Journal of Research and Advancement in Dentistry
Official publication of Magadh University and Kolhan University, Government of Bihar and Jharkhand, India
Official publication of Magadh University and Kolhan University, Government of Bihar and Jharkhand, India
Year : 2018
Volume : Volume 9
Issue : Issue 2
Address for correspondence :
Dr. L.Venugopal
LVenugopal@gmail.com
Background: Apical surgery belongs to the field of endodontic surgery, which also includes incision and drainage, closure of perforations, and root or tooth resections. The objective of apical surgery is to surgically maintain a tooth that primarily has an endodontic lesion that cannot be resolved by conventional endodontic (re)treatment. Aim of the study: To analyze periapical radiolucency in teeth treated with periapical surgery. Materials and methods: The present study was conducted in the department of conservative dentistry and endodontics of the institution. Prior to starting the study, we had approval from the ethical board of the institute for the study. For the study, we reviewed the records of patients treated with peri-apical surgery between 20162018 at the Department of Endodontics of the dental institution. The records of the patients included initial clinical examination, chief complaint and initial symptoms, pre-operative and post-operative radiographs, summary of treatment provided and history of patients. The patients whose records had faulty or low-quality radiographs were excluded from the study. Also, the patients whose records did not have complete information regarding the treated tooth were excluded from the study. A total of 55 patients were selected for the study. Results: We observed that the number of maxillary anterior teeth was 22, maxillary premolar teeth was 6, and number of molars was 3. Similarly, the number of mandibular anterior teeth were 19 in number and mandibular premolars were 5 in number. We observed that no radiolucency was seen in 25 patients, radiolucency <5 mm was seen in 19 patients, radiolucency >5 mm was seen in 7 patients and radiolucency >10 mm was seen in 4 patients. Conclusion: From the results of the present study, we conclude that periapical surgery is fairly successful approach for the management of periapical lesions which cannot be approached through conventional methods. Further studies are required in this context.
Keywords: Endodontics, periapical surgery, radiolucency.
