Factors influencing the outcome of nonsurgical root canal treatment and retreatment: A retrospective study

根管 医学 根管再治疗 牙科 冠状面 回顾性队列研究 逻辑回归 牙周炎 病变 口腔正畸科 外科 内科学 放射科
作者
Adalberto R. Vieira,Juan Pacheco‐Yanes,Isbelia Gazzaneo,Mônica A.S. Neves,José F. Siqueira,Lúcio Souza Gonçalves
出处
期刊:Australian Endodontic Journal [Wiley]
标识
DOI:10.1111/aej.12828
摘要

Abstract This study assessed the influence of diverse variables on the outcome of nonsurgical root canal treatment/retreatment. In general, 304 teeth from 218 patients were treated/retreated and the outcome evaluated by the periapical index (PAI). Teeth with apical periodontitis lesions that have not completely healed were classified as success or failure based on lenient and rigid criteria, respectively. Findings were evaluated using a logistic regression analysis. The overall success rates were 74% and 82% using the PAI‐rigid and lenient success criteria, respectively. Specifically for treatment, the success rates were 73% (rigid) and 82% (lenient), while for retreatment they were 78% (rigid) and 83% (lenient). The treatment outcome was negatively affected by overextension, presence of preoperative lesion, lesion size >10 mm, and higher number of treatment visits (with no intracanal medication). Regarding retreatment, the chance of success was greater for teeth with adequate coronal restorations.
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