Abstract
Data sources
Medline, Embase and PubMed databases were searched together with hand-searches of a range of journals (Journal of Endodontics, International Endodontic Journal, Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics, Journal of Oral and Maxillofacial Surgery, International Journal of Oral and Maxillofacial Surgery).
Study selection
Clinical studies in several languages (English, French, German, Italian and Spanish) with a minimum follow-up of six months, evaluated using clinical and radiographic examination were included.
Data extraction and synthesis
Assessment and data abstraction were carried out independently. Weighted pooled success rates and relative risk assessment between TRS and EMS were calculated and a meta-analysis carried out using a random effects model.
Results
Twenty-one studies were included. Weighted pooled success rates calculated from extracted raw data showed a 59% positive outcome for TRS (95% confidence interval, 0.55-0.6308) and 94% for EMS (95% confidence interval, 0.8889-0.9816). This difference was statistically significant (P < .0005). The relative risk ratio showed that the probability of success for EMS was 1.58 times the probability of success for TRS.
Conclusions
On the basis of the meta-analysis presented, the probability of success for EMS proved significantly greater than the probability of success for TRS.
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References
Kim S, Kratchman S . Modern endodontic surgery concepts and practice: a review. J Endod 2006; 32: 601–623.
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Additional information
Address for correspondence: Frank C Setzer, DMD, PhD, MS, Instructor, Department of Endodontics, School of Dental Medicine, University of Pennsylvania, 240 S 40th St, Philadelphia, PA 19104, USA. E-mail: fsetzer@dental.upenn.edu
Setzer FC, Shah SB, Kohli MR, Karabucak B, Kim S. Outcome of endodontic surgery: a meta-analysis of the literature-part 1: Comparison of traditional root-end surgery and endodontic microsurgery. J Endod 2010; 36: 1757–1765. Epub 2010 Sep 17. Review. PubMed PMID: 20951283
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Levenson, D. Review finds better endodontic surgery outcomes with microscope use. Evid Based Dent 13, 108 (2012). https://doi.org/10.1038/sj.ebd.6400892
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DOI: https://doi.org/10.1038/sj.ebd.6400892
