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Sample records for apicoectomy

  1. Evaluation of the permeability and morphological alteration of the dental surface after apicoectomy, treatment and preparation with Er:YAG and Nd:YAG lasers

    International Nuclear Information System (INIS)

    One of the objectives of endodontic treatment is to resolve pathological periapical processes caused by microbial contamination of the dental pulp. Correct execution of the necessary chemical preparation prior to surgery generally results in positive outcomes. However, a percentage of cases do not respond favorably and therefore require retreatment, a conservative therapeutic option. There are meanwhile a number of treatment failures which do not respond to these conservative measures and must therefore be subjected to paraendodontic surgical procedures. One of the principal problems of this therapeutic conduct is linked to the surface permeability of the dentin after apicoectomy and the lack of adequate marginal adaptation between the retrofilling material and the cavity walls. This permits the percolation of microorganisms and their metabolic by products from the system of root canals to the periapical region, thereby compromising the necessary tissue repair. The present work proposes the evaluation of the surface and marginal permeability of cut dentin after apicoectomy and treatment with Er:YAG and Nd:YAG lasers with fiber optics and then retrofilled with intermediate restorative material (IRM). A total of 24 single rooted teeth whose canals were endodontically treated were divided into 3 experimental groups: group I, whose apices were sectioned with an Er:YAG laser and the resulting cavity and the cut dental surface were irradiated with this laser via a 50/10 type fiber; in group II the apicoectomy was conducted with an Er:YAG laser and the resulting cavity and the cut surface were irradiated with a Nd:YAG laser; in group III, the samples were apicoectomized and the cavities were treated with a high speed bur (control group). Analysis of the infiltration of the dye methylene blue throughout the cut dental surface and the reconstruction demonstrated that the samples in the irradiated groups presented lower indices of infiltration than the control group. The

  2. Apicectomía quirúrgica: propuesta de un protocolo basado en la evidencia Surgical apicoectomy: proposed evidence-based protocol

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    Víctor Gómez-Carrillo

    2011-06-01

    Full Text Available Diversos refinamientos de la técnica quirúrgica de apicectomía han propiciado que su tasa de éxito haya aumentado de modo considerable. Se revisa la bibliografía científica para determinar cuáles de estos procedimientos son superiores. Se realiza un protocolo que aúna racionalmente esas técnicas, con lo que así se optimiza el resultado final de la intervención.Diverse refinements of the apicoectomy surgical technique have considerably increased the success rate of the procedure. The scientific literature was reviewed to identify the most relevant procedures for the final outcome of surgery. A protocol was prepared to facilitate the rational selection of technique, thus optimizing the surgical outcome.

  3. Evaluation of the permeability and morphological alteration of the dental surface after apicoectomy, treatment and preparation with Er:YAG and Nd:YAG lasers; Avaliacao da permeabilidade e da alteracao morfologica da superficie dentinaria apos apicectomia, tratamento e retropreparo com os lasers de Er:YAG e Nd:YAG

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Rodrigo Guerra de

    2001-07-01

    One of the objectives of endodontic treatment is to resolve pathological periapical processes caused by microbial contamination of the dental pulp. Correct execution of the necessary chemical preparation prior to surgery generally results in positive outcomes. However, a percentage of cases do not respond favorably and therefore require retreatment, a conservative therapeutic option. There are meanwhile a number of treatment failures which do not respond to these conservative measures and must therefore be subjected to paraendodontic surgical procedures. One of the principal problems of this therapeutic conduct is linked to the surface permeability of the dentin after apicoectomy and the lack of adequate marginal adaptation between the retrofilling material and the cavity walls. This permits the percolation of microorganisms and their metabolic by products from the system of root canals to the periapical region, thereby compromising the necessary tissue repair. The present work proposes the evaluation of the surface and marginal permeability of cut dentin after apicoectomy and treatment with Er:YAG and Nd:YAG lasers with fiber optics and then retrofilled with intermediate restorative material (IRM). A total of 24 single rooted teeth whose canals were endodontically treated were divided into 3 experimental groups: group I, whose apices were sectioned with an Er:YAG laser and the resulting cavity and the cut dental surface were irradiated with this laser via a 50/10 type fiber; in group II the apicoectomy was conducted with an Er:YAG laser and the resulting cavity and the cut surface were irradiated with a Nd:YAG laser; in group III, the samples were apicoectomized and the cavities were treated with a high speed bur (control group). Analysis of the infiltration of the dye methylene blue throughout the cut dental surface and the reconstruction demonstrated that the samples in the irradiated groups presented lower indices of infiltration than the control group. The

