{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:42:35Z","timestamp":1787071355910,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 5","license":[{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"\n A\n BSTRACT<\/jats:sc>\n <\/jats:title>\n \n Background:<\/jats:title>\n Management of grossly decayed posterior teeth with deep subgingival caries and periapical pathology presents clinical challenges, often requiring either conventional endodontic therapy or surgical intervention. This study aimed to compare the treatment outcomes of these two approaches.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n To evaluate and compare the clinical efficacy of conventional endodontic therapy versus surgical intervention in the restoration of grossly decayed posterior teeth requiring crowns.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n This prospective, interventional clinical study included 30 patients aged 20\u201360 years with posterior teeth exhibiting pulp involvement, periapical lesions, and deep subgingival caries. Patients were randomly assigned to Group A (conventional root canal therapy with full-coverage crowns) or Group B (surgical intervention including apicoectomy or crown lengthening, followed by endodontic and prosthodontic rehabilitation). Clinical parameters such as pain, swelling, periapical healing, crown retention, functional outcomes, and patient satisfaction were assessed at baseline, 3, 6, and 12 months. Data were analyzed using SPSS v25.0 and Kaplan-Meier survival analysis.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Both treatment groups demonstrated significant clinical improvements over time. Group B showed superior periapical healing at 3 and 6 months; however, long-term outcomes at 12 months were comparable between groups. No significant differences were observed in pain reduction, crown retention, or patient satisfaction.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Both conventional and surgical approaches are effective for managing grossly decayed posterior teeth. Surgical intervention may offer short-term advantages in periapical healing, but long-term outcomes are similar, supporting tailored treatment based on individual clinical presentation.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_1086_25","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T18:02:10Z","timestamp":1763661730000},"page":"S3647-S3650","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of Treatment Outcomes in Grossly Decayed Posterior Teeth Managed With a Multidisciplinary Approach Involving Endodontics, Apical Surgery, and Prosthetic Rehabilitation: A Prospective Clinical Study"],"prefix":"10.4103","volume":"17","author":[{"given":"D Satish","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Dentistry, Government Medical College, Karimnagar, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A Vinod","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Meghna Institute of Dental Sciences, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj K. R.","family":"Gade","sequence":"additional","affiliation":[{"name":"Dental Health Informatics and Technology Specialist, Keystone Oral Surgery and Implant Center, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwani","family":"Swetha","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Navodaya Dental College and Hospital, Raichur, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sirisha","family":"Mekala","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentisty, Tirumala Institute of Dental Sciences and Research Centre, Nizamabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishna V.","family":"Vamshi","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Tirumala Institute of Dental Sciences and Research Centre, Nizamabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamini","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Tirumala Institute of Dental Sciences and Research Center, Nizamabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tejaswi","family":"Kala","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentisty, Tirumala Institute of Dental Sciences and Research Centre, Nizamabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"key":"R1-20260217","doi-asserted-by":"crossref","first-page":"401","DOI":"10.3390\/medicina60030401","article-title":"Dentistry:A multidisciplinary 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literature\u2014part 2:Comparison of endodontic microsurgical techniques with and without the use of higher magnification","volume":"38","author":"Setzer","year":"2012","journal-title":"J Endod"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1086_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:44:50Z","timestamp":1787067890000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1086_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,20]]},"references-count":11,"journal-issue":{"issue":"Suppl 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