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Endodontics

Does endodontic microsurgery (EMS) have better outcomes than contemporary root-end surgery (CRS)?

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This Systematic Review Summary is adapted from the British Evidence-Based Dentistry Journal

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Clinical Question

Does endodontic microsurgery (EMS) have better outcomes than contemporary root-end surgery (CRS)?

Main Results

Fourteen studies met the inclusion criteria. Weighted pooled success rates calculated from extracted raw data showed an 88% positive outcome for CRS (95% confidence interval [CI], 0.8455-0.9164) and 94% for EMS (95% CI, 0.8889-0.9816). This difference was statistically significant (P < .0005). Relative risk ratio analysis showed that the probability of success for EMS was 1.07 times that for CRS. Seven studies provided information on the individual tooth type. The probability of success between the groups was statistically significant in favour of EMS for molars, but no significant difference was found for anteriors or premolars.

Conclusion

The probability for success for EMS proved to be significantly greater than the probability for success for CRS, providing best available evidence on the influence of high-power magnification rendered by the dental operating microscope or the endoscope.

 

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