EVALUATION OF THE ACCURACY OF INDICATIONS FOR SURGICAL ENDODONTICS IN PRIVATE PRACTICE
Abstract:
The purpose of the study is to analyze the correlation between the indications for surgical endodontics in private practice and those provided by surgery and endodontics practice guides. Material and methods: there have been examined 709 cases within the Bucco-Maxillo-Facial Surgery Clinic of Târgu-Mureş, of which 144 were included in the study having preoperative radiographs. Aspects related to the clinical condition, as much as it can be inferred from the radiographic analysis at a 3X magnification and of the files of each case have been recorded. Results: 52,77% of the cases with indication for apicectomy were not primary endodontically treated. 88.19% cases presented an apical radiolucency smaller than 5mm. Fixed prosthetics have been found in 54,68% of cases. Conclusions: the indication for surgical treatment is overestimated compared to the endodontic conservative treatment, often being considered a failure from the very start, in the absence of primary endodontic treatment and coronary sealing. The surgical treatment remains a viable option when indications are rigorously respected, a correct endodontic treatment is present and an optimal coronary sealing is made.
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