Skip to main content

Advertisement

SpringerLink
Log in

Outcome of nonsurgical retreatment and endodontic microsurgery: a meta-analysis

  • Review
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objectives

The purpose of this study was to evaluate and compare the clinical and radiographic outcomes of nonsurgical endodontic retreatment and endodontic microsurgery by a meta-analysis.

Materials and methods

Electronic databases including PubMed, Embase, Medline, and The Cochrane Library were searched, and the references of related articles were manually searched to identify all the clinical studies that evaluated the clinical and radiographic outcomes after retreatment or microsurgery. The first and second screening processes were conducted by three reviewers independently. The final studies were selected after strict application of the inclusion and exclusion criteria. The random effects meta-analysis model with the DerSimonian-Laird pooling method was performed. The weighted pooled success rates and 95 % confidence interval estimates of the outcome were calculated. Additionally, the effects of the follow-up period and study quality were investigated by a subgroup analysis.

Results

Endodontic microsurgery and nonsurgical retreatment have stable outcomes presenting 92 and 80 % of overall pooled success rates, respectively. The microsurgery group had a significantly higher success rate than the retreatment group. When the data were organized and analyzed according to their follow-up periods, a significantly higher success rate was found for the microsurgery group in the short-term follow-up (less than 4 years), whereas no significant difference was observed in the long-term follow-up (more than 4 years).

Conclusions

Endodontic microsurgery was confirmed as a reliable treatment option with favorable initial healing and a predictable outcome.

Clinical relevance

Clinicians may consider the microsurgery as an effective way of retreatment as well as nonsurgical retreatment depending on the clinical situations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Harty FJ, Parkins BJ, Wengraf AM (1970) Success rate in root canal therapy. A retrospective study of conventional cases. Br Dent J 128:65–70

    PubMed  Google Scholar 

  2. Smith CS, Setchell DJ, Harty FJ (1993) Factors influencing the success of conventional root canal therapy—a five-year retrospective study. Int Endod J 26:321–333

    PubMed  Google Scholar 

  3. Swartz DB, Skidmore AE, Griffin JA (1983) Twenty years of endodontic success and failure. J Endod 9:198–202

    PubMed  Google Scholar 

  4. Kvist T, Reit C (1995) Results of endodontic retreatment: a randomized clinical study comparing surgical and nonsurgical procedures. J Endod 25:814–817

    Google Scholar 

  5. Nair PN, Sjögren U, Krey G, Kahnberg KE, Sundqvist G (1990) Intraradicular bacteria and fungi in root-filled, asymptomatic human teeth with therapy-resistant periapical lesions: a long-term light and electron microscopic follow-up study. J Endod 16:580–588

    PubMed  Google Scholar 

  6. Ng YL, Mann V, Gulabivala K (2008) Outcome of secondary root canal treatment: a systematic review of the literature. Int Endod J 41:1026–1046

    PubMed  Google Scholar 

  7. Cohen S, Hargreaves KM (2006) Pathways of the pulp. Elsevier Mosby, St. Louis, Mo

    Google Scholar 

  8. Pecora G, Andreana S (1993) Use of dental operating microscope in endodontic surgery. Oral Surg Oral Med Oral Pathol 75:751–758

    PubMed  Google Scholar 

  9. Sumi Y, Hattori H, Hayashi K, Ueda M (1996) Ultrasonic root-end preparation: clinical and radiographic evaluation of results. J Oral Maxillofac Surg 54:590–593

    PubMed  Google Scholar 

  10. Rubinstein RA, Kim S (1999) Short-term observation of the results of endodontic surgery with the use of a surgical operation microscope and super-EBA as root-end filling material. J Endod 25:43–48

    Google Scholar 

  11. Chong BS, Pitt Ford TR, Hudson MB (2003) A prospective clinical study of mineral trioxide aggregate and IRM when used as root-end filling materials in endodontic surgery. Int Endod J 36:520–526

    PubMed  Google Scholar 

  12. Christiansen R, Kirkevang LL, Horsted-Bindslev P, Wenzel A (2009) Randomized clinical trial of root-end resection followed by root-end filling with mineral trioxide aggregate or smoothing of the orthograde gutta-percha root filling-1-year follow-up. Int Endod J 42:105–114

