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[The role of acute phase proteins in the pathogenesis of chronic periapical granuloma].

Alpha-1-antitrypsin, alpha-2-macroglobulin, C-reactive protein, haptoglobin and complement component C 3 concentrations and oxidase activity of ceruloplasmin were studied in sera of 36 patients with chronic periapical granuloma before and after surgical treatment. Mean serum concentrations of the investigated proteins were slightly elevated at diagnosis, with the exception of haptoglobin. Alpha-1-antitrypsin and ceruloplasmin levels decreased significantly 7 days after apicectomy, the four other proteins were unchanged at this sampling time. Each investigated protein decreased significantly 3 months after apicectomy. This is the first longitudinal study of "acute-phase proteins" in chronic periapical granuloma. The results suggest that inflammatory reactions contribute to the maintenance of chronic periapical lesion.

Acute-Phase Proteins↗

[Use of the stereo-microscope in endodontic surgery].

The authors present several significant photographs of the apical anatomy of a tooth made using a stereo-microscope in the course of surgery. The authors generally use the stereo-microscope from the time of preparation of the apex to the retrograde filling. One of the changes which the authors have brought to traditional surgical procedures, the use of endodontic cement to improve the amalgam seal is illustrated. It consists of a modification which they introduced into their practice more than six years ago and even though it may be a simple clinical technique to use, it assured a significant long-term improvement in the cases treated.

Apicoectomy↗

[Clinical form of preparations and prosthetic restoration after hemisection and root amputation].

With the expand of periodontology and present tendency to preserve the teeth, are appear news line forms for our preparations (of fixed prosthodontics). After hemisection or root-amputation, we are found of prosthetic reconstruction problem. This one should have to respect some simple principles on account of characteristic contour form of tooth after surgery. It must be important to have good indications, perfect execution, and meticulous realisation of provisionally prosthetic.

Apicoectomy↗

[Treatment of various frequently occurring periodontal problems].

Some clinical factors of importance for handling of periodontal problems are discussed in this paper by means of case reports. Severe but localised alveolar bone loss, treatment of narrow or missing attached gingiva and periodontal abscess formation are briefly described.

Aged↗

Surgical management of endodontic failures: indications and treatment results.

Two-hundred and twenty-four teeth with failures after conventional endodontic treatment were treated by periapical surgery by one surgeon and followed up for 1-8 years. Indications for surgery were: inaccessibility to the apical part of the root by a coronal approach due to posts, calcifications or procedural accidents. Cysts, a few acute cases and wide-open apices were also treated surgically. Healing was judged radiographically and classified into one of four healing groups: (1) complete healing, (2) incomplete healing (scar tissue); (3) uncertain healing, and (4) unsatisfactory healing. The grouping was performed separately by the oral surgeon and an endodontist. Deviating cases were then evaluated jointly, difficult cases and borderline cases were judged by an oral radiologist. Complete healing was observed for 76.6 per cent and incomplete healing (scar tissue) for 8.1 per cent of the teeth. The size of the latter group was strongly influenced by the number of cases with large preoperative rarefaction. A success/failure grouping of the material (success = complete and incomplete healing) revealed that 27 per cent of the retrofilled cases failed compared with 3.6 per cent in the orthograde group. The main conclusion is that retrofills should be avoided whenever possible.

Apicoectomy↗

[Clinical case].

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Apicoectomy↗

[Osseointegration of synthetics. Clinical experience].

Some products, for bone's syntethic implants (resorbable or not), are treated in the first part, in particular way the beta-TCMP (resorbable bone's integrator) for valueing its good validity. In the second part the Authors show some clinic cases treated with beta-TCMP and the obtained results. Then generic indications around the use of the product have been showed for the good answer in the bone's rigeneration.

Adult↗

[Parendodontal surgery of the lower third molar: report of a clinical case].

The parendodontic surgery intends to the resolution of accidental or pathological condition that can't be recoverable by usual endodontic treatment. In this case, the authors present a clinical case where a apical curettage and apicectomy were done in a mandibular right third molar, to show the account of this procedure yet in the actual context.

Adult↗

Management of teeth with open apexes and necrotic pulps: representative cases.

This paper briefly reviews the pros and cons of five methods used to treat a tooth with a necrotic pulp and an open apex (incompletely developed root), and presents representative treatments of open apex cases. These treatments include customized cone, short-fill, periapical surgery, apexification, and one-visit apexification.

Adult↗

[Osteoplastic procedure for cystic processes in posterior mandibular region].

This Report deals with surgical treatment of the extended osteolysis processes for the mandibular posterior tooth area. It will show the advantages of an osteoplastical method of operation. According to a case report the therapy of an extended solitary bone cyst will be carried out with an apisectomy of the molar 46 at the same time.

Apicoectomy↗