Outcome Of Surgical Endodontic Treatment Performed by A Modern Technique ; a meta-analysis of literature

By Tsesis I, Faivishevsky V, Kfir A, Rosen E

Date: 05/2010
Journal: JOE

Purpose: to evaluate the outcome of surgical endodontic treatment performed by a modern technique and to evaluate the factors influencing the outcome by means of a meta-analysis.

N=  11 studies

Materials/Methods:

Inclusion :

(1) RCTs or prospective case series;

(2) surgical endodontic treatments performed by a modern technique

(3) periapical lesions

(4) at least 1-year follow-up

(5) outcome evaluated according to Rud et al and/or Molven et al. •Exclusion

(1) retrospective studies, case reports, review articles expert opinions;

(2) surgical endodontic treatment performed without using a modern technique

(3) re-surgery cases

(4) teeth presented with apico-marginal defects & periodontal disease (periodontal pockets and/or mobility)

(5) root fractures and root perforations;

(6) less than 1-year follow-up; and

(7) outcome evaluated not according to Rud et al and/or Molven et al

•The full texts of the studies were  reviewed by 3 independent observers. •Success was considered as a complete or incomplete healing.

Most highlighted Results: 

1.71 articles were identified, ending up with 11 articles meeting the inclusion & exclusion criteria.

2.The pooled percentage of success (complete healing and incomplete healing) was found to be 91.6%.

3.The pooled percentage of failure was found to be

4.7%. 4.The rest was uncertain healing 3.7%.

5.Age, gender, tooth type, root-end filling material, and magnification type had no significant effect on the proportion of success

Clinical significance:

•Surgical endodontic treatment performed by using the modern technique is a predictable treatment.