Common errors in periradicular surgery.
Explore the source record for details and available documents.
SEARCH · Search PubMed
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
An unusual case of a second maxillary molar with a dilacerated root visible clinically is described. Apicectomy followed by retrograde amalgam filling was performed whereby gingival coverage and gingival seal was achieved.
With bright illumination and magnification under the operating microscope, and addition of many microinstruments, endodontic surgery has become microsurgery. The microsurgical approaches allow the clinicians to perform endodontic surgery with smaller osteotomies, shallow bevels, preparation of isthmuses, examination of resected root surfaces, retropreparation in line with root canal, and precise placement of new filling materials. This article illustrates the advantages of microsurgery in endodontics.
Incomplete debridement of the canal isthmus is responsible for some surgical and nonsurgical endodontic failures. This article reviews the formation of canals isthmus and the new classification system. Recent research findings regarding the incidence of isthmus at different root end levels are included.
Root end preparation techniques have historically been approached from the perspective of the restorative dentist. This article discusses how Black's principles for cavity design and preparation have been modified to reflect the advances in bonding chemistry.
The intimate position of the maxillary sinus to the apices of teeth creates problems if periapical inflammation occurs. This can lead to a perforation into the sinus and cause sinusitis. Persistent and complicated situations that do not respond after nonsurgical root canal treatment demand a suitable surgical therapy. Knowledge of the specific anatomic conditions, an adequate diagnosis, and an appropriate surgical procedure facilitate success rates that are comparable with those obtained in other regions, even in unfavorable initial conditions.
The ultimate goal in endodontic microsurgery is the predictable regeneration of periapical tissues. One of the main concerns in treating an endodontically treated tooth which has a through-and-through osseous defect is that incomplete bone healing may be inevitable. This article reviews the use of different barrier membranes for bone regeneration. In addition, the indications, techniques, and prognosis of calcium sulfate in guided bone regeneration are presented.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Periradicular surgery combined with final laser sterilisation was performed on 62 teeth of 50 patients by 3 trained oral surgeons, according to a well defined treatment protocol. It concerned a 5 Watt continuous wave CO2-laser. After a follow-up period ranging from 6 to 17 months all patients were recalled. 28 patients (56%) or 33 teeth (53%) could be evaluated. The success rate was determined by a questionnaire, a standard clinical examination and an X-ray evaluation. Complete surgical healing was found in 59% of the teeth and incomplete healing in 23%. Uncertain healing and unsatisfactory healing were observed in respectively 11% and 7% of the teeth. Better healing results were found in elements with one endodontic canal (67% complete healing) and when endodontic treatment was combined with the intervention (71% complete healing). Comparison of the results of the present study with comparable studies without laser sterilisation, showed however no statistical significant improvement.
In addition to the successful replantation of avulsed permanent teeth, the replantation of primary anterior teeth may also be indicated. The decision is based on age and stage of tooth development, development of dentition, storage of the avulsed tooth and the way it is transported to the treatment site, the appropriate in vitro treatment of the tooth before reinsertion, and the willingness of the child to cooperate. A method involving retrograde filling of the primary tooth root with calcium hydroxide after resecting the root apex has proved successful. Other commercially available root filling materials and pins are not indicated. Calcium hydroxide allows the tooth to heal in place without reaction and prevents the development of apical periodontitis. As regards any surgical intervention, the attending dentist in this case has to weigh the benefits against the risks.
Explore the source record for details and available documents.
The aim of the study was to evaluate the success of non-vital root resected maxillary molar teeth over a period of four years. Fourteen root resected maxillary molar teeth were evaluated for mobility and probing depth in the area of root resection. Only one failure was observed over a period of four years follow-up. It was observed that removal of one root neither increase the tooth mobility nor the probing depth in most of the cases. It is concluded that non-vital root resection should be considered before molar extraction, because this treatment can provide good results with long term success, provided appropriate patient selection. This procedure can be practised by general dentists with little effort.
Many clinicians have benefited from using surgical telescopes and headlamps to enhance the visual access of clinical procedures. Historically, the surgical operating microscope has provided opportunities for the medical community in the development of new treatment strategies. Recently, the operating microscope has been introduced into the endodontic community, and its benefits in surgical endodontics have become widely known. Cases that once seemed impossible can now be treated with a high degree of confidence and clinical success. This article describes the advantages of the surgical operating microscope.
Explore the source record for details and available documents.
Surgical emphysema is an uncommon complication of dental treatment despite the frequent use of air-driven handpieces and high-speed water-cooled equipment in dental practice. As a consequence it may either go unrecognized or be misdiagnosed. Although most cases resolve spontaneously, some patients require emergency intervention. This article outlines the condition and its management and describes two cases that arose during routine dental treatment.