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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

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Abstract

Purpose

The main purpose of this retrospective cohort study was to evaluate the 4-year success rate of endodontic surgery in combination with a collagen resorbable membrane for the treatment of through-and-through periradicular lesions.

Materials and methods

Patients with one or more teeth with a through-and-through periradicular lesion in need of endodontic surgery were treated. A clinical and radiographic evaluation was performed at 3, 6, 12, 24, 36, and 48 months. The outcome was categorized at 1 and 4-year follow-up as success, failure, and doubtful depending on clinical signs and symptoms and radiographic evaluation. Fisher's exact test was used to evaluate differences between successful and failed cases (P < 0.05).

Results

Forty-three teeth in 33 patients were radiographically and clinically evaluated after 4 years. Thirty-eight teeth were classified as success, 4 teeth as failure, and 1 tooth as doubtful. No statistically significant differences were found in results related to tooth type, tooth location, and presence of post.

Conclusions

The association of endodontic surgery and guided tissue regeneration for the treatment of through-and-through periapical lesions leads to excellent outcomes up to 4 years. Standardized criteria are needed to determine the treatment outcome.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Health Technologies, IRCCS Istituto Ortopedico Galeazzi, University of Milan, Via R. Galeazzi, 4, Milan, Italy

    Silvio Taschieri, Stefano Corbella, Monica Bortolin & Massimo Del Fabbro

  2. Department of Endodontology, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel

    Igor Tsesis

Authors
  1. Silvio Taschieri
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  2. Stefano Corbella
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  3. Igor Tsesis
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  4. Monica Bortolin
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  5. Massimo Del Fabbro
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Correspondence to Massimo Del Fabbro.

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Taschieri, S., Corbella, S., Tsesis, I. et al. 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 (2011). https://doi.org/10.1007/s10006-011-0272-y

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  • DOI: https://doi.org/10.1007/s10006-011-0272-y

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