Influence of hemostatic agents upon the outcome of periapical surgery: dressings with anesthetic and vasoconstrictor or aluminum chloride

Peñarrocha-Diago, María; Maestre-Ferrín, Laura; Peñarrocha-Oltra, David; von Arx, Thomas; Peñarrocha-Diago, Miguel (2013). Influence of hemostatic agents upon the outcome of periapical surgery: dressings with anesthetic and vasoconstrictor or aluminum chloride. Medicina oral, patología oral y cirugía bucal, 18(2), e272-8. Medicina Oral 10.4317/medoral.18002

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OBJECTIVE

To evaluate the effects of different hemostatic agents upon the outcome of periapical surgery.

DESIGN

A retrospective study was made of patients subjected to periapical surgery between 2006-2009 with the ultrasound technique and using MTA as retrograde filler material. We included patients with a minimum follow-up of 12 months, divided into two groups according to the hemostatic agent used: A) dressings impregnated in anesthetic solution with adrenalin; or B) aluminum chloride paste (Expasyl). Radiological controls were made after 6 and 12 months, and on the last visit. The global evolution scale proposed by von Arx and Kurt (1999) was used to establish the outcome of periapical surgery.

RESULTS

A total of 96 patients (42 males and 54 females) with a mean age of 40.7 years were included. There were 50 patients in the aluminum chloride group and 46 patients in the anesthetic solution with vasoconstrictor group. No significant differences were observed between the two groups in terms of outcome after 12 months - the success rate being 58.6% and 61.7% in the anesthetic solution with vasoconstrictor and aluminum chloride groups, respectively (p > 0.05).

CONCLUSION

The outcome after 12 months of follow-up was better in the aluminum chloride group than in the anesthetic solution with vasoconstrictor group, though the difference was not significant.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Oral Surgery and Stomatology

UniBE Contributor:

von Arx, Thomas

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1698-6946

Publisher:

Medicina Oral

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

27 Feb 2014 08:23

Last Modified:

05 Dec 2022 14:27

Publisher DOI:

10.4317/medoral.18002

PubMed ID:

23229242

URI:

https://boris.unibe.ch/id/eprint/40407

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