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At least 505 records · Page 28Linked to original sources
PubMed1975

Transantral, subperiosteal resection of the palatal root of maxillary molars.

A resection method for the palatal root of the maxillary molar is presented, in which the tip of the root is exposed by widening the resection opening of the buccal roots into the maxillary sinus and by lifting the periosteum from its underlying tissue above the tip of the root. The method suits cases in which the mucous membrane of the sinus is healthy and the floor of the sinus extends between the roots or the tip of the root is close to the sinus. By this method, palatal opening and damage to the mucous membrane of the sinus are avoided. Pain and discomfort are minimal. In addition, the topographic anatomy of the floor of the maxillary sinus and the dental roots and radiographic methods suitable for diagnostics are discussed.

Apicoectomy↗
PubMed1979

Periapical surgery.

A retrospective study of 572 teeth treated with periapical surgery was undertaken in order to evaluate the influence of preoperative, operative and postoperative factors in the healing process as well as the operation method used. It was also the aim to assess whether the histophatological diagnosis of biopsies taken at the operation could be correlated to healing. Statistical analyses by the AID method and conventional cross-classification methods were performed. Factors of importance were found to be the extent of the destrucion, the operation method used, the bone surrounding the destruction, the quality of the orthograde root filling, the age of the patient, and the marginal bone buccally. The operation method was of importance in large destructions where root fillings were considered as not having properly sealed the canals, and when treating inflamed cysts. The histopathological diagnosis could not be ascribed any definite prognostic value.

Adolescent↗
PubMed1981

Vascular changes in replanted and autotransplanted apicoectomized mature teeth of dogs.

The purpose of the present investigation was to study whether international fracturing of the root tip at the time of replantation or autotransplantation of mature teeth might improve the revascularization capacity of the pulp. The vascular system in apicoectomized and nonapicoectomized replanted and autotransplanted mature dog teeth was studied 10, 30 and 120 days postoperatively by means of a barium sulfate injection medium combined with microradiography. Pulpal revascularization occurred during a 120-day period in eight out of nine apicoectomized teeth. The pulp of the nonapicoectomized teeth did not revascularize.

Angiography↗
PubMed1981

Surgical treatment of juxtaradicular periodontitis.

A retrospective study was performed on surgically treated localized juxtaradicular periodontitis. 23 teeth were operated on during the years 1971-1976. The majority of these (79%) were incisors or cuspids. The most common etiological factor was iatrogenic root perforation. The postoperative healing process was completely successful in 57% of the cases.

Adult↗
PubMed1981

Submergence of roots for alveolar ridge preservation. A failure (4-year follow-up study).

A 4-year clinical and radiographic follow-up study of 20 cases of crown-resected root-filled roots, covered by mucosal flaps, distributed among 15 patients, has been carried out. Only cases of uneventful submergence of the root with intact healthy mucosa were regarded as successful. This study shows that: (1) The number of failures increases with the years; from 3 cases at the 1-year to 11 cases at the 4-year follow-up, corresponding to 53% (8/15) of the patients. In the failures, an exposure of the root-surface was seen, but without inflammation in the surrounding tissue. These roots could be extracted without bone loss. (2) Alveolar ridge atrophy is not prevented by retained roots, and is probably the primary reason for failure of coverage. The 11 failures showed alveolar ridge atrophy, which was observed before failure in 6 cases. None of the successful cases showed alveolar ridge atrophy. The present method cannot be recommended as a routine procedure.

Alveolar Process↗
PubMed1983

Pulpal survival in replanted and autotransplanted apicoectomized mature teeth of dogs with prepared nutritional canals.