    PubMed  Google Scholar 

  13. Dorn SO, Gartner AH (1990) Retrograde filling materials: a retrospective success-failure study of amalgam, EBA, and IRM. J Endod 16:391–393

    PubMed  Google Scholar 

  14. Setzer FC, Shah SB, Kohli MR, Karabucak B, Kim S (2010) Outcome of endodontic surgery: a meta-analysis of the literature—part 1: comparison of traditional root-end surgery and endodontic microsurgery. J Endod 36:1757–1765

    PubMed  Google Scholar 

  15. Kim S, Kratchman S (2006) Modern endodontic surgery concepts and practice: a review. J Endod 32:601–623

    PubMed  Google Scholar 

  16. Tsesis I, Rosen E, Taschieri S, Telishevsky Strauss Y, Ceresoli V, Del Fabbro M (2013) Outcomes of surgical endodontic treatment performed by a modern technique: an updated meta-analysis of the literature. J Endod 39:332–339

    PubMed  Google Scholar 

  17. von Arx T, Roux E, Bürgin W (2014) Treatment decisions in 330 cases referred for apical surgery. J Endod 40:187–191

    Google Scholar 

  18. Rawski AA, Brehmer B, Knutsson K, Petersson K, Reit C, Rohlin M (2003) The major factors that influence endodontic retreatment decisions. Swed Dent J 27:23–29

    PubMed  Google Scholar 

  19. Aryanpour S, Van Nieuwenhuysen JP, D’Hoore W (2000) Endodontic retreatment decisions: no consensus. Int Endod J 33:208–218

    PubMed  Google Scholar 

  20. Briggs PF, Scott BJ (1997) Evidence-based dentistry: endodontic failure—how should it be managed? Br Dent J 183:159–164

    PubMed  Google Scholar 

  21. Del Fabbro M, Taschieri S, Testori T, Francetti L, Weinstein RL (2007) Surgical versus non-surgical endodontic re-treatment for periradicular lesions. Cochrane Database Syst Rev CD005511

  22. Hepworth MJ, Friedman S (1997) Treatment outcome of surgical and non-surgical management of endodontic failures. J Can Dent Assoc 63:364–371

    PubMed  Google Scholar 

  23. Torabinejad M, Corr R, Handysides R, Shabahang S (2009) Outcomes of nonsurgical retreatment and endodontic surgery: a systematic review. J Endod 35:930–937

    PubMed  Google Scholar 

  24. Rud J, Andreasen JO, Jensen JE (1972) Radiographic criteria for the assessment of healing after endodontic surgery. Int J Oral Surg 1:195–214

    PubMed  Google Scholar 

  25. Molven O, Halse A, Grung B (1996) Incomplete healing (scar tissue) after periapical surgery—radiographic findings 8 to 12 years after treatment. J Endod 22:264–268

    PubMed  Google Scholar 

  26. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, McQuay HJ (1996) Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 17:1–12

    PubMed  Google Scholar 

  27. Detsky AS, Naylor CD, O’Rourke K, McGeer AJ, L’Abbé KA (1992) Incorporating variations in the quality of individual randomized trials into meta-analysis. J Clin Epidemiol 45:255–265

    PubMed  Google Scholar 

  28. Taschieri S, Weinstein T, Tsesis I, Bortolin M, Del Fabbro M (2013) Magnifying loupes versus surgical microscope in endodontic surgery: a four-year retrospective study. Aust Endod J 39:78–80

    PubMed  Google Scholar 

  29. de Chevigny C, Dao TT, Basrani BR, Marquis V, Farzaneh M, Abitbol S, Friedman S (2008) Treatment outcome in endodontics: the Toronto study—phases 3 and 4: orthograde retreatment. J Endod 34:131–137

    PubMed  Google Scholar 

  30. Ercan E, Dalli M, Duülgergil CT, Yaman F (2007) Effect of intracanal medication with calcium hydroxide and 1 % chlorhexidine in endodontic retreatment cases with periapical lesions: an in vivo study. J Formos Med Assoc 106:217–224

    PubMed  Google Scholar 

  31. Calişkan MK (2005) Nonsurgical retreatment of teeth with periapical lesions previously managed by either endodontic or surgical intervention. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100:242–248

