Results:
Of 70 patients, 35 were managed surgically with antibiotic coverage and
35 medically. All patients were known cases of Type II Diabetes Mellitus
(Table- 1). Twenty-five patients from the medical group and 13 from the
surgical group could adhere to the planned antibiotic protocol (Table-
2).
In the surgical group, the pain was relieved at a mean value of 1.66
months(range:0.5 - 5). Symptoms like canal edema and granulations
resolved within 3.11 months (range:1- 13 months)(Table- 3). ESR and CRP
values returned to normalcy at a mean value of 6.91 months(range: 2-22
months). Radiological resolution occurred in 8.29 months(range: 3- 22
months). The total duration of treatment was 9.2 months (range: 3- 24
months). There were no complications related to surgery. In 22 patients,
who had complete clearance of disease, resolution of pain, edema,
discharge, markers, imaging and total duration of treatment were 1.55,
2.41, 2.59, 5.95, 7.23 and 8.18 months respectively(Table- 4).
In the medically treated group, the pain was relieved at a mean value of
4.57 months(range: 1- 12 months) which was statistically significant
(p< 0. 001)(Table- 3). Canal wall edema and granulations
resolved in a mean of 6 months (range: 2-13 months)(p< 0.001).
Markers took 9.69 months to normalise (range: 4- 20 months)
(p< 0. 001). Radiological resolution with PET CT scan took
11.23 months in the medical group, which was statistically
significant(range: 5- 26 months) (p= 0. 001). Total treatment duration
was 11.24 months which was statistically significant(range: 5- 26
months) (p= 0. 019)(Table- 3).