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Microsurgery in Endodontics

Microsurgery in Endodontics

9781118452998
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Description

Microsurgery in Endodontics provides the definitive reference to endodontic microsurgery, with instructive photographs and illustrations.

  • Provides a definitive reference work on endodontic microsurgery
  • Includes contributions from pioneers and innovators in the field of microsurgical endodontics
  • Describes techniques for a wide range of microsurgical procedures
  • Includes more than 600 instructive illustrations and photographs
Product Details
76727
9781118452998
9781118452998

Data sheet

Publication date
2017
Issue number
1
Cover
hard cover
Pages count
256
Dimensions (mm)
219.00 x 284.00
Weight (g)
870
  • Contributors xiii

    Preface xv

    Acknowledgements xvii

    1 The Dental Operating Microscope 1
    Frank Setzer

    1.1 Benefits of the Operating Microscope 1

    1.2 Key Features of Operating Microscopes 1

    1.3 Customizing a Microscope 3

    1.3.1 Light Source 3

    1.3.2 Documentation 5

    1.3.3 Individual Microscope Adjustment (Parfocaling) 5

    Suggested Readings 7

    2 Microsurgical Instruments 9
    SeungHo Baek and Syngcuk Kim

    2.1 Examination Instruments 9

    2.2 Incision and Elevation Instrument 9

    2.3 Tissue Retraction Instruments 11

    2.4 Osteotomy Instruments 14

    2.5 Curettage Instruments 14

    2.6 Inspection Instruments 15

    2.7 Ultrasonic Units and Tips for Root End Preparation 17

    2.8 Microplugger Instruments 20

    2.9 Suturing Instruments 20

    2.10 Miscellaneous Instruments 22

    3 Medication-Related Osteonecrosis of the Jaw and Endodontic Microsurgery 25
    Chafic Safi and Bekir Karabucak

    Suggested Readings 29

    4 Indications and Contraindications 31
    Bekir Karabucak and Garrett Guess

    4.1 Introduction 31

    4.2 Surgical Success Dependent on Ability to Perform Ideal Protocols 31

    4.3 Etiology Assessment through Examination and Treatment 31

    4.4 Periodontal Considerations and Surgery 33

    4.5 Influential Patient Factors 33

    4.6 Condition of Previous Endodontic Treatment 37

    Suggested Readings 38

    5 Anesthesia and Hemostasis 39
    Siva Rethnam-Haug, Aleksander Iofin, and Syngcuk Kim

    5.1 Armamentarium 39

    5.1.1 Epinephrine 39

    5.2 Presurgical Phase 40

    5.2.1 Administration of Local Anesthetic 40

    5.2.2 Injection Techniques 40

    5.2.3 Topical Anesthesia 41

    5.2.4 Additional Techniques 41

    5.2.5 Maxillary Anesthesia 41

    5.2.6 Mandibular Anesthesia 43

    5.2.7 Bilateral Mandibular Surgery 43

    5.3 Surgical Phase 44

    5.3.1 Topical Hemostatic Agents 44

    5.3.1.1 Epinephrine Pellets 45

    5.3.1.2 Ferric Sulfate 45

    5.4 Summary of Hemostatic Techniques in Endodontic Microsurgery 46

    5.5 Postsurgical Phase 46

    Suggested Readings 48

    6 Flap Design in Endodontic Microsurgery 49
    Francesco Maggiore and Frank Setzer

    6.1 Armamentarium 49

    6.1.1 Flap Outline 49

    6.1.2 Papilla Management 52

    6.1.3 Incision 54

    6.1.4 Flap Elevation 54

    6.1.5 Flap Retraction 55

    Suggested Readings 56

    7 Osteotomy 57
    Francesco Maggiore and Syngcuk Kim

    7.1 Armamentarium 57

    7.2 Osteotomy 57

    7.2.1 Distinction between Bone and Root Tip 57

    7.2.2 Clinical Situations for Endodontic Microsurgery 58

    7.3 Intact Cortical Plate without a Radiographic Periapical Lesion 59

    7.4 Intact Cortical Plate with a Periapical Lesion 60

    7.5 Fenestration through the Cortical Plate Leading to the Apex 60

    7.5.1 Optimal Osteotomy Size 61

    7.5.2 Key Hole Osteotomy Modification 61

    7.5.3 BoneWindow Technique 61

    8 Root End Resection 67
    Spyros Floratos, Fouad Al-Malki, and Syngcuk Kim

    8.1 Armamentarium 67

    8.2 Root End Resection 67

    8.3 Root End Resection:: Steep Bevel versus Shallow Bevel 69

    Suggested Readings 72

    9 Inspection of the Resected Root Surface:: Importance of Isthmus 73
    Spyros Floratos, Jorge Vera, Fouad Al-Malki, and Syngcuk Kim

    9.1 Armamentarium 73

    9.1.1 Methylene Blue Staining (MBS) 73

    9.1.2 Isthmus 77

    9.1.3 Types of Isthmus 77

    9.1.4 Incidence 77

    9.1.5 Histological Findings of Isthmus 79

    9.1.6 Clinical Significance and Management 81

    Suggested Readings 82

    10 Ultrasonic Root End Preparation 83
    Spyros Floratos and Syngcuk Kim

    10.1 Armamentarium 83

    Suggested Readings 89

    11 MTA and Bioceramic Root End Filling Materials 91
    Sujung Shin, Ian Chen, Bekir Karabucak, SeungHo Baek, and Syngcuk Kim

