Serveur d'exploration sur le patient édenté

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Treatment choices for negative outcomes with non‐surgical root canal treatment: non‐surgical retreatment vs. surgical retreatment vs. implants

Identifieur interne : 007311 ( Main/Exploration ); précédent : 007310; suivant : 007312

Treatment choices for negative outcomes with non‐surgical root canal treatment: non‐surgical retreatment vs. surgical retreatment vs. implants

Auteurs : Steven A. Cohn

Source :

RBID : ISTEX:473EF94EFD3BB5FEF78330C31DAA50238A63F940

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English descriptors

Abstract

The revision of negative treatment outcomes is a significant part of current endodontic practice. Both non‐surgical and surgical retreatment procedures share the problem of a significant negative outcome in the presence of apical periodontitis. More positive results may be achieved in certain teeth with a combination of both procedures rather than either alone. However, there are pressures to replace these ‘failed’ endodontically treated teeth with implants. When comparable criteria are applied to outcomes, the survival rates of endodontic treatment and implant placement are the same. Time, cost, and more flexible clinical management indicate that endodontic retreatment procedures should always be performed first unless the tooth is judged to be untreatable. Endodontists should be trained in implantology to assist patients and referring colleagues in making informed treatment decisions.

Url:
DOI: 10.1111/j.1601-1546.2005.00163.x


Affiliations:


