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At least 757 records · Page 42Linked to original sources
PubMed1992

Apicectomy: localization and isolation of the radicular apex.

Apicectomy is a surgical root approach achieved to the preservation of the tooth any time this is possible. To effect a good procedure of primary importance is an anatomic knowledge because all depends on the right localization of the root apex. A radiography must be done before starting any surgical approach in order to have more acquaintance as possible about the exact location, form and correlations with the nearby anatomic parts. The second step after location of apex is its isolation by different procedures. Afterwards the retrograde filling in amalgam is effected. The use of this kind of filling makes the isolation of the surgical field extremely important in order to have a full success, if the isolation is not perfect then all the procedure will not be valid.

Apicoectomy↗
PubMedDate not supplied

Analysis of postoperative symptoms following surgical endodontic treatment.

OBJECTIVE: The purpose of this prospective study was to analyze postoperative pain and swelling of patients undergoing surgical endodontic treatment using a strict protocol incorporating measures to control postoperative symptoms. METHOD AND MATERIALS: The study consisted of 82 patients referred for surgical endodontic treatment. All surgical procedures were performed using a microsurgical technique employing strict protocol. All patients were premedicated with a single dose of oral dexamethasone (8 mg) preoperatively and two single doses (4 mg) 1 and 2 days postoperatively. Antibiotics were prescribed selectively only when severe symptoms were present due to infection. Patients were administered chlorhexidine mouthwash twice daily starting 3 days before the operation and an additional 7 days postoperatively starting the day after surgery. Cold compresses were applied on the skin at the site of surgery intermittently every 15 minutes during the operative day. Pain and swelling were recorded pre- and postoperatively, and the influence of different variables on postoperative sequelae were analyzed. RESULTS: One day postoperatively, 76.4% of the patients were completely pain free, less than 4% had moderate pain, and 64.7% did not report any swelling. The preoperative symptoms significantly influenced the pain experience post-surgery. CONCLUSION: There was a low incidence of postoperative pain and swelling following endodontic surgical treatment according to protocol with measures to control postoperative signs and symptoms. Patients with preoperative pain were more likely to have postoperative pain.

Administration, Oral↗
PubMed1992

[Analysis of treatment and results of periapical surgery].

The purpose of this investigation was to study the treatment results following periapical surgery at Taipei Chang Gung Memorial Hospital. From August 1984 to November 1990, 101 periapical surgery treatments were performed on 82 patients. A total of 40 patients with 47 teeth were reexamined more than one year after they had received periapical surgery. The observation period varied from 1 to 6 years. According to radiographic and clinical criteria, the treatment results were considered successful in 61.8% of the teeth, doubtful in 19.1%, and unsuccessful in 19.1%. Clinical signs and symptoms were present in 21.3% of the teeth, occurring significantly more after in teeth demonstrating radiographically unsatisfactory healing.

Adolescent↗
PubMed1975

Tooth resection.

Explore the source record for details and available documents.

Apicoectomy↗
PubMedDate not supplied

Evaluation of the Ochsenbein-Luebke flap technique in periapical surgery at Punjab Dental Hospital Lahore Pakistan.

BACKGROUND: There have been no direct studies comparing the Trapezoidal flap with the Ochsenbein-Luebke flap in endodontic surgery. The present study is aimed to provide an insight into the relative performances of these two procedures. METHODS: This comparative study, carried out at Punjab Dental Hospital Lahore Pakistan from May to October 1998, involved 120 patients (60 in each group). Evaluation of technique(s) involved assessment of intra-operative technical considerations as well as postoperative morbidity, healing and cosmetic results. RESULTS: It was found that O-L flap is easy to reflect, has good visibility, less bleeding duration and is easy to handle during surgery. Stitches are less time consuming, there is less tearing, better cosmetic result and no recession of gingiva. However more studies should be done to evaluate the procedure in larger number of patients.

Adolescent↗
PubMed2003

Long-term observation of endodontic surgical intervention to treat root perforation and apical periodontitis: a case report of an amalgam-restored tooth.

A case of crestal root perforation and periapical lesion in a maxillary left lateral incisor is reported. Teeth with root perforation present technical difficulties in their clinical management because of their complex defects. In the present case, surgical endodontic treatment was chosen. The apical and lateral pathology was curetted, the tooth root was resected, and a retrograde root restoration of amalgam was placed in a root-end cavity and perforation site. A 10-year follow-up clinical and radiographic examination showed an asymptomatic tooth with osseous healing proceeding.

Adult↗
PubMed2004

Surgical intervention of mucosal fenestration in a maxillary premolar: a case report.

Labial mucosal fenestration of the root apex is an uncommon occurrence. An unusual case involving a maxillary right first premolar is described. When presented, the tooth was nonvital with the buccal root apex readily seen through a soft tissue and bone fenestration. Conventional endodontic treatment with gutta percha failed to resolve the problem. Periodontal surgery with a laterally positioned pedicle flap was thus scheduled. At the 1-month recall, complete healing was evident in the surgical site, and the fenestrated area of the maxillary right first premolar was filled with healthy mucosal tissue. One-year postoperatively, the mucosa remained covered, and there was radiographic evidence of bone infilling in the periapical region.

Adult↗