    PubMed  Google Scholar 

  32. Gorni FG, Gagliani M (2004) The outcome of endodontic retreatment: a 2-yr follow-up. J Endod 30:1–4

    PubMed  Google Scholar 

  33. Farzaneh M, Abitbol S, Friedman S (2004) Treatment outcome in endodontics: the Toronto study. Phases I and II: orthograde retreatment. J Endod 30:627–633

    PubMed  Google Scholar 

  34. Allen RK, Newton CW, Brown CE (1989) A statistical analysis of surgical and nonsurgical endodontic retreatment cases. J Endod 15:261–266

    PubMed  Google Scholar 

  35. Selden HS (1974) Pulpoperiapical disease: diagnosis and healing. A clinical endodontic study. Oral Surg Oral Med Oral Pathol 37:271–283

    PubMed  Google Scholar 

  36. von Arx T, Jensen SS, Hanni S, Friedman S (2012) Five-year longitudinal assessment of the prognosis of apical microsurgery. J Endod 38:570–579

    Google Scholar 

  37. Song M, Kim E (2012) A prospective randomized controlled study of mineral trioxide aggregate and super ethoxy-benzoic acid as root-end filling materials in endodontic microsurgery. J Endod 38:875–879

    PubMed  Google Scholar 

  38. Pljevljak N, Minasi R, Brauner E, Galli M (2011) Surgical endodontic therapy: retrofilling of apex with amalgam and SuperSeal. Retrospective study. Minerva Stomatol 60:289–296

    PubMed  Google Scholar 

  39. Goyal B, Tewari S, Duhan J, Sehgal PK (2011) Comparative evaluation of platelet-rich plasma and guided tissue regeneration membrane in the healing of apicomarginal defects: a clinical study. J Endod 37:773–780

    PubMed  Google Scholar 

  40. Taschieri S, Del Fabbro M, Testori T, Weinstein R (2008) Microscope versus endoscope in root-end management: a randomized controlled study. Int J Oral Maxillofac Surg 37:1022–1026

    PubMed  Google Scholar 

  41. Kim E, Song JS, Jung IY, Lee SJ, Kim S (2008) Prospective clinical study evaluating endodontic microsurgery outcomes for cases with lesions of endodontic origin compared with cases with lesions of combined periodontal-endodontic origin. J Endod 34:546–551

    PubMed  Google Scholar 

  42. Tsesis I, Rosen E, Schwartz-Arad D, Fuss Z (2006) Retrospective evaluation of surgical endodontic treatment: traditional versus modern technique. J Endod 32:412–416

    PubMed  Google Scholar 

  43. Wälivaara DÅ, Abrahamsson P, Fogelin M, Isaksson S (2011) Super-EBA and IRM as root-end fillings in periapical surgery with ultrasonic preparation: a prospective randomized clinical study of 206 consecutive teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112:258–263

    PubMed  Google Scholar 

  44. Marin-Botero ML, Dominguez-Mejia JS, Arismendi-Echavarria JA, Mesa-Jaramillo AL, Florez-Moreno GA, Tobon-Arroyave SI (2006) Healing response of apicomarginal defects to two guided tissue regeneration techniques in periradicular surgery: a double-blind, randomized-clinical trial. Int Endod J 39:368–377

    PubMed  Google Scholar 

  45. Pantschev A, Carlsson AP, Andersson L (1994) Retrograde root filling with EBA cement or amalgam. A comparative clinical study. Oral Surg Oral Med Oral Pathol 78:101–104

    PubMed  Google Scholar 

  46. Castelot-Enkel B, Nguyen J, Armengol V, Volteau C, Laboux O, Lombrail P, Weiss P (2013) A recall program for the outcome of conventional root canal treatment performed in a teaching hospital. Acta Odontol Scand 71:1399–1409

    PubMed  Google Scholar 

  47. von Arx T, Alsaeed M, Salvi GE (2011) Five-year changes in periodontal parameters after apical surgery. J Endod 37:910–918

    Google Scholar 

  48. Taschieri S, Del Fabbro M, Testori T, Francetti L, Weinstein R (2005) Endodontic surgery with ultrasonic retrotips: one-year follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100:380–387

    PubMed  Google Scholar 

  49. Ng YL, Mann V, Gulabivala K (2011) A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health. Int Endod J 44:583–609

