Endodontic microsurgery: outcomes and prognostic factors
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Purpose of Review
This review addresses endodontic microsurgery procedures compared with traditional surgery and aims to review factors related to the success and failure of endodontic microsurgery from the existing literature.
Periodontal involvement and tooth position are patient- and tooth-related factors known to have an effect on the outcome of apical surgery. Factors related to successful outcome have been reported and include whether the mineral trioxide aggregate used to obturate the apical portion of the root after surgery was fast or slow setting. Although not statistically significant, larger difference in the success rate between slow- and fast-setting MTA groups was observed in teeth with endodontic-periodontal lesions than in teeth with isolated endodontic lesions suggesting that the faster setting root-end filling material is most advantageous, particularly when endodontic lesions have periodontal involvement.
Endodontic microsurgery has witnessed major advances and is currently regarded as an integral part of standard endodontic treatment. Improved visibility and illumination because of the operating microscope, advances in ultrasonic instrument technology, and the development of more biocompatible root-end filling materials have contributed to the technical advances that have led to higher success rates in endodontic microsurgery compared with traditional surgery.
KeywordsEndodontic microsurgery Apical surgery Apicoectomy Microsurgery outcome Microsurgery prognostic factors
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance
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