  4. CO2, Er: YAG and Nd:YAG lasers in endodontic surgery

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    Daniel Humberto Pozza

    2009-12-01

    Full Text Available OBJECTIVES: CO2, Er:YAG and Nd:YAG lasers have been used in endodontic surgery. This in vitro study evaluated 1% Rhodamine B dye penetration using computer-assisted morphometry (ImageTool Software® of 108 endodontically treated human permanent canines. MATERIAL AND METHODS: Teeth were divided into 9 groups according to the technique used: A: 90-degree apicoectomy with bur, root-end cavity preparation with ultrasound and filled with MTA; B: 90-degree apicoectomy with bur, root-end cavity prepared with ultrasound and filled with MTA, and treatment of apical surface with CO2 laser (1 W, CW/CW; C: 90-degree apicoectomy with bur, and treatment of apical surface with Nd:YAG laser (150 mJ, 10 Hz; D: 90-degree apicoectomy with bur, and treatment of apical surface with CO2 laser,(1 W, CW/CW; E: apicoectomy with Er:YAG laser (400 mJ, 10 Hz, root-end cavity prepared with ultrasound and filled with MTA; F: apicoectomy with Er:YAG laser (400 mJ, 10 Hz and treatment of apical surface with Nd:YAG laser (150 mJ, 10Hz; G: apicoectomy with CO2 laser (5W, CW/SP, root-end cavity prepared with ultrasound and filled with MTA; H: irradiation of apical end with CO2 laser (1 W, CW/CW; I: irradiation of apical end with Nd:YAG laser (150 mJ, 10 Hz. RESULTS: Dye penetration was found in all specimens at different rates, the lowest penetration occurring in groups C (16.20%, B (17.24% and F (17.84%. CONCLUSIONS: Groups B, C and F represent the best technical sequences to perform endodontic surgery.

  5. Biodentine(tm) as a root-end filling

    OpenAIRE

    Osen, Trond Bjørvik; Astrup, Ina Iselin; Knutssøn, Carl Haavard

    2012-01-01

    Materials and methods: For background literature, an electronic search was conducted in PubMed. Key words related to apicoectomy, root-end filling materials and micro leakage were used. Apart from PubMed, the web pages of the manufactures were used to include the information that only has been published in the form abstract or being just “data on file” without any other forum of publication. Simultaneously dye micro leakage lab experiments were conducted, testing Biodentine™, IRM® and P...

  6. [Nonsurgical retreatment of lateral radiopacity after surgical treatment].

    Science.gov (United States)

    Arias de Luxan, A

    1990-01-01

    A case report is presented of an upper central incisor with incomplete endodontic procedure evidencing a radiolucent image that was treated by apicoectomy and retroamalgam. A year later the periapical lesion had healed completely but a new lateral radiolucency is observed. A reentry of the canal is performed eliminating the old obturating material, biomechanical preparation and obturation with sealer and thermo gutta-percha. The lesion was cured in nine months. PMID:1964068

  7. [A new method for combined auto-alloplastic tooth reimplantation with a parallel A1203-ceramic root].

