endodontic Microsurgery: A Cone-Beam Computed Tomography Study |
title_full_unstemmed | Factors Affecting the Success of Endodontic Microsurgery: A Cone-Beam Computed Tomography Study |
title_short | Factors Affecting the Success of Endodontic Microsurgery: A Cone-Beam Computed Tomography Study |
title_sort | factors affecting the success of endodontic microsurgery: a cone-beam computed tomography study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9323724/ https://www.ncbi.nlm.nih.gov/pubmed/35887756 http://dx.doi.org/10.3390/jcm11143991 |
work_keys_str_mv | AT bieszczaddaniel factorsaffectingthesuccessofendodonticmicrosurgeryaconebeamcomputedtomographystudy AT wichlinskijaroslaw factorsaffectingthesuccessofendodonticmicrosurgeryaconebeamcomputedtomographystudy AT kaczmarzyktomasz factorsaffectingthesuccessofendodonticmicrosurgeryaconebeamcomputedtomographystudy |