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Evaluation of healing criteria for success after periapical surgery.

Authors :: Peñarrocha Diago M
Ortega Sánchez B
García Mira B
Martí Bowen E
von Arx T
Gay Escoda C
Source :: Medicina oral, patologia oral y cirugia bucal [Med Oral Patol Oral Cir Bucal] 2008 Feb 01; Vol. 13 (2), pp. E143-7. Date of Electronic Publication: 2008 Feb 01.
Publication Year :: 2008
Abstract: Introduction: In periapical surgery, the absence of standardization between different studies makes it difficult to compare the outcomes.<br />Objective: To compare the healing classification of different authors and evaluate the prognostic criteria of periapical surgery at 12 months.<br />Material and Methods: 278 patients (101 men and 177 women) with a mean age of 38.1 years (range 11 to 77) treated with periapical surgery using the ultrasound technique and a 2.6x magnifying glass, and silver amalgam as root-end filling material were included in the study. Evolution was analyzed using the clinical criteria of Mikkonen et al., 1983; radiographic criteria of Rud et al., 1972; the overall combined clinical and radiographic criteria of von Arx and Kurt, 1999; and the Friedman (2005) concept of functional tooth at 12 months of surgery.<br />Results: After 12 months, 87.2% clinical success was obtained according to the Mikkonen et al., 1983 criteria; 73.9% complete radiographic healing using Rud et al. criteria; 62.1% overall success, following the clinical and radiographic parameters of von Arx and Kurt, and 91.9% of teeth were functional. The von Arx and Kurt criteria was found to be the most reliable.<br />Conclusion: Overall evolution according to von Arx and Kurt agreed most closely with the other scales.