The success of endodontic therapy--healing and functionality.

摘要: Current, relevant knowledge on the outcome of endodontic therapy is key to clinical decision making, particularly when treatment weighed against tooth extraction and replacement. Inherent reviewing a definition "success" in relation goals therapy. As specific goal set out by individual patient may either be healing/prevention disease (apical periodontitis) or just functional retention tooth, potential for both healing functionality reviewed. Based selected follow-up studies that offer best evidence, chance teeth without apical periodontitis remain free after initial orthograde retreatment 92 percent 98 percent. The with completely heal 74 86 percent, their over time 91 97 Thus there does not appear systematic difference between retreatment. surgery less consistent than nonsurgical treatment. 37 85 weighted average approximately 70 However, even lower complete healing, Considering favorable outcome, conservative therapy, surgical, definitely justified should attempted good restorative periodontal prognosis projected, unless motivated retain tooth.