    PubMed  Google Scholar 

  50. Vaishnavi C, Mohan B, Narayanan LL (2011) Treatment of endodontically induced periapical lesions using hydroxyapatite, platelet-rich plasma, and a combination of both: an in vivo study. J Conserv Dent 14:140–146

    PubMed Central  PubMed  Google Scholar 

  51. Lindeboom JA, Frenken JW, Kroon FH, van den Akker HP (2005) A comparative prospective randomized clinical study of MTA and IRM as root-end filling materials in single-rooted teeth in endodontic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100:495–500

    PubMed  Google Scholar 

  52. Cheung LK, Lam J (1993) Apicectomy of posterior teeth—a clinical study. Aust Dent J 38:17–21

    PubMed  Google Scholar 

  53. Ng YL, Mann V, Gulabivala K (2011) A prospective study of the factors affecting outcomes of non-surgical root canal treatment: part 2: tooth survival. Int Endod J 44:610–625

    PubMed  Google Scholar 

  54. Taschieri S, Corbella S, Tsesis I, Bortolin M, Del Fabbro M (2011) Effect of guided tissue regeneration on the outcome of surgical endodontic treatment of through-and-through lesions: a retrospective study at 4-year follow-up. Oral Maxillofac Surg 15:153–159

    PubMed  Google Scholar 

  55. Gagliani MM, Gorni FG, Strohmenger L (2005) Periapical resurgery versus periapical surgery: a 5-year longitudinal comparison. Int Endod J 38:320–327

    PubMed  Google Scholar 

  56. Rapp EL, Brown CE Jr, Newton CW (1991) An analysis of success and failure of apicoectomies. J Endod 17:508–512

    PubMed  Google Scholar 

  57. Rosenberg D (2001) Nonsurgical endodontic re-treatment, Part 1. Dent Today 20(82–84):86

    Google Scholar 

  58. Sreedevi P, Varghese N, Varugheese JM (2011) Prognosis of periapical surgery using bonegrafts: a clinical study. J Conserv Dent 14:68–72

    PubMed Central  PubMed  Google Scholar 

  59. Wang N, Knight K, Dao T, Friedman S (2004) Treatment outcome in endodontics-The Toronto Study. Phases I and II: apical surgery. J Endod 30:751–761

    PubMed  Google Scholar 

  60. Molven O, Halse A, Grung B (1991) Surgical management of endodontic failures: indications and treatment results. Int Dent J 41:33–42

    PubMed  Google Scholar 

  61. Sundqvist G, Figdor D, Persson S, Sjögren U (1998) Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85:86–93

    PubMed  Google Scholar 

  62. Song M, Shin SJ, Kim E (2011) Outcomes of endodontic micro-resurgery: a prospective clinical study. J Endod 37:316–320

    PubMed  Google Scholar 

  63. Maddalone M, Gagliani M (2003) Periapical endodontic surgery: a 3-year follow-up study. Int Endod J 36:193–198

    PubMed  Google Scholar 

  64. Lustmann J, Friedman S, Shaharabany V (1991) Relation of pre- and intraoperative factors to prognosis of posterior apical surgery. J Endod 17:239–241

    PubMed  Google Scholar 

  65. Gutknecht N, Kaiser F, Hassan A, Lampert F (1996) Long-term clinical evaluation of endodontically treated teeth by Nd:YAG lasers. J Clin Laser Med Surg 14:7–11

    PubMed  Google Scholar 

  66. Peñarrocha M, Carrillo C, Peñarrocha M, Peñarrocha D, von Arx T, Vera F (2011) Symptoms before periapical surgery related to histologic diagnosis and postoperative healing at 12 months for 178 periapical lesions. J Oral Maxillofac Surg 69:e31–e37

    PubMed  Google Scholar 

  67. Dietrich T, Zunker P, Dietrich D, Bernimoulin JP (2003) Periapical and periodontal healing after osseous grafting and guided tissue regeneration treatment of apicomarginal defects in periradicular surgery: results after 12 months. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 95:474–482

    PubMed  Google Scholar 

  68. Halse A, Molven O, Grung B (1991) Follow-up after periapical surgery: the value of the one-year control. Endod Dent Traumatol 7:246–250

    PubMed  Google Scholar 

  69. Salehrabi R, Rotstein I (2010) Epidemiologic evaluation of the outcomes of orthograde endodontic retreatment. J Endod 36:790–792