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    Kirschner, H; Bolz, U; Enomoto, S; Hüttemann, R W; Meinel, W; Sturm, J

    1978-09-01

    The operative procedure for partially replacing the root with A12O3 ceramic represents a good possibility for preserving teeth in which the pulpa is devitalized. The method used in connection with the well known autoplastic reimplantation not only presents an alternative to the traditional apicoectomy but also provides additional stabilization of the tooth by lengthing the root with cocotostabile and biocompatible A1203 ceramic. The method was tested in humans and monkeys. Argumentation was based on histological examination via light microscopy. PMID:100304

  8. Doença periapical em eqüinos: estudo de quatro casos Periapical disease in equine: study of four cases

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    G.M. Pagliosa

    2004-02-01

    Full Text Available Estudaram-se quatro casos de doença periapical (DP em eqüinos submetidos à apicectomia e extração dentária. O diagnóstico baseou-se na anamnese, nos exames físico geral e oral e na radiologia. A apicectomia foi ineficaz devido à falta de tratamento endodôntico e a extração dentária mostrou-se a melhor conduta de tratamento, apesar da dificuldade de cura completa da infecção. A DP pode ter causas adicionais a serem definidas, além das classificadas como primária e secundária pela literatura.Four cases of periapical disease (PC in equines submitted to apicoectomy and dental extraction were studied. The diagnosis was based on anamnesis, physical and oral examination and radiology. The apicoectomy was not effective due of the lack of endodontic treatment. The dental extraction was the better treatment, despite of the difficulty of complete cure of the infection. The PC can have other causes, beyond of those classified as primary and secondary by the literature.

  9. Multidisciplinary approach for the treatment of a complicated crown-root fracture in a young patient: a case report.

    Science.gov (United States)

    de Castro, José Carlos Monteiro; Poi, Wilson Roberto; Pedrini, Denise; Tiveron, Adelisa Rodolfo Ferreira; Brandini, Daniela Atili; de Castro, Mara Antônio Monteiro

    2011-10-01

    Crown-root fractures in permanent teeth cause esthetic and functional problems. This paper reports the case of a complicated crown-root fracture in the maxillary right central incisor of a young patient who was treated with a multidisciplinary approach in two phases. A modified Widman flap, root canal therapy, glass fiber post cementation, and adhesive tooth fragment reattachment were performed shortly after an accident. Satisfactory esthetic and functional outcomes were obtained. However, the patient did not attend follow-up visits and returned after 7 years. During this second phase, the clinical and radiographic examination showed stability and adaptation of the fragment and good periodontal health conditions, but crown darkening and a radiolucent image associated with the root apex of the fractured tooth were also observed. The periapical lesion was surgically removed by apicoectomy, and the esthetics were recovered with a direct composite resin veneer on the traumatized tooth. PMID:21909497

  10. An ambiguous asymptomatic swelling in the maxillary anterior region—A case report

    Science.gov (United States)

    Surej Kumar, L.K.; Manuel, Suvy; Nair, Bindu J.; Nair S, Vinod

    2016-01-01

    Introduction Glandular odontogenic cyst is a rare and recently recognized type of developmental odontogenic cyst. Being odontogenic in origin, because of the pluripotentiality of the odontogenic epithelium it can show glandular or salivary features. Presentation of a case A 46 year old female patient was referred to the Oral and Maxillofacial Surgery department with chief complaint of painless swelling in the right anterior region of maxilla, radiographically associated with teeth 12, 13. Mucosa over the swelling was slightly bluish in colour and no associated palatal swelling was seen. No incidence of trauma was reported and involved teeth were not mobile. Discussion Although we have many differential diagnoses, our working diagnosis was a periapical cyst, so conventional treatment of root canal treatment, cyst enucleation, and apicoectomy was planned. Conclusion Here we present a case which was initially misdiagnosed and mismanaged but on subsequent histopathologic examination revealed the final diagnosis. PMID:27093689

  11. Extranodal large B cell lymphoma of the anterior maxilla. Case report and review of literature.

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    Webber, Brian; Webber, Mariel; Keinan, David

