Oral surgery: part 2. Endodontic surgery

Pop, Ioana

doi:10.1038/sj.bdj.2013.876

Cited by 20 publications

(22 citation statements)

References 15 publications

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“…( 9 ) in which they found that lesions ≤ 10 mm had an 80% of success rate while the larger ones showed a success rate of 53% after a period from 4 to 10 years. A favorable prognosis of periapical surgery seems almost assured when the periapical lesion is less than 5 mm ( 5 , 7 , 12 - 14 ).…”

Section: Discussionmentioning

confidence: 99%

“…The relation between prognosis and type of tooth is not clear yet. Many authors agree that incisors and canines have higher success rates in endodontic surgery ( 5 - 7 , 9 , 12 , 14 , 15 ). This may be explained because the anterior sectors are more accessible and permit an excellent view of the operative field, thus obtaining a better apical seal.…”

Section: Discussionmentioning

confidence: 99%

“…The proximity of the maxillary sinus is not a contraindication to perform periapical surgery in an upper premolar or molar ( 13 , 14 ). Even though, a study made by Kreisler et al .…”

Section: Discussionmentioning

confidence: 99%

“…A 3 mm apicectomy has to be performed to eliminate all apical ramifications and lateral canals and to avoid reinfection of the periapical area and therefore the recurrence of the lesion ( 14 - 16 , 22 ). The root section must be perpendicular to the longitudinal axis of the tooth.…”

Section: Discussionmentioning

confidence: 99%

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Prognostic factors on periapical surgery: A systematic review

2015

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BackgroundAnalyze the most important prognostic factors when performing periapical surgery and compare the success rates of distinct authors.IntroductionPeriapical surgery is an approach to treat non-healing periapical lesions and it should be viewed as an extension of endodontic treatment and not as a separate entity.Material and MethodsA search of articles published in Cochrane, PubMed (MEDLINE) and Scopus was conducted with the key words “prognostic factors”, “prognosis”, “periapical surgery”, “endodontic surgery” and “surgical endodontic treatment”. The inclusion criteria were articles including at least 10 patients, published in English, for the last 10 years. The exclusion criteria were nonhuman studies and case reports.Results33 articles were selected from 321 initially found. Ten articles from 33 were excluded and finally the systematic review included 23 articles: 1 metaanalysis, 1 systematic review, 2 randomized clinical trials, 6 reviews, 12 prospective studies and 1 retrospective study. They were stratified according to their level of scientific evidence using the SORT criteria.ConclusionsFactors associated with a better outcome of periapical surgery are patients ≤45 years old, upper anterior or premolar teeth, ≤10 sized lesions, non cystic lesions, absence of preoperative signs and symptoms, lesions without periodontal involvement, teeth with an adequate root-filling length, MTA as root-end filling material, uniradicular teeth, absence of perforating lesions, apical resection < 3 mm, teeth not associated to an oroantral fistula and teeth with only one periapical surgery. Key words:Prognostic factors, prognosis, periapical surgery, endodontic surgery and surgical endodontic treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The proximity of the maxillary sinus is not a contraindication to perform periapical surgery in an upper premolar or molar ( 13 , 14 ). Even though, a study made by Kreisler et al .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Prognostic factors on periapical surgery: A systematic review

2015

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“…Sin embargo, cuando no existe una adecuada relación corona-raíz el corte del ápice puede llegar a comprometer la estabilidad del diente dentro de su alvéolo, por lo que el conservar la longitud total del órgano dentario es un objetivo a alcanzar 14 . Con la utilización de puntas de ultrasonido se logra preparar una cavidad apical estrecha, larga, de paredes paralelas, sacrificando poco tejido dentario, disminuyendo el riesgo de perforaciones radiculares y facilitando la colocación del material retrógrado, este material de obturación debe tener la capacidad de sellar a las bacterias y sus productos dentro del conducto radicular impidiendo su salida hacia los tejidos periapicales y permitiendo la regeneración de los tejidos 15 .…”

Section: Introductionunclassified

Tratamiento de lesión periapical con obturación retrógrada e injerto óseo. Reporte de un caso

Peñafiel¹,

Pallaroso²,

Viteri³

2019

Odontol. sanmarquina

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El objetivo de este estudio es presentar un caso en el que tras el fracaso del tratamiento endodóntico se observó una lesión quística en el periápice. El presente caso trata de una paciente femenina de 39 años de edad, sin antecedentes médicos relevantes quien asistió a la clínica odontológica SERODU, determinando a la palpación la presencia de una tumefacción de consistencia blanda que estaría afectando la integridad del tejido óseo, sin sintomatología. Las pruebas de vitalidad pulpar resultaron negativas. Al examen radiográfico se observó una sombra radiolúcida compatible con lesión periapical crónica que afecta a las piezas dentales 11 y 12. Por lo que se decidió llevar a cabo la cirugía periapical con apicectomía, sellado apical retrógrado y enucleación de la lesión quística, seguido de regeneración ósea guiada. A los tres meses de control, radiográficamente se encontró una zona radiopaca compatible con regeneración ósea con un halo radiolúcido de separación con el hueso basal original, y a los seis meses, se observó la regeneración ósea completa. La técnica de obturación retrógrada e injerto óseo constituye una técnica de tratamiento efectivo para el sellado del conducto a nivel apical y la regeneración de defectos periapicales de gran tamaño.

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Digitally planned root end surgery with static guide and custom trephine burs: A case report

Antal

Nagy

Sanyó³

et al. 2020

Robotics Computer Surgery

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IntroductionApicoectomy is an endodontic surgical intervention that requires high precision. The computer‐assisted static guided approach has proven to increase the precision of dental implantation in a significant manner. The authors sought to transfer this precision to root‐end resection with the use of custom designed trephine burs manufactured specifically for use in targeted endodontic microsurgery.MethodsA set of custom bone trephines were designed and manufactured, then their digital models were integrated into an already existing implant surgical planning software, in cooperation with the software developer. Apicoectomy was performed in an actual case with the help of the new system.ResultsIt has become possible to plan root end removal in the virtual space and to manufacture 3D printed static surgical guides to help the execution of the surgery. A patient with persistent periapical lesion was successfully treated without complication. The 6‐month follow‐up found uneventful healing.ConclusionThe presented system is a step toward a standardized digital system and workflow dedicated to guided endodontic surgery.

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Oral surgery: part 2. Endodontic surgery

Cited by 20 publications

References 15 publications

Prognostic factors on periapical surgery: A systematic review

Prognostic factors on periapical surgery: A systematic review

Tratamiento de lesión periapical con obturación retrógrada e injerto óseo. Reporte de un caso

Digitally planned root end surgery with static guide and custom trephine burs: A case report

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