Akademik Veri Yönetim Sistemi
Selcuk Dental Journal, cilt.8, sa.3, ss.744-749, 2021 (Scopus, TRDizin)
Background: Apical surgery is a surgical operation performed by maxillo-facial surgeons and endodontists for the treatment of odontogenic infections. The aim of this study is to compare the indications of apical surgery by dentists in different branches with the indications by the dental surgeon and endodontist in our institution. Methods: 590 patients who were referred to Trakya University, Faculty of Dentistry between 2014-2020 for apical surgery were participated. The evaluated criterias are the expertise of the referring dentist, the treatment applied to the teeth before the referral, the presence of symptoms before / during the referral, the size of the periapical lesion present in the relevant teeth and the indication in our institution. Results: The rate of AC indication for patients in our institution was determined to be % 8. The apical surgary rate in our institution was 33% of the patients referred by the endodontist, 11% by the maxillofacial surgeon and 2% by the general practitioner dentist (P <0.05). Root canal treatment was not applied to 64% of patients before referral. Apical surgery indication rates in our institution were 11% for radiologically no lesions at the root tip, 3% for lesion containing one tooth, 8% for lesion containing one-three teeth, and 9% for lesions larger than three teeth. Conclusion: According to the results of this study, there are different opinions between the general practitioner, the surgeon and the endodontist in terms of the indication for apical surgery. In addition, the rate of indication that the endodontist and maxillofacial surgeon has established with multidisciplinary evaluation is lower.