    PubMed  Google Scholar 

  70. Angiero F, Benedicenti S, Signore A, Parker S, Crippa R (2011) Apicoectomies with the erbium laser: a complementary technique for retrograde endodontic treatment. Photomed Laser Surg 29:845–849

    PubMed  Google Scholar 

  71. Tobon SI, Arismendi JA, Marin ML, Mesa AL, Valencia JA (2002) Comparison between a conventional technique and two bone regeneration techniques in periradicular surgery. Int Endod J 35:635–641

    PubMed  Google Scholar 

  72. Friedman S, Lustmann J, Shaharabany V (1991) Treatment results of apical surgery in premolar and molar teeth. J Endod 17:30–33

    PubMed  Google Scholar 

  73. Miller L (2006) Saving teeth through nonsurgical endodontic retreatment. J Mass Dent Soc 55:40–43

    PubMed  Google Scholar 

  74. Taschieri S, Machtou P, Rosano G, Weinstein T, Del Fabbro M (2010) The influence of previous non-surgical re-treatment on the outcome of endodontic surgery. Minerva Stomatol 59:625–632

    PubMed  Google Scholar 

  75. Oginni AO, Olusile AO (2002) Follow-up study of apicectomised anterior teeth. SADJ 57:136–140

    PubMed  Google Scholar 

  76. Grung B, Molven O, Halse A (1990) Periapical surgery in a Norwegian county hospital: follow-up findings of 477 teeth. J Endod 16:411–417

    PubMed  Google Scholar 

  77. Kvist T (2001) Endodontic retreatment. Aspects of decision making and clinical outcome. Swed Dent J Suppl 144:1–57

    PubMed  Google Scholar 

  78. García-Mira B, Ortega-Sánchez B, Peñarrocha-Diago M, Peñarrocha-Diago M (2010) Ostectomy versus osteotomy with repositioning of the vestibular cortical in periapical surgery of mandibular molars: a preliminary study. Med Oral Patol Oral Cir Bucal 15:e628–e632

    PubMed  Google Scholar 

  79. Garrett K, Kerr M, Hartwell G, O’Sullivan S, Mayer P (2002) The effect of a bioresorbable matrix barrier in endodontic surgery on the rate of periapical healing: an in vivo study. J Endod 28:503–506

    PubMed  Google Scholar 

  80. Koton D (1997) Endodontic retreatment. J Dent Assoc S Afr 52:487–490

    PubMed  Google Scholar 

  81. Barone C, Dao TT, Basrani BB, Wang N, Friedman S (2010) Treatment outcome in endodontics: the Toronto study—phases 3, 4, and 5: apical surgery. J Endod 36:28–35

    PubMed  Google Scholar 

  82. von Arx T, Gerber C, Hardt N (2001) Periradicular surgery of molars: a prospective clinical study with a one-year follow-up. Int Endod J 34:520–525

    Google Scholar 

  83. Skoglund A, Persson G (1985) A follow-up study of apicoectomized teeth with total loss of the buccal bone plate. Oral Surg Oral Med Oral Pathol 59:78–81

    PubMed  Google Scholar 

  84. Danin J, Strömberg T, Forsgren H, Linder LE, Ramsköld LO (1996) Clinical management of nonhealing periradicular pathosis. Surgery versus endodontic retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 82:213–217

    PubMed  Google Scholar 

  85. Walivaara DA, Abrahamsson P, Samfors KA, Isaksson S (2009) Periapical surgery using ultrasonic preparation and thermoplasticized gutta-percha with AH Plus sealer or IRM as retrograde root-end fillings in 160 consecutive teeth: a prospective randomized clinical study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108:784–789

    PubMed  Google Scholar 

  86. Rahbaran S, Gilthorpe MS, Harrison SD, Gulabivala K (2001) Comparison of clinical outcome of periapical surgery in endodontic and oral surgery units of a teaching dental hospital: a retrospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 91:700–709

    PubMed  Google Scholar 

  87. Mikkonen M, Kullaa-Mikkonen A, Kotilainen R (1983) Clinical and radiologic re-examination of apicoectomized teeth. Oral Surg Oral Med Oral Pathol 55:302–306

