Please use this identifier to cite or link to this item:
https://hdl.handle.net/10316/106430
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Pinto, Diogo | - |
dc.contributor.author | Marques, Andréa | - |
dc.contributor.author | Pereira, Joana F. | - |
dc.contributor.author | Palma, Paulo J. | - |
dc.contributor.author | Santos, João Miguel | - |
dc.date.accessioned | 2023-04-03T08:20:09Z | - |
dc.date.available | 2023-04-03T08:20:09Z | - |
dc.date.issued | 2020-09-03 | - |
dc.identifier.issn | 1648-9144 | pt |
dc.identifier.uri | https://hdl.handle.net/10316/106430 | - |
dc.description.abstract | 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. | pt |
dc.language.iso | eng | pt |
dc.publisher | MDPI | pt |
dc.rights | openAccess | pt |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | pt |
dc.subject | endodontic microsurgery | pt |
dc.subject | endoscope | pt |
dc.subject | root canal therapy | pt |
dc.subject | systematic review | pt |
dc.subject | surgical endodontic retreatment | pt |
dc.subject | survival rate | pt |
dc.subject | treatment outcome | pt |
dc.subject.mesh | Humans | pt |
dc.subject.mesh | Prognosis | pt |
dc.subject.mesh | Prospective Studies | pt |
dc.subject.mesh | Root Canal Filling Materials | pt |
dc.subject.mesh | Treatment Outcome | pt |
dc.subject.mesh | Endodontics | pt |
dc.subject.mesh | Microsurgery | pt |
dc.title | Long-Term Prognosis of Endodontic Microsurgery-A Systematic Review and Meta-Analysis | pt |
dc.type | article | - |
degois.publication.firstPage | 447 | pt |
degois.publication.issue | 9 | pt |
degois.publication.title | Medicina (Lithuania) | pt |
dc.peerreviewed | yes | pt |
dc.identifier.doi | 10.3390/medicina56090447 | pt |
degois.publication.volume | 56 | pt |
dc.date.embargo | 2020-09-03 | * |
uc.date.periodoEmbargo | 0 | pt |
item.fulltext | Com Texto completo | - |
item.grantfulltext | open | - |
item.languageiso639-1 | en | - |
item.cerifentitytype | Publications | - |
item.openairetype | article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
crisitem.author.orcid | 0000-0003-4730-8072 | - |
crisitem.author.orcid | 0000-0002-2865-9689 | - |
Appears in Collections: | FMUC Med. Dentária - Artigos em Revistas Internacionais FMUC Medicina - Artigos em Revistas Internacionais |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Longterm-prognosis-of-endodontic-microsurgery-a-systematic-review-and-metaanalysisMedicina-Lithuania.pdf | 1.59 MB | Adobe PDF | View/Open |
Page view(s)
142
checked on Sep 25, 2024
Download(s)
57
checked on Sep 25, 2024
Google ScholarTM
Check
Altmetric
Altmetric
This item is licensed under a Creative Commons License