根管再治疗期间折断根管器械取出的根管治疗成功率与失败率分析：一项系统评价、Meta分析及试验序贯分析

Analysis of Endodontic Successes and Failures in the Removal of Fractured Endodontic Instruments during Retreatment: A Systematic Review, Meta-Analysis, and Trial Sequential Analysis.

作者信息

Dioguardi Mario, Dello Russo Corrado, Scarano Filippo, Esperouz Fariba, Ballini Andrea, Sovereto Diego, Alovisi Mario, Martella Angelo, Lo Muzio Lorenzo

机构信息

Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy.

Department of Surgical Sciences, Dental School, University of Turin, 10127 Turin, Italy.

出版信息

Healthcare (Basel). 2024 Jul 11;12(14):1390. doi: 10.3390/healthcare12141390.

This study presents a systematic review with meta-analysis to evaluate the success rates of endodontic retreatments in teeth where separated instruments are located within the roots. The search and selection of studies were conducted across two databases, SCOPUS and PubMed, as well as the Cochrane Library registry, yielding a total of 1620 records. Following the selection process, 11 studies were included in the systematic review. Overall, out of 1133 retreated teeth, there were 172 failures in instrument removal and 55 perforations. The meta-analysis results indicate that failures are more frequent when instruments are located in the apical third, with a failure rate of 21%, compared to an 8.8% failure rate in the middle/coronal third. The anatomy of the root canals, particularly the location of the separated instruments, significantly influences the success rates.