Zusammenfassung
Die langjährige, mitunter leidenschaftlich geführte Kontroverse um die Indikation zur Wurzelspitzenresektion mit scheinbar unüberbrückbaren Ansichten in den Disziplinen der Endodontologie und Chirurgie hat zu einer erheblichen Verunsicherung in der Therapieentscheidung bei einem der häufigsten chirurgischen Eingriffe in der Zahnheilkunde geführt. Aus diesem Grund haben die deutschen zahnmedizinischen wissenschaftlichen Fachgesellschaften unter Federführung der Bundeszahnärztekammer eine S2-Leitlinie zur Indikationsstellung bei der Wurzelspitzenresektion erarbeitet, die nach einem langwierigen Konsensusprozess im Jahr 2007 abgeschlossen und publiziert wurde. Der vorliegende Beitrag soll zum einen eine kurze Übersicht zu methodischen Aspekten und Problemen der Leitlinienerstellung geben und zum anderen die deutschen Leitlinienempfehlungen zur Indikationsstellung vorstellen.
Abstract
The longstanding, sometimes passionately discussed controversy over the indications for apicectomy with apparently irreconcilable viewpoints between endodontology and surgery, has led to considerable uncertainty in therapy decision-making for one of the most common surgical interventions in dentistry. For this reason the German dental scientific societies under the lead management of the German Federal Dental Association have produced S2 guidelines on the indications for apicectomy, which were finalized and published in 2007 after a prolonged consensus process. This article gives a brief overview of the methodological aspects and problems with production of the guidelines and also presents the German guideline recommendations for evaluation of indications.
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Kunkel, M. Leitlinie Wurzelspitzenresektion der DGMKG/BZÄK. MKG-Chirurg 3, 115–120 (2010). https://doi.org/10.1007/s12285-009-0140-z
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DOI: https://doi.org/10.1007/s12285-009-0140-z