    PubMed  Google Scholar 

  88. Van Nieuwenhuysen JP, Aouar M, D’Hoore W (1994) Retreatment or radiographic monitoring in endodontics. Int Endod J 27:75–81

    PubMed  Google Scholar 

  89. Shearer J, McManners J (2009) Comparison between the use of an ultrasonic tip and a microhead handpiece in periradicular surgery: a prospective randomised trial. Br J Oral Maxillofac Surg 47:386–388

    PubMed  Google Scholar 

  90. Pecora G, De Leonardis D, Ibrahim N, Bovi M, Cornelini R (2001) The use of calcium sulphate in the surgical treatment of a ‘through and through’ periradicular lesion. Int Endod J 34:189–197

    PubMed  Google Scholar 

  91. Ioannides C, Borstlap WA (1983) Apicoectomy on molars: a clinical and radiographical study. Int J Oral Surg 12:73–79

    PubMed  Google Scholar 

  92. Bergenholtz G, Lekholm U, Milthon R, Heden G, Odesjö B, Engström B (1979) Retreatment of endodontic fillings. Scand J Dent Res 87:217–224

    PubMed  Google Scholar 

  93. Pantchev A, Nohlert E, Tegelberg A (2009) Endodontic surgery with and without inserts of bioactive glass PerioGlas—a clinical and radiographic follow-up. Oral Maxillofac Surg 13:21–26

    PubMed  Google Scholar 

  94. Gouw-Soares S, Tanji E, Haypek P, Cardoso W, Eduardo CP (2001) The use of Er:YAG, Nd:YAG and Ga-Al-As lasers in periapical surgery: a 3-year clinical study. J Clin Laser Med Surg 19:193–198

    PubMed  Google Scholar 

  95. Tay WM, Gale KM, Harty FJ (1978) The influence of periapical radiolucencies on the success or failure of apicectomies. J Br Endod Soc 11:3–6

    PubMed  Google Scholar 

  96. Ruddle CJ (1998) Nonsurgical endodontic retreatment. Dent Today 17(64):66–71

    Google Scholar 

  97. Dominiak M, Lysiak-Drwal K, Gedrange T, Zietek M, Gerber H (2009) Efficacy of healing process of bone defects after apicectomy: results after 6 and 12 months. J Physiol Pharmacol 60(Suppl 8):51–55

    PubMed  Google Scholar 

  98. von Arx T, Kurt B (1999) Root-end cavity preparation after apicoectomy using a new type of sonic and diamond-surfaced retrotip: a 1-year follow-up study. J Oral Maxillofac Surg 57:656–661

    Google Scholar 

  99. Ericson S, Finne K, Persson G (1974) Results of apicoectomy of maxillary canines, premolars and molars with special reference to oroantral communication as a prognostic factor. Int J Oral Surg 3:386–393

    PubMed  Google Scholar 

  100. Stoll R, Betke K, Stachniss V (2005) The influence of different factors on the survival of root canal fillings: a 10-year retrospective study. J Endod 31:783–790

    PubMed  Google Scholar 

  101. Testori T, Capelli M, Milani S, Weinstein RL (1999) Success and failure in periradicular surgery: a longitudinal retrospective analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 87:493–498

    PubMed  Google Scholar 

  102. Rud J, Andreasen JO, Moller Jensen JE (1970) Results following periradicular surgery. Trans Int Conf Oral Surg 443–448

  103. Imura N, Pinheiro ET, Gomes BP, Zaia A, Ferraz CC, Souza Filho FJ (2007) The outcome of endodontic treatment: a retrospective study of 2000 cases performed by a specialist. J Endod 33:1278–1282

    PubMed  Google Scholar 

  104. Saunders WP (2008) A prospective clinical study of periradicular surgery using mineral trioxide aggregate as a root-end filling. J Endod 34:660–665

    PubMed  Google Scholar 

  105. Bader G, Lejeune S (1998) Prospective study of two retrograde endodontic apical preparations with and without the use of CO2 laser. Endod Dent Traumatol 14:75–78

    PubMed  Google Scholar 

  106. Nordenram A, Svärdström G (1970) Results of apicectomy. Sven Tandlak Tidskr 63:593–604

    PubMed  Google Scholar 

  107. Garcia B, Penarrocha M, Martí E, Martínez JM, Gay-Escoda C (2008) Periapical surgery in maxillary premolars and molars: analysis in terms of the distance between the lesion and the maxillary sinus. J Oral Maxillofac Surg 66:1212–1217

