Peñarrocha Diago Miguel, Ortega Sánchez Bárbara, García Mira Berta, Martí Bowen Eva, von Arx Thomas, Gay Escoda Cosme
Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia, Spain.
Med Oral Patol Oral Cir Bucal. 2008 Feb 1;13(2):E143-7.
In periapical surgery, the absence of standardization between different studies makes it difficult to compare the outcomes.
To compare the healing classification of different authors and evaluate the prognostic criteria of periapical surgery at 12 months.
278 patients (101 men and 177 women) with a mean age of 38.1 years (range 11 to 77) treated with periapical surgery using the ultrasound technique and a 2.6x magnifying glass, and silver amalgam as root-end filling material were included in the study. Evolution was analyzed using the clinical criteria of Mikkonen et al., 1983; radiographic criteria of Rud et al., 1972; the overall combined clinical and radiographic criteria of von Arx and Kurt, 1999; and the Friedman (2005) concept of functional tooth at 12 months of surgery.
After 12 months, 87.2% clinical success was obtained according to the Mikkonen et al., 1983 criteria; 73.9% complete radiographic healing using Rud et al. criteria; 62.1% overall success, following the clinical and radiographic parameters of von Arx and Kurt, and 91.9% of teeth were functional. The von Arx and Kurt criteria was found to be the most reliable.
Overall evolution according to von Arx and Kurt agreed most closely with the other scales.
在根尖手术中，不同研究之间缺乏标准化使得难以比较结果。
比较不同作者的愈合分类，并评估根尖手术12个月时的预后标准。
本研究纳入了278例患者（101例男性和177例女性），平均年龄38.1岁（范围11至77岁），采用超声技术和2.6倍放大镜进行根尖手术，并使用银汞合金作为根端充填材料。使用1983年米科宁等人的临床标准、1972年鲁德等人的影像学标准、1999年冯·阿克斯和库尔特的临床与影像学综合标准以及2005年弗里德曼关于术后12个月功能牙的概念来分析病情进展。
根据1983年米科宁等人的标准，术后12个月临床成功率为87.2%；按照鲁德等人的标准，影像学完全愈合率为73.9%；依据冯·阿克斯和库尔特的临床及影像学参数，总体成功率为62.1%，91.9%的牙齿具有功能。发现冯·阿克斯和库尔特的标准最为可靠。
根据冯·阿克斯和库尔特标准得出的总体病情进展与其他量表最为接近。
