Outcome of surgical endodontic treatment performed by a modern technique: a meta-analysis of literature.
ABSTRACT Numerous studies dealing with the outcome of surgical endodontic treatment have been published. However, study design, treatment protocols, follow-up periods, and inclusion and exclusion criteria are extremely variable. Thus, variable and confusing results have been reported. The aim of the present study was to assess the outcome of surgical endodontic treatment performed with a modern technique and to evaluate factors influencing the outcome by means of a meta-analysis.
An exhaustive literature search combined with strict inclusion and exclusion criteria was undertaken to identify prospective case series or randomized clinical trials that deal with surgical endodontic treatment.
A successful outcome in a follow-up of more than 1 year postoperatively was 91.6%. Age, gender, tooth type, root-end filling material, and magnification type had no significant effect on the proportion of success.
Surgical endodontic treatment done by using a modern technique is a predictable treatment. Additional large-scale prospective clinical studies are needed to evaluate possible predictors of success and failure.
Giornale italiano di endodonzia 06/2014; 28(1):29-30. DOI:10.1016/j.gien.2014.05.003
[Show abstract] [Hide abstract]
ABSTRACT: Lasers are becoming widely used in medicine and dentistry due to their beneficial effects such as: coagulation properties (less postoperative bleeding), less pain and edema. Lasers also allow good and rapid healing, a very low level of discomfort both during and after intervention and a rapid disappearance of symptoms. Laser technology has certain advantages such as accuracy of the incision, absence of vibration and manual pressure during use; this is also true for Er: YAG laser application. Due to laser positive coagulation effects during surgical procedure, better sight of the work field is obtained. It is very important to acknowledge possible thermal damage induced by Er: YAG lasers in the clinical setting. Lasers have played an integral part in the evolution of oral and maxillofacial surgery (OMS); and rapidly became the standard of care for many procedures performed by oral surgeons. 800 A Textbook of Advanced Oral and Maxillofacial Surgery Volume 2 The reason for this transition is simple: many procedures can be executed more efficiently and with less morbidity using lasers when compared with scalpel, electrocautery or high frequency devices.A Textbook of Advanced Oral and Maxillofacial Surgery Volume 2, First Edition edited by Mohammad Hosein Kalantar Motamedi, 04/2015: chapter Advanced Applications of the Er:YAG Laser in Oral and Maxillofacial Surgery: pages 799-836; InTech., ISBN: 978-953-51-2035-3
Complications in Endodontic Surgery, Edited by Igor Tsesis, 01/2014: chapter Bisphosphonate-Related Osteonecrosis of the Jaw (BRONJ): pages 153-165; , ISBN: 9783642542176, 9783642542183