Retrospective Assessment of Apicectomy Performed in a Known Population: An Institutional Based Study

ABSTRACT

Background: Apical surgery or Apicectomy is often a lastresort to surgically maintain a tooth with a periapical lesion thatcannot be managed with conventional endodontic treatment.The present study was conducted to assess retrospectivelycases of apicectomy performed in a known population.Materials and Methods: This retrospective study wasconducted to assess the patients treated with apicectomy overthe time of 6 months. Preoperative periapical radiograph wastaken using a parallel technique. Local anesthesia wasadministered and followed by flap elevation.Surgical curette was used to enucleate the pathologic tissueand identify the root apex with/without prior osteotomy. Theapical 3 mm of the root was resected perpendicularly to thelong axis of the tooth with no or minimal bevel. Flaps wererepositioned and sutured. Periapical radiograph was takenafter surgery using the parallel technique. Antibioticsand analgesics medication were prescribed. Follow-upappointments were arranged. The data was included whichcomprises of demographic data, preoperative clinicalexamination type. Statistical analysis was performed using theSPSS software version 21.0 (SPSS Inc., Chicago, IL, USA).Results: In this retrospective study total 87 cases ofapicectomy was recorded over the period of 6 months in which23(26.43%) were male while remaining 64(73.56%) werefemales. Apicectomy cases were prevalent in age group 31-40years (36.78%). Apicectomy cases were prevalent in maxillarytooth(73.56%).Conclusion: Our study concluded that apicectomy cases wereprevalent in females, in age group of 31-40 years and inposterior tooth.