    2015-01-01

    In the oral cavity, lymphoproliferative disorders can manifest in various ways, often as an extranodal externalization. In the case presented here, it was a B cell lymphoma originating in the periapical bone of the anterior maxilla. X-ray revealed a periapical radiolucency associated with an intact tooth with no decay, fillings or history of trauma. The tooth tested non-vital. After root canal treatment, an apicoectomy was performed with a biopsy. The most common diagnosis would be of dental etiology. The pathology report revealed a non-Hodgkin's B cell lymphoma. Most often, this disease appears as localized dental or oral pathology. Non-specific signs and symptoms present in association with lymphoproliferative disorders include lymphadenopathy, trismus, pain, swelling, sinusitis, fever, sepsis, prosthetic instability and paresthesia. Early detection results in decreased morbidity and a better prognosis for the patient. PMID:25707167

  12. Progression of periapical cystic lesion after incomplete endodontic treatment

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    Yang, Dong-Kyu; Jeon, Kug-Jin

    2016-01-01

    We report a case of large radicular cyst progression related to endodontic origin to emphasize proper intervention and follow-up for endodontic pathosis. A 25 yr old man presented with an endodontically treated molar with radiolucency. He denied any intervention because of a lack of discomfort. Five years later, the patient returned. The previous periapical lesion had drastically enlarged and involved two adjacent teeth. Cystic lesion removal and apicoectomy were performed on the tooth. Histopathological analysis revealed that the lesion was an inflammatory radicular cyst. The patient did not report any discomfort except for moderate swelling 3 days after the surgical procedure. Although the patient had been asymptomatic, close follow-ups are critical to determine if any periapical lesions persist after root canal treatment. PMID:27200282

  13. Multidisciplinary Treatment of a Fenestration-type Defect.

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    Travassos, Rafael; Soares, Bruno; Bhandi, Shilpa H; Silva, Monica Barros da; Bandéca, Matheus Coelho; Mouchrek, José Carlos Elias; Silva, Vanessa Camila da; Benatti, Bruno Braga

    2015-04-01

    The case report aimed at treating a fenestration-type defect with multidisciplinary conventional and advanced surgical techniques. Fenestrations are isolated areas in which the exposed root surface is covered only by the periosteum and gingiva, but the remaining cortical bone remains intact. Root coverage is indicated in cases of root hypersensitivity, treatment of shallow caries lesions, cervical abrasions, and esthetic and cosmetic needs. In this case report, after proper hygiene instruction and dental biofilm control, a fenestration-type defect was treated using guided tissue regeneration (anorganic bovine matrix and resorbable membrane) and a connective tissue grafts, associated to an endodontic apicoectomy. After reevaluation, the remaining gingival recession was treated with a second gingival connective tissue graft covered with q double papillae type in order to reconstruct the periodontal tissues of the involved tooth. In this clinical case, the interaction between the different areas of dentistry has made it possible to correct a fenestration-type defect, following procedures based on scientific evidence, restoring periodontal health, esthetics, self-esteem, and meeting the patient's expectations regarding her initial complaint. This case report shows the important role of interdisciplinary approach to treating a patient with a complex periodontal defect that required different types of knowledge and abilities to achieve the best results based on the current status of dentistry possibilities. PMID:26067739

  14. Root canal overfilling as an influencing factor for the success of endodontic treatment

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    Ardo Sabir

    2005-12-01

    Full Text Available The goal of endodontic treatment is to keep the teeth as long as possible in the mouth. The obturation process in the root canal is one of the most important processes in endodontic treatment. The purpose of this article is to explain that overfilling is an influencing factor to the success of endodontic treatment. It has been widely known that overfilling should be avoided during an obturation process. Overfilling of the root canal is indicated only in cases which will be followed by apicoectomy, when the foreign material is removed. Accidental overfilling may occur with soft material (for example, certain pastes and cements or with solid material (such as gutta-percha or silver cones. Such overfilling may cause an unnecessary mechanical and chemical irritation, which hinders the repair of periapical tissue, and thus, diminishes the probability of a successful endodontic treatment prognosis. Many things could cause overfilling, which makes overfilling unpleasant feeling for the patient such as severe pain, periapical lesion, gingival discoloration, periodontal ligament breakage, or even paresthesia. There are several ways to overcome this root canal overfilling, from the conventional endodontic treatment up to endodontic surgery. The main conclusion from this article is to avoid overfilling and the importance of clinicians’ compliance to the right procedures.

