Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A RETROSPECTIVE CLINICAL STUDY OF PERIAPICALLY INFECTED TEETH TREATED WITH PERIAPICAL SURGERY

치근단 감염 치아의 치근단 수술 후 예후에 관한 후향적 연구

  • Kim, Hyeon-Min (Department of Oral & Maxillofacial Surgery, Gil Hospital, Gachon University) ;
  • Park, Chul-Hwi (Department of Oral & Maxillofacial Surgery, Gil Hospital, Gachon University) ;
  • Lee, Sang-Chil (Department of Oral & Maxillofacial Surgery, Gil Hospital, Gachon University) ;
  • Kim, Dong-Woo (Department of Oral & Maxillofacial Surgery, Gil Hospital, Gachon University) ;
  • Park, Dae-Song (Department of Oral & Maxillofacial Surgery, Gil Hospital, Gachon University) ;
  • Jung, Jin-Hwan (Department of Oral & Maxillofacial Surgery, Gil Hospital, Gachon University) ;
  • Lee, Seul-Ki (Department of Oral & Maxillofacial Surgery, Gil Hospital, Gachon University) ;
  • Song, Min-Seok (Department of Oral & Maxillofacial Surgery, Chung-Ang University Hospital)
  • 김현민 (가천의과대학교 길병원 구강악안면외과) ;
  • 박철휘 (가천의과대학교 길병원 구강악안면외과) ;
  • 이상칠 (가천의과대학교 길병원 구강악안면외과) ;
  • 김동우 (가천의과대학교 길병원 구강악안면외과) ;
  • 박대송 (가천의과대학교 길병원 구강악안면외과) ;
  • 정진환 (가천의과대학교 길병원 구강악안면외과) ;
  • 이슬기 (가천의과대학교 길병원 구강악안면외과) ;
  • 송민석 (중앙대학교병원 구강악안면외과)
  • Received : 2009.11.19
  • Accepted : 2010.03.24
  • Published : 2010.05.31
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Abstract

Purpose: The purpose of this retrospective clinical study was to monitor the outcomes of periapical surgery in periapically infected tooth with or without retrograde filling materials (MTA or IRM). Patients and Methods: A total of 85 teeth in 63 patients were included in the study between November 2004 and August 2008. Randomly, MTA or IRM was used as a retrograde filling material or only apical resection without retrograde filling. Teeth with advanced periodontal bone loss or presence of root fracture were excluded from the study. The patients were subjected to a minimum follow-up period of 12 months, with a mean of 17.1 months. Results: Successful healing was observed in 83.3% of the MTA-treated teeth, 80% of the IRM-treated teeth and 75% of the teeth which was not retrograde filling. Doubtful healing was seen 9.3% (MTA), 13.3% (IRM), 12.5% (no retro-filling). The success rate of upper incisors (92%) was higher than lower lincisor and molars (66.7% and 50%, respectively). Conclusion: In this study, periapical surgery including retrograde filling improves the prognosis. And, no statistically significant differences were found between retrograde filling materials (MTA or IRM).

Keywords

References

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