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General Dentistry 1993
Review
Topics: Apicoectomy; Humans; Retrograde Obturation; Surgical Flaps; Tooth Root
PubMed: 7489859
DOI: No ID Found -
The Journal of Contemporary Dental... Feb 2017Since the invention of laser, various applications for lasers in endodontics have been proposed, such as disinfection of the root canal system, canal shaping, pulp... (Review)
Review
Since the invention of laser, various applications for lasers in endodontics have been proposed, such as disinfection of the root canal system, canal shaping, pulp diagnosis, and apico-ectomy. One of the major applications of laser in endodontics is apicoectomy. The aim of this article is to review the benefits and drawbacks of laser applications in apicoectomy, including effect on apical seal, effect on dentin permeability, effect on postsurgery pain, effect on crack formation, effect on root-end morphology, effect on treatment outcome, and connective tissue response to laser-treated dentin.
Topics: Apicoectomy; Connective Tissue; Dental Instruments; Dental Pulp; Dental Pulp Capping; Dental Pulp Cavity; Dentin; Dentin Permeability; Dentin Sensitivity; Humans; Laser Therapy; Lasers; Root Canal Filling Materials; Root Canal Preparation; Root Canal Therapy; Safety; Tooth Apex; Tooth Root; Treatment Outcome
PubMed: 28174373
DOI: 10.5005/jp-journals-10024-2010 -
Journal of Biological Regulators and... 2021The purpose of this review was twofold. The first aim was to show predictable protocols of guided endodontic microsurgery (EMS) and to describe its clinical outcomes.... (Review)
Review
The purpose of this review was twofold. The first aim was to show predictable protocols of guided endodontic microsurgery (EMS) and to describe its clinical outcomes. The second aim was to verify the accuracy of this technique compared to the traditional pathway. An electronic search of publications was established from two electronic databases, Cochrane and PubMed, by two independent researchers. The search strategy used a combination of controlled vocabulary and free-text words. Inclusion and exclusion criteria were defined by the authors before the start of the study. Inclusion criteria were: all studies published in English language; studies in vivo on humans; human cadaver studies; studies analyzing guided surgery in apicoectomy. The initial search yielded 67 citations, of which 10 were included. The studies included in this review analysis have shown two different technique both for digitization of dental arch and for surgical procedures too. Guided endodontic micro-surgery is a more predictable technique with less intra-operative and post-operative complications compared to the "freehand" technique and this procedure has shown a greater accuracy.
Topics: Apicoectomy; Humans; Microsurgery
PubMed: 34289664
DOI: 10.23812/21-3supp1-7 -
International Endodontic Journal Oct 2022Endodontic surgery encompasses several procedures for the treatment of teeth with a history of failed root canal treatment, such as root-end surgery, crown and root... (Review)
Review
Endodontic surgery encompasses several procedures for the treatment of teeth with a history of failed root canal treatment, such as root-end surgery, crown and root resections, surgical perforation repair and intentional replantation. Endodontic microsurgery is the evolution of the traditional apicoectomy techniques and incorporates high magnification, ultrasonic root-end preparation and root-end filling with biocompatible filling materials. Modern endodontic surgery uses the dental operating microscope, incorporates cone-beam computed tomography (CBCT) for preoperative diagnosis and treatment planning, and has adopted piezoelectric approaches to osteotomy and root manipulation. Crown and root resection techniques have benefitted from the same technological advances. This review focuses on the current state of root-end surgery by comparing the techniques and materials applied during endodontic microsurgery to the most widely used earlier methods and materials. The most recent additions to the clinical protocol and technical improvements are discussed, and an outlook on future directions is given. Whilst nonsurgical retreatment remains the first choice to address most cases with a history of endodontic failure, modern endodontic microsurgery has become a predictable and minimally invasive alternative for the retention of natural teeth.
Topics: Apicoectomy; Endodontics; Microsurgery; Retreatment; Root Canal Obturation; Root Canal Therapy; Humans
PubMed: 35670053
DOI: 10.1111/iej.13783 -
American Journal of Orthodontics Apr 1947
Topics: Apicoectomy; Humans; Tooth; Tooth Root
PubMed: 20291154
DOI: 10.1016/0096-6347(47)90066-5 -
The Dental Journal of Australia Aug 1948
Topics: Apicoectomy
PubMed: 18884443
DOI: No ID Found -
Dental Clinics of North America Apr 1994Thirty-five years ago, the terms apicoectomy, semilunar flap, and failure characterized the scope of endodontic surgery. During the intervening years, basic research and... (Review)
Review
Thirty-five years ago, the terms apicoectomy, semilunar flap, and failure characterized the scope of endodontic surgery. During the intervening years, basic research and clinical experience have catapaulted this area of dentistry to a level of refinement at which consistent long-term success is virtually assured. In summary, it is important to recall the principles of endodontic surgery that dictate treatment. The most important include the following: (1) The semilunar flap must be disregarded; (2) an "apicoectomy" is virtually never definitive treatment and referring to endodontic surgery as an "apicoectomy" should be discouraged; (3) careful considerations must be paid to all factors governing flap design. Finally, it must be realized that although periapical surgery has become a far more predictable treatment, it still is not a substitute for conventional endodontics, except in very rare situations.
Topics: Apicoectomy; Contraindications; Cuspid; Humans; Incisor; Microsurgery; Retrograde Obturation; Root Canal Therapy; Surgical Flaps; Tooth Root
PubMed: 8206179
DOI: No ID Found -
Rivista Italiana Di Stomatologia 1984
Topics: Apicoectomy; Humans; Postoperative Complications; Tooth Root
PubMed: 6597527
DOI: No ID Found -
Journal of Oral and Maxillofacial... Mar 2020When conventional endodontic treatment resources are depleted, endodontic surgery becomes an alternative treatment for apical periodontitis to remove unreachable...
When conventional endodontic treatment resources are depleted, endodontic surgery becomes an alternative treatment for apical periodontitis to remove unreachable infected areas and seal the root canal. Digital workflows have been used more frequently in many dental applications in recent years. In endodontics, virtual 3-dimensional (3D) planning and endodontic guidance are new aspects important for the treatment of complex cases. This report aimed to present 3D Apicoectomy Guidance, a novel method of performing guided ultraconservative endodontic surgery with conventional implant-guided drills, and to describe its application in a case with a complex anatomic scenario and intimate contact with the maxillary sinus. Implantology computer software, as well as cone-beam computed tomography images and a digital scanning 3D impression, enabled virtual planning of the surgical procedure. Subsequently, a 3D template was produced to guide the instruments used in the osteotomy and root resection. The patient was completely asymptomatic at the 1-week follow-up visit. Cone-beam computed tomography scans were performed at 1 and 6 months after surgery and showed that resection of the apex of the root was performed accurately and that a thin dentin slice remained distally, preventing the rupture of the sinus membrane. The patient remained asymptomatic, and the tissue healed normally. The method used was shown to be very straightforward and reliable. This method allowed the patient to be treated expeditiously with very precise tissue removal.
Topics: Apicoectomy; Cone-Beam Computed Tomography; Endodontics; Humans; Periapical Periodontitis; Root Canal Therapy
PubMed: 31743656
DOI: 10.1016/j.joms.2019.10.009 -
The Chronicle Jun 1971
Topics: Apicoectomy; Dentistry
PubMed: 5281752
DOI: No ID Found