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Surgical repair of external cervical resorption - Prognosis and prognostic factors.
Jeng, Po-Yuan; Chang, Shu-Hui; Wang, Chen-Ying; Lin, Li-Deh; Jeng, Jiiang-Huei; Tsai, Yi-Ling.
Afiliación
  • Jeng PY; School of Dentistry, College of Medicine, National Taiwan University, Taipei, Taiwan.
  • Chang SH; Department of Stomatology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
  • Wang CY; College of Public Health, National Taiwan University, Taipei, Taiwan.
  • Lin LD; School of Dentistry, College of Medicine, National Taiwan University, Taipei, Taiwan.
  • Jeng JH; Department of Dentistry, National Taiwan University Hospital, Taipei, Taiwan.
  • Tsai YL; School of Dentistry, College of Medicine, National Taiwan University, Taipei, Taiwan.
J Dent Sci ; 19(1): 377-386, 2024 Jan.
Article en En | MEDLINE | ID: mdl-38303835
ABSTRACT
Background/

purpose:

External cervical resorption (ECR) is an aggressive form of root resorption, which etiology is unclear and its prognosis remains unpredictable. The purpose of this study was to investigate the prognosis and potential prognostic factors of ECR-affected teeth after surgical intervention for external repair with/without root canal treatment. Materials and

methods:

Treated ECR cases from 2009 to 2019 were collected retrospectively. The survival of the teeth and the status of root resorption were assessed during the follow-up period. Potential prognostic factors were analyzed with log-rank test and Kaplan-Meier statistics.

Results:

A total of 42 treated ECR-affected teeth were enrolled. The two-year survival rate was 71.20% [54.16%, 93.59%]. Persistent root resorption was the main complication after treatment. Patients with multiple ECR-affected teeth had greater recurrent potential than patients with solitary ECR-affected teeth. Prolonged calcium hydroxide dressing may contribute to a more favorable clinical outcome. Gender, age, tooth position and the need for root canal treatment did not show statistically significant effect on the prognosis.

Conclusion:

The current surgical method was able to arrest ECR in most cases. However, the case type (the number of ECR-affected teeth per patient) could highly affect the prognosis of the teeth. Clinicians should consider long-term calcium hydroxide dressing in case of pulp involvement to achieve better results.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: J Dent Sci Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: J Dent Sci Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Países Bajos