Analysis of the Prognostic Factors That Influence the Outcome of Periapical Surgery, including Biomimetic Membranes for Tissue Regeneration: A Review
Metadatos
Afficher la notice complèteAuteur
Saiz Pardo Pinos, Antonio Jesús; Manzano-Moreno, Francisco Javier; Muñoz Soto, Esther; González Rodríguez, María Paloma; Romero Olid, María De Nuria; Olmedo Gaya, María VictoriaEditorial
MDPI
Materia
Periapical surgery Prognosis Guided tissue regeneration
Date
2024-04-24Referencia bibliográfica
Saiz-Pardo-Pinos, A.J.; Manzano-Moreno, F.J.; Muñoz-Soto, E.; González-Rodríguez, M.P.; Romero-Olid, N.; Olmedo-Gaya, M.V. Analysis of the Prognostic Factors That Influence the Outcome of Periapical Surgery, including Biomimetic Membranes for Tissue Regeneration: A Review. Biomimetics 2024, 9, 258. https://doi.org/10.3390/biomimetics9050258
Patrocinador
University of Granada, SpainRésumé
The objective of this study was to analyze the prognostic factors that influence the outcome of periapical surgery. A systematic search of the literature was carried out using PubMed and Scopus databases between January 2000 and December 2023 with no language limitations. The PICO question of the present systematic review was: What prognostic factors may influence the outcome of periapical surgery? The most relevant randomized controlled clinical trials (RCTs), prospective clinical trials, retrospective studies, and meta-analyses (n = 44) were selected from 134 articles. The reviewed literature evidenced that bone-lesion healing could significantly be improved by the absence of deep periodontal pockets (>4 mm), localization in anterior teeth, the absence of pain and/or preoperative symptoms, a size of bone lesion < 5 mm, the use of ultrasound, the correct placement of retrograde filling material, and the use of different biomimetic membranes for guided tissue regeneration (GTR). Some preoperative and intraoperative factors could significantly improve the prognosis of periapical surgery. However, these results were not conclusive, and further high-quality research is required.