Investigating the Influencing Factors on Periapical Surgery Results

Abstract

Background and Objective: Periapical surgery is a reliable method for treating teeth with periapical lesions for which conventional root canal treatment methods are not effective. The aim of this study is to investigate the results of periapical surgical treatment after a follow-up period of one to five years and the factors related to the success rate of the treatment. Methods: In this cross-sectional study, complete clinical and radiographic examinations were performed on 128 patients who underwent periapical surgery in the endodontics department of Mashhad Dental School. The success of the treatment was evaluated based on radiographic and clinical criteria for three groups: recovered, recovering and non-recovering. The patients were examined in terms of the relationship between the success rate of periapical surgery and the variables of age, gender, type of tooth, type of jaw, presence of post, type of coronal restoration and the presence of preoperative symptoms. Findings: From a total of 128 patients, 64 patients including 35 women and 29 men were studied. The results showed that the number of successful treatments is higher in women and in anterior teeth, although their difference was not statistically significant. In the age range of 11 to 30 years, all treatments were successful, with a treatment success rate of 89% in the recovered and recovering groups. Also, there was no statistically significant difference in the success rate of periapical surgery in terms of factors such as the type of jaw, the presence or absence of a post, the presence of symptoms before treatment, and the type of tooth restoration. Conclusion: The results of this study showed that periapical surgery can be considered as an effective treatment method for patients. In addition, factors such as age, gender, type of jaw, presence or absence of post, presence of symptoms before treatment and type of tooth restoration do not have a significant effect on the treatment result.