Introduction. Chronic periapical lesion is a pathological process of the root
apex and the surrounding alveolar bone. Granuloma, which is a term that
usually describes a chronic periapical process, represents a mass of
granulation tissue at the apex of a devitalized tooth. Such lesions are
treated by conventional (endodontic) therapy or surgery. The aim of this
study was to assess clinical and radiographic outcomes of surgical treatment
of chronic periapical lesions in multirooted teeth. Material and Methods.
This prospective study included 30 patients who underwent a standard Partsch
surgical procedure. The root canals, without previous endodontic treatment,
were obturated immidiately before surgery, or intraoperatively. The canals
with short fillings or teeth with fixed prosthetics were retrogradely
obturated. Zinc-phosphate cement condensed with gutta-percha cone was used
for obturation. Evaluation of clinical outcomes was performed 6, 12 and 24
months after surgery, and radiographic outcomes after 12 and 24 months,
respectively. Results. After surgery, a statistically significant
improvements of treatment outcomes were observed between the follop-ups (p <
0.000). The overall success rate of chronic periapical lesions in multirooted
teeth 24 months after surgery was 83.3% for clinical and 66.7% for
radiographic outcomes. Conclusion. The results of clinical and radiographic
parameters after surgical treatment outcomes in multirooted teeth were
satisfying. Therefore, we may conclude that surgical treatment can be
considered as a primary treatment option in the management of chronic
periapical lesions.
Non-surgical treatment of large periapical lesions
