Micro-surgical endodontics

Eliyas, Shiyana; Vere, Joe; Ali, Zulfiqar; Harris, Ian

doi:10.1038/sj.bdj.2014.142

Cited by 26 publications

(21 citation statements)

References 41 publications

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“…After analysis of the titles and abstracts, 21 articles were chosen for full-text evaluation. The authors agreed to exclude 8 of these articles on the grounds that they established no comparisons between Biodentine® and MTA® ( 17 - 21 ); they failed to specify the filling material used ( 22 ); the study objectives were unrelated to the physicochemical properties selected for our review ( 23 ); or because they constituted consensus guides ( 24 ). Thirteen articles were included ( 1 - 3 , 6 - 14 , 25 ) in the systematic review - all of them being in vitro studies corresponding to level 3 according to the SORT classification.…”

Section: Resultsmentioning

confidence: 99%

Retrograde filling material in periapical surgery: a systematic review

Paños-Crespo¹,

Sánchez‐Torres²,

Gay‐Escoda³

2021

Med Oral

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Background Periapical surgery focuses on the treatment of teeth with persistent periapical lesions when orthograde root canal treatment fails. Although MTA® is the gold standard material for retrograde filling, Biodentine® - a tricalcium silicate-based cement - has been proposed in order to resolve several of its limitations. A systematic review has been carried out to compare the physicochemical properties of Biodentine® versus MTA® as root-end filling material in periapical surgery. Material and Methods An electronic search was conducted by two independent examiners during March 2020 in the Cochrane, PubMed-MEDLINE and Scopus databases. In addition, a manual search was made in specialized journals. Comparative human or in vitro studies that evaluated bond strength, the presence of marginal gap and sealing ability were included. No restriction on publication date was applied. Animal studies, clinical cases, cases series and expert opinions were excluded. Results After analyzing 147 initially selected studies, 13 publications were included. Regarding bond strength, the studies seemed to evidence better performance of Biodentine® in both acidic and blood contaminated environments. In relation to the presence of marginal gap and sealing ability, the studies yielded contradictory results. According to some authors, the sealing ability of Biodentine® is greater than that of MTA® during the first 24 hours, though both materials prove equal after one week. Other authors recorded no significant differences. Conclusions Considering the limitations and heterogeneity of the studies included, there is not sufficient evidence to confirm the clinical superiority of Biodentine® as a root-end filling material in periapical surgery. Key words: Biodentine, MTA, retrograde filling, periapical surgery.

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Section: Resultsmentioning

confidence: 99%

Retrograde filling material in periapical surgery: a systematic review

Paños-Crespo¹,

Sánchez‐Torres²,

Gay‐Escoda³

2021

Med Oral

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“…Removing the etiological factors (necrotic tissues, bacterial biofilms, coronal leakage, recurrent caries, and tooth fractures) results in conditions conducive to healing; thus, nonsurgical endodontic treatment is preferred to periapical surgery for treating persistent infections [7]. The basic goal of nonsurgical endodontic treatment is to reduce or eliminate, to the extent possible, the microbial flora [21]. Removing all root fillings is a prerequisite of nonsurgical retreatment in order to uncover the remnants of necrotic tissue or bacteria that might have caused the previous treatment to fail.…”

Section: Discussionmentioning

confidence: 99%

3D Analysis of D-RaCe and Self-Adjusting File in Removing Filling Materials from Curved Root Canals Instrumented and Filled with Different Techniques

Şımşek

Ahmetoğlu

Keleş

et al. 2014

The Scientific World Journal

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The aim of this study was to compare the efficacy of D-RaCe files and a self-adjusting file (SAF) system in removing filling material from curved root canals instrumented and filled with different techniques by using microcomputed tomography (micro-CT). The mesial roots of 20 extracted mandibular first molars were used. Root canals (mesiobuccal and mesiolingual) were instrumented with SAF or Revo-S. The canals were then filled with gutta-percha and AH Plus sealer using cold lateral compaction or thermoplasticized injectable techniques. The root fillings were first removed with D-RaCe (Step 1), followed by Step 2, in which a SAF system was used to remove the residual fillings in all groups. Micro-CT scans were used to measure the volume of residual filling after root canal filling, reinstrumentation with D-RaCe (Step 1), and reinstrumentation with SAF (Step 2). Data were analyzed using Wilcoxon and Kruskal-Wallis tests. There were no statistically significant differences between filling techniques in the canals instrumented with SAF (P = 0.292) and Revo-S (P = 0.306). The amount of remaining filling material was similar in all groups (P = 0.363); all of the instrumentation techniques left filling residue inside the canals. However, the additional use of SAF was more effective than using D-RaCe alone.

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“…This has been strongly refuted by other studies, which suggest sutures may be removed after 48 hours, but should not be allowed to remain post-96 hours [43][44][45][46]. In microsurgical procedures, Eliyas et al ( 2014) [47] advise the removal of surgical sutures after only three days [47].…”

Section: Nishiyama Et Al(2002)mentioning

confidence: 99%

Endodontic Surgery: A Review of Postoperative and Healing Outcome

LCL¹,

JC²

2021

austinjsurg

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The purpose of this review was to give the reader an update about the postoperative period and healing outcome after surgical endodontic retreatment. Endodontic surgery has become a standard of care for dental maintenance if conventional endodontic retreatment is not able to eliminate the infection, it is important to know how to manage the post-surgical care; due it might directly interfere in the healing outcome after the surgical procedure. Based on the results of the present review, the postoperative period after the surgery treatment is very mild, without any complications, being similar to any dental surgical discomfort, as swelling, bleeding and pain, which could be easily controlled with simple medicine. Regarding the repair after endodontic surgery, the length of follow-up time and the healing evaluation criteria affect the outcome, and 1-year follow-up periods might be insufficient to predict a long-term healing.

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Micro-surgical endodontics

Cited by 26 publications

References 41 publications

Retrograde filling material in periapical surgery: a systematic review

Retrograde filling material in periapical surgery: a systematic review

3D Analysis of D-RaCe and Self-Adjusting File in Removing Filling Materials from Curved Root Canals Instrumented and Filled with Different Techniques

Endodontic Surgery: A Review of Postoperative and Healing Outcome

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