The improvement of the art of saving teeth by endodontic microsurgery - case report
DOI:
https://doi.org/10.33448/rsd-v11i10.32751Keywords:
Apical surgery; Endodontic surgery; Microsurgery.Abstract
The success of an endodontic surgery depends on the removal of a persistent infection from the external apical surface and necrotic tissue or contaminated filling material within the root canal system followed to a complete filling of the root end preparation. The current concepts of surgical endodontics recommend that its execution with the use of magnification and illumination of the operating microscope, which allows an easier identification of the root apices, small ostectomies and smaller apex resection angles. The objective of this article is to report and discuss a clinical case of endodontic microsurgery where the main resources currently recommended were used to increase the success in surgical endodontics. Based on specific equipments, instruments and materials the endodontic microsurgery increases the predictability of success of the surgery. Among the main advances compared to traditional surgery we could observe less trauma to the operated region which resulted in a faster and more comfortable healing for the patient.
References
Chong B.S., & Rhodes J. S. (2014) Endodontic surgery. Br Dent J, 216, 281–90.
Kim S. (1997). Principles of endodontic microsurgery. Dent Clin North Am, 41, 481–97.
Kim S., Pecora G., & Rubinstein R. (2001) Comparison of traditional and microsurgery in endodontics. In: Kim S, Pecora G, Rubinstein R, eds. Color atlas of microsurgery in endodontics. Philadelphia: W.B. Saunders, 25–11.
Kim S., & Kratchman S. (2006). Modern endodontic surgery concepts and practice: A review. J Endod, 32, 601–23.
Kim S., & Kratchman S. (2018). Microsurgery in Endodontics. USA: JohnWiley & Sons, Inc.
Liu T. J., Zhou J. N., & Guo L. H. (2021). Impact of different regenerative techniques and materials on the healing outcome of endodontic surgery: a systematic review and meta-analysis. Int Endod J, 54, 536–555.
Maeda T. S., Bramane C. M., Taga R., et al. (2007). Evaluation of surgical cavities filled with three types of calcium sulfate. J Appl Oral Sci, 15. 416-9.
Osborne P. B., Stein P. S., Haubenreich J. E., & Chance K. B. (2005). Surgical endodontic retrograde root-end filling materials. J Long Term Eff Med Implants,15, 699–707.
Pecora G., Baek S.H., Rethnam S., & Kim S. (1997). Barrier membrane techniques in endodontic microsurgery. Dent Clin North Am, 41, 585-601.
Plotino G., Pameijer C. H., Grande N. M., et al. (2007). Ultrasonics in endodontics: A review of the literature. J Endod, 33, 81-95.
Rench B., Chang A. M., Fong H., Johnson J. D., Paranjpe A. (2021). Comparison of the sealing ability of various bioceramic materials for endodontic surgery. Restor Dent Endod, 46, 1-11.
Rubinstein R.A., & Kim S. (1999). Short-Term Observation of the Results of Endodontic Surgery with the Use of a Surgical Operation Microscope and Super-EBA as Root-End Filling Material. J Endod. 1999;25(1):43–8.
Salehrabi R., & Rotstein I. (2010). Epidemiologic evaluation of the outcomes of orthograde endodontic retreatment. J Endod, 36, 790–2.
Setzer F. C., Kohli M. R., Shah S. B., Karabucak B., & Kim S. (2012). Outcome of endodontic surgery : A meta-analysis of the Literature — Part 2 : comparison of endodontic microsurgical techniques with and without the use of higher magnification. J Endod, 38, 1–10.
Shinbori N., Grama A. M., Patel Y., Woodmansey K., & He J. (2015). Clinical outcome of endodontic microsurgery that uses endosequence bc root repair material as the root-end filling material. J Endod, 41, 607–12.
Souza S. F. C., Costa S. A., Cavalcante A. H. M., et al. (2021). Management of upper central incisor with large periapical inflammatory cyst and persistent fistula: Case report. Research, Society and Development, 10,1-8.
Topçuoglu H. S., Topçuoglu G., Akti A., & Düzgün S. (2016). In Vitro comparison of cyclic fatigue resistance of protaper next, hyflex cm, oneshape, and protaper universal instruments in a canal with a double curvature. J Endod, 42, 969-71.
Toubes K. S., Tonelli S. Q., Girelli C. F. M., et al. (2021). Bio-C Repair - A new bioceramic material for root perforation Management: Two Case Reports. Braz Dent J, 32, 104–10.
Tsesis I., Rosen E., Taschieri S., et al. (2013). Outcomes of Surgical Endodontic Treatment Performed by a Modern Technique: An Updated Meta-analysis of the Literature. J Endod, 39, 332–9.
Zhang, M. M., Liang Y. H., Gao, X. J., et al. (2015). Management of apical periodontitis: healing of post-treatment periapical lesions present 1 year after endodontic treatment. J Endod, 41, 1020-25.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Key Fabiano Souza Pereira; Barbara Gabriela Cantieri da Silva; Lia Beatriz Junqueira-Verardo; Caio Henrique Bandeira Vitoi; Lais Mariá Ribeiro Chaves Santos; Gustavo Julius Santos Bruno
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
