Clinical and radiographic assessment of various predictors for healing outcome 1 year after periapical surgery
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Clinical and radiographic assessment of various predictors for healing outcome 1 year after periapical surgery. / von Arx, Thomas; Jensen, Simon Storgård; Hänni, Stefan.
I: Journal of Endodontics, Bind 33, Nr. 2, 02.2007, s. 123-8.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Clinical and radiographic assessment of various predictors for healing outcome 1 year after periapical surgery
AU - von Arx, Thomas
AU - Jensen, Simon Storgård
AU - Hänni, Stefan
PY - 2007/2
Y1 - 2007/2
N2 - This clinical study prospectively evaluated the influence of various predictors on healing outcome 1 year after periapical surgery. The study cohort included 194 teeth in an equal number of patients. Three teeth were lost for the follow-up (1.5% drop-out rate). Clinical and radiographic measures were used to determine the healing outcome. For statistical analysis, results were dichotomized (healed versus nonhealed). The overall success rate was 83.8% (healed cases). The only individual predictors to prove significant for the outcome were pain at initial examination (p=0.030) and other clinical signs or symptoms at initial examination (p=0.042), meaning that such teeth had lower healing rates 1 year after periapical surgery compared with teeth without such signs or symptoms. Logistic regression revealed that pain at initial examination (odds ratio=2.59, confidence interval=1.2-5.6, p=0.04) was the only predictor reaching significance. Several predictors almost reached statistical significance: lesion size (p=0.06), retrofilling material (p=0.06), and postoperative healing course (p=0.06).
AB - This clinical study prospectively evaluated the influence of various predictors on healing outcome 1 year after periapical surgery. The study cohort included 194 teeth in an equal number of patients. Three teeth were lost for the follow-up (1.5% drop-out rate). Clinical and radiographic measures were used to determine the healing outcome. For statistical analysis, results were dichotomized (healed versus nonhealed). The overall success rate was 83.8% (healed cases). The only individual predictors to prove significant for the outcome were pain at initial examination (p=0.030) and other clinical signs or symptoms at initial examination (p=0.042), meaning that such teeth had lower healing rates 1 year after periapical surgery compared with teeth without such signs or symptoms. Logistic regression revealed that pain at initial examination (odds ratio=2.59, confidence interval=1.2-5.6, p=0.04) was the only predictor reaching significance. Several predictors almost reached statistical significance: lesion size (p=0.06), retrofilling material (p=0.06), and postoperative healing course (p=0.06).
KW - Adult
KW - Alveolar Bone Loss/diagnostic imaging
KW - Apicoectomy
KW - Dental Restoration Failure
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Logistic Models
KW - Male
KW - Middle Aged
KW - Periapical Periodontitis/diagnostic imaging
KW - Prognosis
KW - Prospective Studies
KW - Radiography
KW - Retrograde Obturation/methods
KW - Root Canal Filling Materials
KW - Toothache
KW - Wound Healing
U2 - 10.1016/j.joen.2006.10.001
DO - 10.1016/j.joen.2006.10.001
M3 - Journal article
C2 - 17258628
VL - 33
SP - 123
EP - 128
JO - Journal of Endodontics
JF - Journal of Endodontics
SN - 0099-2399
IS - 2
ER -
ID: 216255131