In the present study, an attempt was made to improve the possibilities for rapid revascularization and original pulp tissue survival in replanted and autotransplanted mature dog teeth by increasing the contact area between the pulp and the vascularized periradicular tissues. In 12 teeth, the root tip was resected and 3 additional nutritional canals were prepared in the apical 1/3 of the root at the time of the operation. Another 12 teeth were replanted or autotransplanted with intact roots. After an observation time of 120 days, the teeth were studied with microangiographic and histologic techniques. 11 of the teeth that were replanted or autotransplanted with intact roots showed total pulpal necrosis. Partial or total pulpal revascularization and repair was seen in all apicoectomized teeth with nutritional canals. The revascularized area of the pulp was somewhat larger in the replanted compared to the autotransplanted group of teeth. Signs of survival of the original pulp tissue were not seen. A comparison of the findings with those of previous studies on replanted and autotransplanted teeth with apicoectomized roots but without additional canals shows that the revascularization of the pulp did not proceed more rapidly in the apicoectomized teeth in the present study, although the contact area between the pulp and the periradicular tissues was enlarged through the preparation of the 3 artificial nutritional canals.

Animals↗
PubMed2004

Histologic analysis of pulpal revascularization of autotransplanted immature teeth after removal of the original pulp tissue.

The survival rate of replanted and autotransplanted teeth is mainly affected by the reaction of the pulp. Pulpal necrosis can cause periapical inflammation and inflammatory root resorption. The purpose of this study is to learn more about the pulpal changes in autotransplanted immature teeth whose pulp tissue was removed before transplantation. The experimental material consisted of 16 single-rooted teeth with open apices, from a beagle dog (3 months of age). At day 0, 4 teeth were extracted, the pulpal tissues were removed, and the teeth were then transplanted to their contralateral side. The same procedure was carried out on days 9, 16, and 23, each time for 4 single-rooted teeth. Longitudinal paraffin sections were made for histologic investigation. The results showed that, after 7 days, 2 of the 4 teeth had an ingrowth of new tissue over one fourth of their length. After 14 days, all 4 teeth had ingrowth (> or =one fourth of the pulp chamber). At the 21-day observation, more than half of the pulp chambers of all teeth were filled, and, after 30 days, there was total ingrowth in 3 of the 4 teeth. This new tissue consisted of well-organized and well-vascularized connective tissue.

Animals↗
PubMed1993

Assessment of inferior alveolar and lingual nerve disturbances after dentoalveolar surgery, and of recovery of sensitivity.

In a follow-up of 1107 dentoalveolar operations in the postcanine region, 24 (2.2%) temporary sensitivity disturbances of the inferior alveolar nerve and 16 (1.4%) of the lingual nerve were found. Permanent disturbances were not present. Complete recovery had occurred by 6 months in all cases. The incidence of temporary sensitivity disturbances depended on the different surgical interventions performed. For evaluation and follow-up purposes, a computer-aided pain and thermal sensitivity (PATH) tester was used. By PATH testing, spontaneous recovery can already be ascertained at the third or fourth postoperative month.

Adolescent↗
PubMed1987

Glass-ionomer cement as retrograde filling material. An experimental investigation in monkeys.

The tissue reaction following the use of glass-ionomer and amalgam, as retrograde filling materials was investigated in an experimental study using 8 monkeys. After apicectomy of the upper central incisors, amalgam and glass-ionomer cement was used at random as retrograde filling material. 2 animals at a time were sacrificed after 2 weeks, 1, 3 and 6 months. Irrespective of the length of time, the tissue reactions were similar for the 2 materials. 2 weeks after surgery, a vascular granulation tissue containing lymphocytes, plasma cells and polymorpho-nucleated leukocytes was observed close to the retrograde fillings. 1 month after surgery, good healing was found, the granulation tissue being replaced by new osteoid or bone formation. After 3 and 6 months, there was complete healing with no inflammatory reaction and a mature alveolar bone surrounding the apicectomized roots.

Animals↗
PubMed1987

The bony lid approach for the apical root resection of lower molars.

