Details

Autor(en) / Beteiligte

• de Almeida, Fernando José Mota
• Dawson, Victoria S.
• Kvist, Thomas
• Frisk, Fredrik
• Bjørndal, Lars
• Isberg, Per‐Erik
• Fransson, Helena

Titel

Periradicular surgery: A longitudinal registry study of 10‐year outcomes and factors predictive of post‐surgical extraction

Ist Teil von

• International endodontic journal, 2023-10, Vol.56 (10), p.1212-1221

Ort / Verlag

Chichester: Wiley Subscription Services, Inc

Erscheinungsjahr

2023

Quelle

Wiley Online Library E-Journals

Beschreibungen/Notizen

• Abstract Aim This historical prospective cohort study of the adult population of Sweden is based on data from a national registry: the primary aim was to evaluate the long‐term survival of teeth after periradicular surgery. A secondary aim was to identify factors predictive of extraction within 10 years of registration of periradicular surgery. Methodology The cohort consisted of all individuals who had undergone periradicular surgery to treat apical periodontitis, as reported to the Swedish Social Insurance Agency (SSIA) in 2009. The cohort was followed until 31 December 2020. Subsequent registrations of extractions were collected for Kaplan–Meier survival analyses and survival tables. The patients' sex, age, dental service provider and tooth group were also retrieved from SSIA. Only one tooth per individual was included in the analyses. Multivariable regression analysis was used and p  < .05 was considered statistically significant. The reporting guidelines STROBE and PROBE were followed. Results After data cleaning, and exclusion of 157 teeth, 5622 teeth/individuals remained for analysis. The mean age of the individuals at the time of the periradicular surgery was 60.5 years (range 20–97, standard deviation 13.31); 55% were women. At the end of the follow‐up, that is, up to 12 years, a total of 34.1% of the teeth had been reported as extracted. The multivariate logistic regression analysis, based on follow‐up data at 10 years after registration of the periradicular surgery, included 5548 teeth, of which 1461 (26.3%) had been extracted. Significant associations between the independent variables tooth group and dental care setting (both p  < .001) and the dependent variable extraction were found. The highest odds ratio (OR) for extraction applied to tooth group: compared to maxillary incisors and canines, mandibular molars were at greatest risk of extraction (OR 2.429, confidence interval 1.975–2.987, p  < .001). Conclusions After periradicular surgery in predominantly elderly people in Sweden, approximately three‐quarters of the teeth are retained over a 10‐year period. The type of tooth is associated with extraction: mandibular molars are at greater risk of extraction than maxillary incisors and canines.