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Le document en format XML

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<term>Abutment</term>
<term>Adjacent teeth</term>
<term>Anterior maxilla</term>
<term>Apical</term>
<term>Apical periodontitis</term>
<term>Assoc</term>
<term>Bone loss</term>
<term>Canal</term>
<term>Case reports</term>
<term>Case selection</term>
<term>Clin</term>
<term>Clin periodontol</term>
<term>Clinical symptoms</term>
<term>Compend contin educ dent</term>
<term>Complete healing</term>
<term>Coronal</term>
<term>Coronal restoration</term>
<term>Dent</term>
<term>Dent assoc</term>
<term>Dent traumatol</term>
<term>Dental implants</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Emotional effects</term>
<term>Endod</term>
<term>Endod dent traumatol</term>
<term>Endodontic</term>
<term>Endodontic retreatment</term>
<term>Endodontic surgery</term>
<term>Endodontic treatment</term>
<term>Endodontically</term>
<term>Endodontics</term>
<term>Endodontist</term>
<term>Focal infection theory</term>
<term>Fracture</term>
<term>Friedman</term>
<term>General practitioners</term>
<term>Healing</term>
<term>Immediate implant placement</term>
<term>Implant</term>
<term>Implant claims</term>
<term>Implant dent</term>
<term>Implant failure</term>
<term>Implant failures</term>
<term>Implant outcomes</term>
<term>Implant placement</term>
<term>Implant studies</term>
<term>Initial endodontic treatment</term>
<term>Initial treatment</term>
<term>Intentional replantation</term>
<term>Isthmus</term>
<term>Lesion</term>
<term>Literature review</term>
<term>Lling</term>
<term>Lling material</term>
<term>Lling materials</term>
<term>Llings</term>
<term>Lower success rate</term>
<term>Mandibular molars</term>
<term>Maxilla</term>
<term>Maxillary</term>
<term>Maxillofac</term>
<term>Mineral trioxide</term>
<term>Molar</term>
<term>Molar teeth</term>
<term>Natural teeth</term>
<term>Natural tooth</term>
<term>Negative outcome</term>
<term>Negative outcomes</term>
<term>Nonsurgical</term>
<term>Nonsurgical retreatment</term>
<term>Observational studies</term>
<term>Occlusal</term>
<term>Occlusal trauma</term>
<term>Oral hygiene</term>
<term>Oral maxillofac implants</term>
<term>Oral maxillofac surg</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Orthodontic extrusion</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Other areas</term>
<term>Other studies</term>
<term>Partial dentures</term>
<term>Pathol</term>
<term>Perforation</term>
<term>Periapical</term>
<term>Periapical lesions</term>
<term>Periapical resurgery</term>
<term>Periapical status</term>
<term>Periapical surgery</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Periodontal ligament</term>
<term>Periodontitis</term>
<term>Periodontol</term>
<term>Periradicular</term>
<term>Periradicular surgery</term>
<term>Pitt ford</term>
<term>Poor prognosis</term>
<term>Positive outcome</term>
<term>Posterior teeth</term>
<term>Prognosis</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthet dent</term>
<term>Radiographic</term>
<term>Radiographic criteria</term>
<term>Radiol</term>
<term>Radiol endod</term>
<term>Recent study</term>
<term>Replantation</term>
<term>Resection</term>
<term>Resurgery</term>
<term>Retreatment</term>
<term>Root canal</term>
<term>Root canal system</term>
<term>Root canal treatment</term>
<term>Root canals</term>
<term>Root resection</term>
<term>Root resections</term>
<term>Ruskin</term>
<term>Single tooth implants</term>
<term>Sjogren</term>
<term>Smith zarb</term>
<term>Success rate</term>
<term>Sundqvist</term>
<term>Surg</term>
<term>Surgery</term>
<term>Surgical</term>
<term>Surgical endodontics</term>
<term>Surgical retreatment</term>
<term>Survival rates</term>
<term>Systematic review</term>
<term>Technical quality</term>
<term>Third molars</term>
<term>Tooth extraction</term>
<term>Tooth loss</term>
<term>Torabinejad</term>
<term>Toronto study</term>
<term>Transplantation</term>
<term>Trauma</term>
<term>Traumatol</term>
<term>Treatment choices</term>
<term>Treatment outcome</term>
<term>Treatment outcomes</term>
<term>Treatment planning</term>
<term>Zarb</term>
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<keywords scheme="Teeft" xml:lang="en">
<term>Abutment</term>
<term>Adjacent teeth</term>
<term>Anterior maxilla</term>
<term>Apical</term>
<term>Apical periodontitis</term>
<term>Assoc</term>
<term>Bone loss</term>
<term>Canal</term>
<term>Case reports</term>
<term>Case selection</term>
<term>Clin</term>
<term>Clin periodontol</term>
<term>Clinical symptoms</term>
<term>Compend contin educ dent</term>
<term>Complete healing</term>
<term>Coronal</term>
<term>Coronal restoration</term>
<term>Dent</term>
<term>Dent assoc</term>
<term>Dent traumatol</term>
<term>Dental implants</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Emotional effects</term>
<term>Endod</term>
<term>Endod dent traumatol</term>
<term>Endodontic</term>
<term>Endodontic retreatment</term>
<term>Endodontic surgery</term>
<term>Endodontic treatment</term>
<term>Endodontically</term>
<term>Endodontics</term>
<term>Endodontist</term>
<term>Focal infection theory</term>
<term>Fracture</term>
<term>Friedman</term>
<term>General practitioners</term>
<term>Healing</term>
<term>Immediate implant placement</term>
<term>Implant</term>
<term>Implant claims</term>
<term>Implant dent</term>
<term>Implant failure</term>
<term>Implant failures</term>
<term>Implant outcomes</term>
<term>Implant placement</term>
<term>Implant studies</term>
<term>Initial endodontic treatment</term>
<term>Initial treatment</term>
<term>Intentional replantation</term>
<term>Isthmus</term>
<term>Lesion</term>
<term>Literature review</term>
<term>Lling</term>
<term>Lling material</term>
<term>Lling materials</term>
<term>Llings</term>
<term>Lower success rate</term>
<term>Mandibular molars</term>
<term>Maxilla</term>
<term>Maxillary</term>
<term>Maxillofac</term>
<term>Mineral trioxide</term>
<term>Molar</term>
<term>Molar teeth</term>
<term>Natural teeth</term>
<term>Natural tooth</term>
<term>Negative outcome</term>
<term>Negative outcomes</term>
<term>Nonsurgical</term>
<term>Nonsurgical retreatment</term>
<term>Observational studies</term>
<term>Occlusal</term>
<term>Occlusal trauma</term>
<term>Oral hygiene</term>
<term>Oral maxillofac implants</term>
<term>Oral maxillofac surg</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Orthodontic extrusion</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Other areas</term>
<term>Other studies</term>
<term>Partial dentures</term>
<term>Pathol</term>
<term>Perforation</term>
<term>Periapical</term>
<term>Periapical lesions</term>
<term>Periapical resurgery</term>
<term>Periapical status</term>
<term>Periapical surgery</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Periodontal ligament</term>
<term>Periodontitis</term>
<term>Periodontol</term>
<term>Periradicular</term>
<term>Periradicular surgery</term>
<term>Pitt ford</term>
<term>Poor prognosis</term>
<term>Positive outcome</term>
<term>Posterior teeth</term>
<term>Prognosis</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthet dent</term>
<term>Radiographic</term>
<term>Radiographic criteria</term>
<term>Radiol</term>
<term>Radiol endod</term>
<term>Recent study</term>
<term>Replantation</term>
<term>Resection</term>
<term>Resurgery</term>
<term>Retreatment</term>
<term>Root canal</term>
<term>Root canal system</term>
<term>Root canal treatment</term>
<term>Root canals</term>
<term>Root resection</term>
<term>Root resections</term>
<term>Ruskin</term>
<term>Single tooth implants</term>
<term>Sjogren</term>
<term>Smith zarb</term>
<term>Success rate</term>
<term>Sundqvist</term>
<term>Surg</term>
<term>Surgery</term>
<term>Surgical</term>
<term>Surgical endodontics</term>
<term>Surgical retreatment</term>
<term>Survival rates</term>
<term>Systematic review</term>
<term>Technical quality</term>
<term>Third molars</term>
<term>Tooth extraction</term>
<term>Tooth loss</term>
<term>Torabinejad</term>
<term>Toronto study</term>
<term>Transplantation</term>
<term>Trauma</term>
<term>Traumatol</term>
<term>Treatment choices</term>
<term>Treatment outcome</term>
<term>Treatment outcomes</term>
<term>Treatment planning</term>
<term>Zarb</term>
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<front>
<div type="abstract" xml:lang="en">The revision of negative treatment outcomes is a significant part of current endodontic practice. Both non‐surgical and surgical retreatment procedures share the problem of a significant negative outcome in the presence of apical periodontitis. More positive results may be achieved in certain teeth with a combination of both procedures rather than either alone. However, there are pressures to replace these ‘failed’ endodontically treated teeth with implants. When comparable criteria are applied to outcomes, the survival rates of endodontic treatment and implant placement are the same. Time, cost, and more flexible clinical management indicate that endodontic retreatment procedures should always be performed first unless the tooth is judged to be untreatable. Endodontists should be trained in implantology to assist patients and referring colleagues in making informed treatment decisions.</div>
</front>
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