Endodontic surgery with ultrasonic retrotips: one-year follow-up

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Sep;100(3):380-7. doi: 10.1016/j.tripleo.2004.11.010.

Abstract

Objective: The purpose of this prospective clinical study was to monitor the outcome of ultrasonic root-end preparation, in relation to tooth type and location, presence of post restoration and type of retrotip.

Study design: Teeth treated surgically showed a periradicular lesion of strictly endodontic origin. Fifty teeth were included in the study, according to specific selection criteria. Cases were followed for a period of 1 year and then classified in 3 groups (success, uncertain healing, and failure) according to radiographic and clinical criteria.

Results: Of the 46 teeth evaluated at 1-year follow-up, 42 teeth (91.3%) successfully healed, 1 tooth had uncertain healing, and 3 failed. We found no statistically significant differences in treatment results related to the type of tooth, tooth location, post restoration, and type of retrotip.

Conclusion: Adherence to a strict endodontic surgical protocol and the use of contemporary techniques and materials can lead to a predictable outcome.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Apicoectomy* / instrumentation
  • Apicoectomy* / methods
  • Dental Alloys
  • Dental Instruments*
  • Dental Restoration Failure
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Periapical Periodontitis / diagnostic imaging
  • Periapical Periodontitis / surgery*
  • Radiography
  • Retrograde Obturation
  • Root Canal Preparation / instrumentation*
  • Stainless Steel
  • Tooth Root / diagnostic imaging
  • Ultrasonic Therapy / instrumentation*
  • Zirconium

Substances

  • Dental Alloys
  • Stainless Steel
  • Zirconium