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The Journal of Craniofacial Surgery Jan 2019Odontogenic sinusitis (OS) is a disease commonly encountered by otolaryngologists and oral surgeons. There is currently no standard consensus for the management of the...
Odontogenic sinusitis (OS) is a disease commonly encountered by otolaryngologists and oral surgeons. There is currently no standard consensus for the management of the causative teeth of OS, and the therapeutic outcomes of endodontic surgery remain unclear. The authors herein report the outcomes of simultaneous surgery for OS, endoscopic sinus surgery (ESS) with endoscopic apicoectomy. Twenty-one OS patients who underwent ESS were included in the intent-to-treat population. Eleven patients who simultaneously underwent endoscopic apicoectomy were included as the study group, and another 10 patients who were subjected to the extraction of the causative teeth preceding or during surgery were included as the control group. The postoperative tooth course after surgery in the study group was assessed as the primary outcome by periodic radiographs. The postoperative sinus course was compared between the 2 groups as the secondary outcome. Seventeen teeth were subjected to endoscopic apicoectomy concurrently with ESS, and the treatment success rate for periapical lesions was 94.1% (16 out of 17 teeth), which was consistent with previously reported outcomes for endodontic microsurgery. Ten of 11 patients (90.9%) had good postoperative sinus courses, and the mean wound-healing period of the sinus mucosa was 6.9 ± 3.5 weeks. These results were not significantly different from those obtained for the control group (90% and 6.1 ± 3.2 weeks). This surgical procedure may contribute to the preservation of causative teeth without having an impact on the successful treatment of sinusitis. A comprehensive surgical approach by otolaryngologists and oral surgeons is desirable for the treatment of OS.
Topics: Adult; Apicoectomy; Endoscopy; Female; Humans; Male; Microsurgery; Middle Aged; Paranasal Sinuses; Sinusitis; Treatment Outcome; Video Recording
PubMed: 30444772
DOI: 10.1097/SCS.0000000000005134 -
British Dental Journal Jan 2005Root canal treatment usually fails because infection remains within the root canal. An orthograde attempt at re-treatment should always be considered first. However,...
Root canal treatment usually fails because infection remains within the root canal. An orthograde attempt at re-treatment should always be considered first. However, when surgery is indicated, modern microtechniques coupled with surgical magnification will lead to a better prognosis. Careful management of the hard and soft tissues is essential, specially designed ultrasonic tips should be used for root end preparation which should ideally be sealed with MTA. All cases should be followed up until healing is seen, or failure accepted, and should form a part of clinical audit.
Topics: Anesthesia, Dental; Apicoectomy; Dental Restoration Failure; Humans; Postoperative Care; Retreatment; Retrograde Obturation; Root Canal Preparation; Suture Techniques; Tooth Root
PubMed: 15702099
DOI: 10.1038/sj.bdj.4811970 -
The Compendium of Continuing Education... 1983
Topics: Apicoectomy; Dental Amalgam; Humans; Periapical Diseases; Periapical Tissue; Retrograde Obturation
PubMed: 6574878
DOI: No ID Found -
British Dental Journal Jun 1985
Topics: Apicoectomy; Curettage; Drainage; Humans; Periapical Diseases; Retrograde Obturation; Root Canal Therapy; Surgical Flaps; Tooth Root
PubMed: 3860223
DOI: 10.1038/sj.bdj.4805618 -
Stomatologie Der DDR 1980
Topics: Apicoectomy; Dental Pulp Devitalization; Humans; Preoperative Care; Root Canal Obturation
PubMed: 6936967
DOI: No ID Found -
Revista Brasileira de Odontologia 1955
Topics: Apicoectomy; Curettage; Dentistry; Dentistry, Operative
PubMed: 13273697
DOI: No ID Found -
Dental Cadmos Feb 1986
Topics: Apicoectomy; Dental Amalgam; Humans; Periapical Diseases; Retrograde Obturation
PubMed: 3460845
DOI: No ID Found -
Dentistry Today Mar 1989
Topics: Apicoectomy; Dental Leakage; Humans
PubMed: 2597390
DOI: No ID Found -
Australian Dental Journal Oct 1975
Topics: Apicoectomy
PubMed: 1061540
DOI: No ID Found -
Zahnarztliche Rundschau Dec 1950
Topics: Apicoectomy; Crowns; Denture, Partial; Tooth
PubMed: 14818137
DOI: No ID Found