Journal of Capital Medical University ›› 2015, Vol. 36 ›› Issue (3): 478-482.doi: 10.3969/j.issn.1006-7795.2015.03.028

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Combination treatment of refractory periapical periodontitis with nonsurgical endodontic retreatment and apical surgery

Xu Zhiliang   

  1. Department of Stomatology, Huguosi Hospital of Traditional Chinese Medicine, Beijing 100035, China
  • Received:2014-12-16 Online:2015-06-21 Published:2015-06-15

Abstract:

Objective To explore the effect of combination treatment of refractory periapical periodontitis with nonsurgical endodontic retreatment and apical surgery. Methods Sixty-eight patients with refractory periapical periodontitis in our hospital from 2008 to 2013 years were selected in this study. These patients were randomly divided into combination treatment group and regular treatment group. Then the treatment effect was observed, and the SPSS 18.0 software was used to analyse the data. Results Thirty-two teeth in patients in combination treatment group exhibited perfect treatment effect (effective rate 91.4%), whereas only twenty-four teeth in patients in regular treatment group got better results after treatment (effective rate 72.72%). There was statistical difference in the effective rates between these two groups. Conclusion Combination treatment with nonsurgical endodontic retreatment and apical surgery could effectively treat the refractory periapical periodontitis. It exhibited nice feasibility and practicality in the stomatology department in general hospital.

Key words: combination treatment, refractory periapical periodontitis, nonsurgical endodontic retreatment, apical microsurgery

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