  15. Laser scanning dental probe for endodontic root canal treatment

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    Blank, Molly A. B.; Friedrich, Michal; Hamilton, Jeffrey D.; Lee, Peggy; Berg, Joel; Seibel, Eric J.

    2011-03-01

    Complications that arise during endodontic procedures pose serious threats to the long-term integrity and health of the tooth. Potential complexities of root canals include residual pulpal tissue, cracks, mesial-buccal 2 and accessory canals. In the case of a failed root canal, a successful apicoectomy can be jeopardized by isthmuses, accessory canals, and root microfracture. Confirming diagnosis using a small imaging probe would allow proper treatment and prevent retreatment of endodontic procedures. An ultrathin and flexible laser scanning endoscope of 1.2 to 1.6mm outer diameter was used in vitro to image extracted teeth with varied root configurations. Teeth were opened using a conventional bur and high speed drill. Imaging within the opened access cavity clarified the location of the roots where canal filing would initiate. Although radiographs are commonly used to determine the root canal size, position, and shape, the limited 2D image perspective leaves ambiguity that could be clarified if used in conjunction with a direct visual imaging tool. Direct visualization may avoid difficulties in locating the root canal and reduce the number of radiographs needed. A transillumination imaging device with the separated illumination and light collection functions rendered cracks visible in the prepared teeth that were otherwise indiscernible using reflected visible light. Our work demonstrates that a small diameter endoscope with high spatial resolution may significantly increase the efficiency and success of endodontic procedures.

  16. In vitro study of apical leakage of root canals after different root apex resection techniques

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    André Augusto Franco MARQUES

    2008-12-01

    Full Text Available Objective:The aim of the present study was to evaluate in vitro apicalmarginal leakage of root canals after three root apex resectiontechniques.Material and methods: Thirty maxillary canines wereprepared chemo-mechanically to a size 40 master apical file, andenlarged by using Gates Glidden burs 2, 3 and 4. Teeth were obturatedby Tagger thermomechanical compaction technique and then dividedinto three groups (n = 10. The first group (GI was 3 mm apicalresected with Endo Z in high speed handpiece. The specimens of secondgroup (GII were 3 mm apical weared with Endo Z, and the third group(GIII had 3 mm apical resected with Er:YAG laser (500 impulse, 12pps and 300 mJ energy. After the apical sections, IRM cement wasplaced into the root-end cavity and teeth of each group were immersedin India ink for 5 days and submitted to decalcification and clarifying for marginal apical microleakage visualization with microscope.Results: The results showed statistically difference (p < 0.01 between GI and the other groups.Conclusion: The root apex cut using Endo Z promotes the lowest values of microleakage when used in apicoectomy.

  17. Lasers in endodontics: an overview

    Science.gov (United States)

    Frentzen, Matthias; Braun, Andreas; Koort, Hans J.

    2002-06-01

    The interest in endodontic use of dental laser systems is increasing. Developing laser technology and a better understanding of laser effects widened the spectrum of possible endodontic indications. Various laser systems including excimer-, argon+-, diode-, Nd:YAG-, Er:YAG- and CO2-lasers are used in pulp diagnosis, treatment of hypersensitivity, pulp capping, sterilization of root canals, root canal shaping and obturation or apicoectomy. With the development of new delivery systems - thin and flexible fibers - for many different wavelengths laser applications in endodontics may increase. Since laser devices are still relatively costly, access to them is limited. Most of the clinical applications are laser assisted procedures such as the removing of pulp remnants and debris or disinfection of infected root canals. The essential question is whether a laser can provide improved treatment over conventional care. To perform laser therapy in endodontics today different laser types with adopted wavelengths and pulse widths are needed, each specific to a particular application. Looking into the future we will need endodontic laser equipment providing optimal laser parameters for different treatment modalities. Nevertheless, the quantity of research reports from the last decade promises a genuine future for lasers in endodontics.