    11.1 Mineral Trioxide Aggregate (MTA) 92

    11.1.1 Advantages of MTA 92

    11.1.1.1 Sealing Ability 92

    11.1.1.2 Biocompatibility and Bioactivity 92

    11.1.2 Drawbacks of MTA 93

    11.2 Bioceramics 93

    11.3 MTA and Bioceramic Application During Apicoectomy 95

    11.4 Other Types of Cements for Root End Filling 96

    11.4.1 Intermediate Restorative Material (IRM) 97

    11.4.2 Super Ethoxybenzoic Acid (SuperEBA) 97

    11.4.3 Geristore and Retroplast 98

    11.4.4 New Types of Cements for Root End Filling 98

    Suggested Readings 98

    12 Flap Reposition and Suturing 101
    Francesco Maggiore and Meetu Kohli

    12.1 Suture Removal 101

    Suggested Readings 111

    13 PeriapicalWound Healing 113
    Ingrida Dapkute, Georges Bandelac, Chafic Safi, and Frank Setzer

    13.1 Principles ofWound Healing 113

    13.2 Healing after Apical Microsurgery 113

    13.3 Incomplete Healing/Scar Formation 113

    13.4 Evaluation of Healing after Apical Surgery 114

    13.5 Healing Evaluation Using CBCT 115

    Suggested Readings 118

    14 Cone Beam Computed Tomography 119
    Garrett Guess, Fouad Al-Malki,Meetu Kohli, Bekir Karabucak, and Samuel Kratchman

    14.1 How CBCT Works 120

    14.2 Indications and Clinical Applications 120

    Suggested Readings 142

    15 Mental Nerve Management 143
    Paula Mendez-Montalvo, Fouad Al-Malki, and Syngcuk Kim

    15.1 Armamentarium 143

    15.1.1 Mental Foramen and Nerve 143

    15.1.1.1 Location 143

    15.1.1.2 Anterior Loop 143

    15.1.1.3 Number of Mental Foramina 144

    15.1.2 Mental Foramen Detection on Radiographs 144

    15.1.2.1 Periapical Radiograph 144

    15.1.2.2 Panoramic Films 145

    15.1.2.3 Cone Beam Computed Tomography (CBCT) 145

    15.1.3 Neurosensory Alteration 145

    15.1.3.1 Surgical Technique to Avoid Iatrogenic Mental Nerve Trauma and Injury 146

    15.1.4 Groove Technique Using Piezoelectric Surgery 146

    Suggested Readings 150

    16 Maxillary Posterior Surgery, the Sinus, andManaging Palatal Access 151
    Garrett Guess and Samuel Kratchman

    16.1 Maxillary Premolars 151

    16.1.1 Access 151

    16.1.2 Instrumentation 151

    16.2 Sinus Exposure 151

    16.3 Maxillary First Molars 153

    16.3.1 Access 153

    16.3.2 Palatal Approach 155

    16.4 Second Molars 159

    16.4.1 Periodontal Aspects 161

    Suggested Readings 162

    17 Surgical Root Perforation Repair 163
    Raed Kasem, Samuel Kratchman, and Meetu Kohli

    17.1 Possible Challenges to Non-surgical Perforation Repair 163

    17.2 Factors that Enhance Positive Long-Term Prognosis for Perforation Repair 164

    17.3 Surgical Perforation Repair Techniques 166

    17.4 Surgical Treatment for External Root Resorption 168

    Suggested Readings 177

    18 Intentional Replantation 179
    David Li and Samuel Kratchman

    18.1 Armamentarium 179

    18.1.1 Success Rate 179

    18.1.2 Indications 179

    18.1.3 Replantation or Apicoectomy 179

    18.1.4 Extraction 182

    18.1.5 Extraoral Phase 183

    18.1.6 Storage Medium 183

    18.1.7 Replantation 183

    18.1.8 Splinting 185

    18.1.9 Postop Instructions 186

    18.1.10 Cone Beam CT Scan 186

    18.1.11 Repairing Procedural Mishaps 186

    Suggested Readings 191

    19 Guided Tissue Regeneration in Endodontic Microsurgery 193
    Garrett Guess and Samuel Kratchman

    Suggested Readings 202

    20 Implants versus Endodontic Microsurgery 205
    Frank Setzer and Syngcuk Kim

    20.1 Historical Perspective 205

    20.2 Benefits of Implants 205

    20.3 Long-Term Prognosis of Dental Implants 205

    20.4 Implant Complications 206

    20.5 Long-Term Prognosis of Endodontically Treated Teeth with Root End Surgery 207

    20.6 Conclusion 209

    Suggested Readings 210

    21 Prognosis of Endodontic Microsurgery 213
    Meetu Kohli and Euiseong Kim

    21.1 Best Available Evidence 213

    21.2 Parameters for Success:: Clinical and Radiographic 2D 214

    21.3 Parameters for Success:: “Penn 3D Criteria” for Assessing Healing on CBCT 215

    21.4 Reversal of Success 215

    21.5 TraditionalMethods 217

    21.6 Modern Technique versus the Complete Microsurgical Approach 218

    21.7 Root End Filling Materials 218

    21.8 Case Selection 219

    21.9 Resurgery 219

    21.10 Summary 219

    Suggested Readings 219

    22 Positioning 221
    Samuel Kratchman and Syngcuk Kim

    22.1 Armamentarium 221

    Suggested Readings 226

    Index 227

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