The apical root resection of mandibular molars is an operation seldom performed and then one limited primarily to the lower first molars. Although the first paper on this topic was published at the beginning of the 20th century, little progress has been observed since then. This is due to the thickness of the buccal bony plate in the lower molar region which makes surgery very difficult and leads to a substantial loss of bone. The resultant limitation of the operating field prevents good vision. The aim of our approach is to minimize or to eliminate these problems by opening a bony lid above the roots which are to be resected. This can be made large enough for the surgeon to have easy access and good vision during apical surgery. At the end of the operation the same lid is replaced in order to avoid a bony defect and to facilitate the healing process. Of the 75 patients treated using this technique during a 3-year period, only one post-operative complication has been observed. A complete healing of the bone was observed in the majority of cases within 6 months.

Adult↗
PubMed2000

Osseointegration of endodontic endosseous cones: zirconium oxide vs titanium.

OBJECTIVE: The purpose of this investigation was to investigate the osseointegration of zirconium oxide (ZrO(2)) ceramic cones in comparison with that of titanium cones in apicectomy. STUDY DESIGN: To evaluate the bone/implant interface, 20 ZrO(2) cones and 20 titanium cones were inserted into the mandibles of 4 Göttinger minipigs. During the 6-month healing period, intravital polychrome sequence marking was performed. Qualitative light microscopic, fluorescence microscopic, and quantitative histomorphometric assessment was carried out. Differences between continuous histomorphometric measures were tested through use of a 2-way analysis of variance. RESULTS: Light microscopy revealed zones of direct bone contact with the ZrO(2) and titanium surfaces. Fluorescence microscopy revealed remodeling processes directly adjacent to both material surfaces. There was no significant difference in the distances of the fluorescence bands of each fluorescence marker for either the ZrO(2) surfaces or the titanium surfaces. Quantitatively and histomorphometrically, the mean ratio between the total cone/bone contact and the total cone/fibrous tissue contact was 0.95 (SD 1.10) on the titanium surface (n = 38) and 1.47 (SD 1.12) on the ZrO(2) surface (n = 78; P =.02). CONCLUSIONS: The qualitative results show that the biocompatibility of ZrO(2) was similar to that of titanium. The use of ZrO(2) cones for sealing purposes in resected teeth after apicectomy appears to be acceptable.

Analysis of Variance↗
PubMed2004

Influence of the thickness of mineral trioxide aggregate on sealing ability of root-end fillings in vitro.

The purpose of this study was to compare the ability of different thicknesses of mineral trioxide aggregate (MTA) to prevent apical leakage through the use of a protein-dye complex with Coomassie Brilliant Blue G. Sixty-four teeth were divided into 4 groups, then filled with MTA to depths of 1, 2, 3, or 4 mm. Two teeth served as the positive controls. Another 2 teeth served as the negative controls. Root-filled teeth were mounted in an apparatus and then challenged with protein solution. The evaluation was conduced at 24-hour intervals for 60 days. The 1-mm-thick MTA was the least effective in preventing apical leakage (P <.05). No significance difference was found between 2- and 3-mm-thick MTA (P >.05). Four-millimeter-thick MTA was significantly more effective than the other thicknesses tested (P <.05). The results of this study suggest that the thickness of 4 mm is most adequate for the use of MTA as a root-end filling material.

Aluminum Compounds↗
PubMed1995

Long-term results of amalgam versus glass ionomer cement as apical sealant after apicectomy.

A total of 67 teeth in 64 patients were treated with apicectomy and retrograde fillings. They were randomized to receive fillings of amalgam or glass ionomer cement in a comparative clinical study. Healing was evaluated clinically and radiographically after 1 and 5 years. Evaluation showed no difference in healing capacity between the two materials. Overall success rates in both groups were registered as 90% at 1 year and 85% at 5 years. Contamination with blood or saliva during insertion of the filling material did not affect healing adversely. The study shows that the 5-year follow-up result can be predicted in more than 95% of the cases at the 1-year follow-up. It can be concluded that glass ionomer cement is a valid alternative to amalgam as an apical sealant after apicectomy with equally good long-term clinical results.

Aluminum Silicates↗