  18. MICROLEAKAGE ASSOCIATED WITH RETROGRADE FILLING AFTER ROOT END RESECTION (in vitro study

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    Elka Radeva

    2014-09-01

    Full Text Available The purpose of the study is to compare microleakage after root end resection of the two materials (MTA and Biodentine for two different apical cavity preparation using the method of penetration of dye - 0, 2 % Rodamine B. Materials and Methods: Forty-eight extracted single-rooted human teeth were used in this study. The resection was made at 3 mm from the root tip with a high speed diamond bur at an angle of 90 degree to the long axis of the tooth. For the retrofilling, ProRoot MTA and Biodentine were used. The teeth were divided into 5 groups: 1st group (10 teeth – the apical cavity was prepared with stainless steel fissure bur #10 at 3 mm depth in the root canal parallel to the long axis of the tooth and is filled retrograde with MTA. 3rd group (10 teeth - retrofilling with Biodentine. 2 nd group (10 teeth - with a round bur apical cavity was prepared with a concave shape and cavity along the root canal with a depth of 3 mm and retrograde obturation with MTA. 4th group (10 teeth - retrofilling with Biodentine. 5th group (8 teeth - control group - with preparation of the cavity after resection without retrofilling. The outer surface of the root is covered with two layers of varnish, with the exception of the apical 3 mm then immersed in 0.2% Rodamine B for 72 h. The degree of penetration of the dye is measured in millimeters. Results: Relative highest median value of penetration of the dye in mm is in the control group. MTA group has a higher value in mm versus the Biodentine. The apical preparation with a concave shape and cavity along the root canal with a depth of 3 mm after apicoectomy is important to reduce apical microleakage. Conclusion: Different apical cavity preparations in both types of material have led to the microleakage dye, but to varying degrees.

  19. Apices of maxillary premolars observed by swept source optical coherence tomography

    Science.gov (United States)

    Ebihara, Arata; Iino, Yoshiko; Yoshioka, Toshihiko; Hanada, Takahiro; Sunakawa, Mitsuhiro; Sumi, Yasunori; Suda, Hideaki

    2015-02-01

    Apicoectomy is performed for the management of apical periodontitis when orthograde root canal treatment is not possible or is ineffective. Prior to the surgery, cone beam computed tomography (CBCT) examination is often performed to evaluate the lesion and the adjacent tissues. During the surgical procedure, the root apex is resected and the resected surface is usually observed under dental operating microscope (DOM). However, it is difficult to evaluate the details and the subsurface structure of the root using CBCT and DOM. A new diagnostic system, swept source optical coherence tomography (SS-OCT), has been developed to observe the subsurface anatomical structure. The aim of this study was to observe resected apical root canals of human maxillary premolars using SS-OCT and compare the findings with those observed using CBCT and DOM. Six extracted human maxillary premolars were used. After microfocus computed tomography (Micro CT; for gold standard) and CBCT scanning of the root, 1 mm of the apex was cut perpendicular to the long axis of the tooth. Each resected surface was treated with EDTA, irrigated with saline solution, and stained with methylene blue dye. The resected surface was observed with DOM and SS-OCT. This sequence was repeated three times. The number of root canals was counted and statistically evaluated. There was no significant difference in the accuracy of detecting root canals among CBCT, DOM and SS-OCT (p > 0.05, Wilcoxon test). Because SS-OCT can be used in real time during surgery, it would be a useful tool for observing resected apical root canals.

