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Predictors of clinical outcomes in endodontic microsurgery : a systematic review and meta-analysis

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dc.creatorGarcía-Guerrero, Claudia
dc.creatorQuijano Guauque, Sara
dc.creatorMolano González, Nicolás
dc.creatorPineda, Gerardo Antonio
dc.creatorNino-Barrera, Javier L.
dc.creatorMarín-Zuluaga, Dairo Javier
dc.creator.googleGarcía-Guerrero, Claudiaspa
dc.creator.googleQuijano Guauque, Saraspa
dc.creator.googleMolano, Nicolásspa
dc.creator.googlePineda, Gerardo Antoniospa
dc.creator.googleNino-Barrera, Javier L.spa
dc.creator.googleMarín-Zuluaga, Dairo Javierspa
dc.date.accessioned2018-12-07T15:00:15Z
dc.date.available2018-12-07T15:00:15Z
dc.date.created2017
dc.date.issued2017
dc.description.abstractThe prevalence of recurrent periapical lesions has been reported between 43 and 65%, endodontic microsurgery (EM) is an alternative treatment option of recurrent periapical lesions. Aim the aim of the present study was to systematically quantify the effects of the association “clinical factors/follow-up period” on EM outcomes. Methodology Two researchers conducted a literature search from 2005 to 2015. Searched databases were MEDLINE, Evidence-based Endodontics, Cochrane Library, EMBASE, LILACS, SCIELO, Trip-Database. Tables of contents of endodontic journals and references listed on retrieved articles were searched as well. A residual heterogeneity test set at 95% confidence interval controlled sample variability of each study. Meta-regression estimated the factor/follow-up period on the outcomes of the ME. Results 1242 articles were identified, 10 of which were included for meta-regression. On average, EM was 84.13% successful when evaluated from 1 to 6 years. The heterogeneity analysis (P = 0.87) established the total variability of 8% in reference to sample variability. It was determined that a loss of “Crestal Bone Height” >3 mm proportionally predicts, from the second year on, an increased risk of EM failure (OR = 1.33, 90%CI, 1.01–1.77; P = 0.09). Factors such as “retro-filling material” (P = 0.0002), “presurgical clinical signs” (P = 0.0116), and “dentinal root defects” (P = 0.0001) are considered significant risk factors for EM failure without association to time. Conclusions EM could be considered clinically successful over time. The factor “crestal bone height” estimated a predictive and progressive association of healing from the second year on. Different root-end filling materials aside from MTA could be associated with EM failure, without association with follow-up periods. *Registration Code: CRD42015029593, PROSPERO database. © 2017 Società Italiana di Endodonziaeng
dc.format.mimetypeapplication/pdf
dc.identifier.issnISSN 1121-4171
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/18785
dc.language.isoengspa
dc.relation.citationEndPage13
dc.relation.citationIssueNo. 1
dc.relation.citationStartPage2
dc.relation.citationTitleGiornale Italiano di Endodonzia
dc.relation.citationVolumeVol. 31
dc.relation.ispartofGiornale Italiano di Endodonzia, ISSN: 1121-4171, Vol. 31/No. 1 (2017) pp. 2-13spa
dc.relation.urihttps://reader.elsevier.com/reader/sd/pii/S1121417117300055?token=1CD5746204C440D181FA7DC8A0B8F58A6174DFD0D9F1FFE1563E9D49874A99168899B19E008F43A02CAC444747721AA7spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.rights.cchttps://creativecommons.org/licenses/by-nc-nd/4.0/spa
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectClinical Factorsspa
dc.subjectEndodonticsspa
dc.subjectMeta-Analysisspa
dc.subjectMicrosurgeryspa
dc.subjectPeriapical Surgeryspa
dc.subject.decsBonespa
dc.subject.decsClinical Outcomespa
dc.subject.decsCochrane Libraryspa
dc.subject.decsConfidence Intervalspa
dc.subject.decsEmbasespa
dc.subject.decsEndodonticsspa
dc.subject.decsFollow Upspa
dc.subject.decsHeightspa
dc.subject.decsHumanspa
dc.subject.decsMedlinespa
dc.subject.decsMicrosurgeryspa
dc.subject.decsQuantitative Studyspa
dc.subject.decsRegistrationspa
dc.subject.decsRisk Factorspa
dc.subject.decsScientistspa
dc.subject.decsSystematic Reviewspa
dc.subject.lembEndodonciaspa
dc.subject.lembTejido periapicalspa
dc.subject.lembMicrocirugíaspa
dc.titlePredictors of clinical outcomes in endodontic microsurgery : a systematic review and meta-analysisspa
dc.title.TranslatedTitleFattori predittivi del risultato clinico in microchirurgia endodontica : una revisione sistematica e meta-analisieng
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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