    PubMed  Google Scholar 

  108. Jansson L, Sandstedt P, Laftman AC, Skoglund A (1997) Relationship between apical and marginal healing in periradicular surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 83:596–601

    PubMed  Google Scholar 

  109. Harty FJ, Parkins BJ, Wengraf AM (1970) The success rate of apicectomy. A retrospective study of 1,016 cases. Br Dent J 129:407–413

    PubMed  Google Scholar 

  110. Villa-Machado PA, Botero-Ramirez X, Tobón-Arroyave SI (2013) Retrospective follow-up assessment of prognostic variables associated with the outcome of periradicular surgery. Int Endod J 46:1063–1076

    PubMed  Google Scholar 

  111. Carrillo C, Peñarrocha M, Bagán JV, Vera F (2008) Relationship between histological diagnosis and evolution of 70 periapical lesions at 12 months, treated by periapical surgery. J Oral Maxillofac Surg 66:1606–1609

    PubMed  Google Scholar 

  112. Rubinstein RA, Kim S (2002) Long-term follow-up of cases considered healed one year after apical microsurgery. J Endod 28:378–383

    PubMed  Google Scholar 

  113. Peñarrocha-Diago M, Maestre-Ferrín L, Peñarrocha-Oltra D, von Arx T, Peñarrocha-Diago M (2013) Influence of hemostatic agents upon the outcome of periapical surgery: dressings with anesthetic and vasoconstrictor or aluminum chloride. Med Oral Patol Oral Cir Bucal 18:e272–e278

    PubMed Central  PubMed  Google Scholar 

  114. Yazdi PM, Schou S, Jensen SS, Stoltze K, Kenrad B, Sewerin I (2007) Dentine-bonded resin composite (Retroplast) for root-end filling: a prospective clinical and radiographic study with a mean follow-up period of 8 years. Int Endod J 40:493–503

    PubMed  Google Scholar 

  115. Molven O, Halse A, Grung B (1996) Incomplete healing (scar tissue) after periapical surgery-radiographic findings 8 to 12 years after treatment. J Endod 22:264–268

    PubMed  Google Scholar 

  116. Lietzau M, Smeets R, Hanken H, Heiland M, Apel C (2013) Apicoectomy using Er:YAG laser in association with microscope: a comparative retrospective investigation. Photomed Laser Surg 31:110–115

    PubMed  Google Scholar 

  117. von Arx T, Hanni S, Jensen SS (2007) Correlation of bone defect dimensions with healing outcome one year after apical surgery. J Endod 33:1044–1048

    Google Scholar 

  118. Danin J, Strömberg T, Forsgren H, Linder LE, Ramsköld LO (1996) Clinical management of nonhealing periradicular pathosis. Surgery versus endodontic retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 82:213–217

    PubMed  Google Scholar 

  119. Jensen SS, Nattestad A, Egdø P, Sewerin I, Munksgaard EC, Schou S (2002) A prospective, randomized, comparative clinical study of resin composite and glass ionomer cement for retrograde root filling. Clin Oral Investig 6:236–243

    PubMed  Google Scholar 

  120. Kreisler M, Gockel R, Aubell-Falkenberg S, Kreisler T, Weihe C, Filippi A, Kühl S, Schütz S, d’Hoedt B (2013) Clinical outcome in periradicular surgery: effect of patient- and tooth-related factors-a multicenter study. Quintessence Int 44:53–60

    PubMed  Google Scholar 

  121. Taschieri S, Del Fabbro M, Testori T, Weinstein R (2007) Efficacy of xenogeneic bone grafting with guided tissue regeneration in the management of bone defects after surgical endodontics. J Oral Maxillofac Surg 65:1121–1127

    PubMed  Google Scholar 

  122. Pecora G, Kim S, Celletti R, Davarpanah M (1995) The guided tissue regeneration principle in endodontic surgery: one-year postoperative results of large periapical lesions. Int Endod J 28:41–46

