Apico's what is the success?

Fri, 03/27/2009 - 14:51 — DrGretzky

I have a patient that has recurrent problems on tooth #9. She has had the root canal treated twice and it was done very well. My endodontist feels that an apico will do the trick.
I am curious on the success rate of apico's long term and short term. The patient and I would like to save the tooth if possible.

Endodontics

Thu, 04/02/2009 - 16:03 — dmoss58

Apico Success: More info needed

Quite good, but case selection very important!!!!

See below: J Endod. 2002 May;28(5):378-83. Links Long-term follow-up of cases considered healed one year after apical microsurgery.Rubinstein RA, Kim S. Department of Endodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, USA.

A previous report demonstrated 96.8% healing within 1 yr after apical surgery was performed with the surgical operating microscope and Super-EBA as the root-end filling material. The purpose of this paper is to report on the long-term follow-up of those cases that were considered healed at the short term. Clinical examinations were made and radiographs were evaluated 5 to 7 yr after the case had first been considered healed. Criteria for determining healed cases were the same as those used in the first report. Of the 59 roots evaluated, 54 (91.5%) remained healed, whereas 5 (8.5%) showed evidence of apical deterioration.

If you give me more info/RG I might be able to give more specific answer. rootcanalodontist@hotmail.com