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HEALING OF PERIAPICAL LESIONS FOLLOWING NON-SURGICAL ROOT CANAL TREATMENT: A SYSTEMATIC REVIEW
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Abstract
Objective: This systematic review aims to evaluate and synthesize evidence on the healing outcomes of periapical lesions following non-surgical root canal treatment. Materials and Methods: A comprehensive search was conducted in the PubMed electronic database, covering literature published from 2019 to 2024. Studies were included based on the following criteria: (1) assessment of healing rates, (2) utilization of non-surgical root canal treatment, and (3) exclusion of review articles and case reports. The quality of the included studies was appraised using the PRISMA guidelines. Results: Out of 148 studies initially identified, 16 studies met all inclusion criteria. The findings indicate that the healing rate of periapical radiolucencies ranges from approximately 80% to 90%. Factors significantly associated with healing outcomes include the size of the periapical lesion, patient age, tooth type, and the quality of the primary root canal procedure. Conclusion: Non-surgical root canal retreatment demonstrates a comparable efficacy in the healing of periapical lesions. The success of the healing process after non-surgical retreatment is primarily influenced by the patient's age and the size of the pretreatment apical radiolucency.
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Keywords
non-surgical retreatment, healing, periapical lesion
References
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