    PubMed  Google Scholar 

  123. Blahuta R, Stanko P (2012) Root-end resection. Bratisl Lek Listy 113:240–242

    PubMed  Google Scholar 

  124. de Lange J, Putters T, Baas EM, van Ingen JM (2007) Ultrasonic root-end preparation in apical surgery: a prospective randomized study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:841–845

    PubMed  Google Scholar 

  125. Lyons AJ, Hughes CE, Dixon EJ (1995) A 5-year audit of outcome of apicectomies carried out in a district general hospital. Ann R Coll Surg Engl 77:273–277

    PubMed Central  PubMed  Google Scholar 

  126. Song M, Chung W, Lee SJ, Kim E (2012) Long-term outcome of the cases classified as successes based on short-term follow-up in endodontic microsurgery. J Endod 38:1192–1196

    PubMed  Google Scholar 

  127. Song M, Jung IY, Lee SJ, Lee CY, Kim E (2011) Prognostic factors for clinical outcomes in endodontic microsurgery: a retrospective study. J Endod 37:927–933

    PubMed  Google Scholar 

  128. von Arx T, Hanni S, Jensen SS (2010) Clinical results with two different methods of root-end preparation and filling in apical surgery: mineral trioxide aggregate and adhesive resin composite. J Endod 36:1122–1129

    Google Scholar 

  129. Taschieri S, Del Fabbro M (2009) Endoscopic endodontic microsurgery: 2-year evaluation of healing and functionality. Braz Oral Res 23:23–30

    PubMed  Google Scholar 

  130. Taschieri S, Del Fabbro M, Testori T, Weinstein R (2007) Endoscopic periradicular surgery: a prospective clinical study. Br J Oral Maxillofac Surg 45:242–244

    PubMed  Google Scholar 

  131. Taschieri S, Del Fabbro M, Testori T, Francetti L, Weinstein R (2006) Endodontic surgery using 2 different magnification devices: preliminary results of a randomized controlled study. J Oral Maxillofac Surg 64:235–242

    PubMed  Google Scholar 

  132. Moher D, Jadad AR, Nichol G, Penman M, Tugwell P, Walsh S (1995) Assessing the quality of randomized controlled trials: an annotated bibliography of scales and checklists. Control Clin Trials 16:62–73

    PubMed  Google Scholar 

  133. von Arx T, PeÃarrocha M, Jensen S (2010) Prognostic factors in apical surgery with root-end filling: a meta-analysis. J Endod 36:957–973

    Google Scholar 

  134. JesslÃn P, Zetterqvist L, Heimdahl A (1995) Long-term results of amalgam versus glass ionomer cement as apical sealant after apicectomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79:101–103

    Google Scholar 

  135. Wesson CM, Gale TM (2003) Molar apicectomy with amalgam root-end filling: results of a prospective study in two district general hospitals. Br Dent J 195:707–714

    PubMed  Google Scholar 

  136. Friedman S (2011) Outcome of endodontic surgery: a meta-analysis of the literature-part 1: comparison of traditional root-end surgery and endodontic microsurgery. J Endod 37:577–578

    PubMed  Google Scholar 

Download references

Acknowledgments

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2010-0021281).

Conflict of interest

The authors deny any conflicts of interest.

Author information

Authors and Affiliations

  1. Department of Conservative Dentistry, College of Dentistry, Yonsei University, Seoul, Korea

    Minji Kang & Sue Youn Kim

  2. Department of Preventive Dentistry and Public Oral Health, College of Dentistry, Yonsei University, Seoul, Korea

    Hoi In Jung

  3. Department of Conservative Dentistry, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University, Seoul, Korea

    Minju Song

  4. Department of Conservative Dentistry, School of Dentistry, Pusan National University, Yangsan, Korea

    Hyeon-Cheol Kim

  5. Microscope Center, Department of Conservative Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University, 50 Yonsei-Ro, Seodaemun-Gu, Seoul, 120-752, Korea

    Euiseong Kim

Authors
  1. Minji Kang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hoi In Jung
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Minju Song
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sue Youn Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Hyeon-Cheol Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Euiseong Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Euiseong Kim.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kang, M., In Jung, H., Song, M. et al. Outcome of nonsurgical retreatment and endodontic microsurgery: a meta-analysis. Clin Oral Invest 19, 569–582 (2015). https://doi.org/10.1007/s00784-015-1398-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-015-1398-3

Keywords

Search

Navigation