  20. SEM investigation of Er:YAG laser apical preparation

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    Bǎlǎbuc, Cosmin; Todea, Carmen; Locovei, Cosmin; RǎduÅ£ǎ, Aurel

    2016-03-01

    Endodontic surgery involves the incision and flap elevation, the access to the root tip, its resection, the cavity retrograde preparation and filling it with biocompatible material that provides a good seal of the apex[1]. Apicoectomy is compulsory in endodontic surgery. The final stage involves the root retropreparation and the carrying out of the retrograde obturation. In order to perform the retrograde preparation the endodontist can use various tools such as lowspeed conventional handpieces, sonic and ultrasonic equipment. The ideal depth of the preparation should be 3 mm, exceeding this value may affect the long-term success of the obturation [2]. Resection at the depth of 3 mm reduces apical ramifications by 98% and lateral root canals by 93%. The ultrasonic retropreparation has numerous advantages compared to the dental drill. Firstly, the cavity will be in the axis of the tooth which implies a minimum destruction of the root canal morphology. The preparations are precise, and the cutting pattern is perpendicular to the long axis of the root, the advantage being the reduction in the number of dentinal tubules exposed at the resected area [3]. Therefore, the retrograde filling is the procedure when an inert and non-toxic material is compacted in the apically created cavity.[4,5]. The Er:YAG laser is the most common wavelength indicated for dental hard tissue preparation. Its natural selectivity offers a significant advantage compared to the conventional hard tissue preparation [6-9].The purpose of this in vitro study was to investigate the quality of Er:YAG laser apical third preparation using Scanning Electron Microscopy (SEM), in comparison with the conventional ultrasonic method.

  1. Apicectomia con obturación retrograda e injerto óseo para el tratamiento de una lesión apical

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    Antonio Diaz Caballero

    2013-10-01

    lesion and overfilling root system, describes the surgical technique of apicectomy and retrograde filling with bone graft as a better alternative for bone regeneration.Keywords: Apicoectomy; Sealing retrograde; bone graft. 

  2. Lateral periodontal kist görünümlü radiküler kistin ve eksternal kök rezorpsiyonunun tedavisi

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    Hakan Bayindir

    2012-01-01

    Full Text Available

    Radicular cysts are inflammatory jaw cysts at the apices of teeth with infected and necrotic pulps. Radicular cyst treatment is mainly based on root canal treatment and if necessary surgical excision of the cyst lining with apicoectomy with retrograde filling. The lateral periodontal cyst (LPC is an uncommon developmental odontogenic cyst. The LPC appears as a well circumscribed round or ovoid radiolucent area, usually with a sclerotic margin on the lateral aspect of a root. The vitality of adjacent teeth plays an important role in the differential diagnosis. Although radiographic examination is an important resource in clinical diagnosis; misdiagnosis may lead to extraction of teeth, unnecessary periodontal treatment and recurrence of the lesion because of inadequate radiologic examination. In this present case, surgical endodontic theraphy of a radicular cyst mimicking lateral periodontal cyst with external root resorption related to previous unsuccessful root canal treatment and large diameters of the lesion by a Erbium, Cronium: Yittrium: Scandium, Gallium and Garnet Er,Cr:YSGG laser and mineral trioxiside aggregate (MTA is presented.

     

    ÖZET

    Radiküler kistler, enfekte ve nekrotik pulpalı dişlerin apekslerinde oluşan enflamatuar çene kistleridir. Radiküler kistlerin tedavisinde öncelikle ilgili dişe kanal tedavisi uygulanmakta, eğer gerekli görülürse apiksektomi ve retrograd dolgu ile birlikte kistin cerrahi eksizyonu yapılmaktadır. Lateral periodontal kist (LPK ise çok yaygın olarak görülmeyen, gelişimsel bir odontojenik kisttir. Kökün lateral yüzeyinde, sklerotik kenarlı, iyi sınırlanmış yuvarlak veya oval radyolusent bir görüntü veren LPK genellikle rutin radyografik muayenedetespit