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4). It can also involve reverse filling and sealing of the canal when conventional root canal treatment is not feasible. A full- thickness flap including mucosa, subm ucosal connective tissue and peri - osteum should be raised. The Effect of Regeneration Techniques on Periapical Surgery With Different Protocols for Different Lesion Types: A Meta-Analysis . Advanced. J Endod, 35 (2009), pp. Introduction. A histological study of the periapical lesion can be used to weigh the clinical symptoms and the radiographic sig-ns against the nature of the possible periradicular tissue alterations; and to confirm the diagnosis of periapical periodontitis and distinguish it from a non-inflammatory lesion (7). Large periapical defects may adversely affect the success rate of endodontic surgery. Polycarboxylate cement was developed by Smith in 1968 . It was also the aim to assess whether the histopathological diagnosis of biopsies taken at the operation could be correlated to healing. Non Surgical Healing of Periapical Lesions an Alternative to Surgery: Case Series Kruti Kachoriya, Kamal Bagda, Kailash Attur, Kiran Vachhani Abstract: Most periapicaldiseases are induced as a result of direct or indirect involvement of oral bacteria. periapical surgery. Clinical Case . Periradicular surgery is not the first choice of treatment in nonhealing periradicular pathosis. The objective of the present study is to The surgeon did periapical surgery on teeth 42, 41 and 31 without endodontic retreatment of involved teeth. Fouad, S.-H. ParkTreatment strategy for guided tissue regeneration in combined endodontic-periodontic lesions: case report and review. According to a metaanalysis carried out by Ng et al. Article Download PDF CrossRef View Record in Scopus Google Scholar. Introduction: Periapical surgery is an approach to treat non-healing periapical lesions and it should be viewed as an extension of endodontic treatment and not as a separate entity. Endodontic treatment attempts to eliminate bacterial infection in the radicular duct. and periapical surgery with or without resection of the implant apex. AIM To compare 2D with 3D radiography in assessing the treatment outcome 1 year after periapical surgery. A periradicular surgical procedure was performed to remove the nonhealing pathological tissue. For obvious reasons this is impossible to accomplish or has failed16, method is not available except for cases 17,18. Aims: To assess the effect of alkalization of local anesthetic solution for the purpose of enhancing its efficiency in periapical surgery. A couple months after surgery patient have again swelling with pain in the same region. Flap design in periapical surgery should be adequate for the planned surgical procedure, offering good access to the zone surrounding the affected apexes without altering the soft-tissue circulation. In PS, secondary effects such as pain and swelling occur as with all surgical procedures. Key words: Periapical surgery, endodontic treatment, polycarboxylate cement. Volume 74, Issue 2, February 2016, Pages 239-246. Periapical surgery as an adjunct to endodontic treatment is a proven approach. Root-end resection and retrograde root-filling facilitate access and potential elimination of apical anatomical complexities. The bigger it becomes, the visible field shrinks. Export. 71. and periapical radiolucency post-treatment may indicate persistence of microbial infection. (6,11), the infected presentations require surgical inter-vention, with elimination of the infected tissue via apical resection of the implant or extraction of the latter – depen- ding on the extent of the lesion or the degree of implant mobility. 1331-1336. Other investigators find this view too where unsuccessful or … As a result, periapical disorders which were condemned to treatment failure in the past can now be dealt with successfully. Periapical surgery has largely improved at all levels due to new technologies provided by researchers throughout the last years. A retrospective study of 572 teeth treated with periapical surgery was undertaken in order to evaluate the influence of preoperative, operative and postoperative factors in the healing process as well as the operation method used. In recent years, periapical surgery (PS) has evolved thanks to the incorporation of technical and diagnostic advances. During periapical surgery, the bone lid remains in physiological saline, and it is replaced over the cavity at the end of the surgery (Fig. Download PDF Download. Endodontic SurgeryEndodontic Surgery 2. Three calibrated observers independently evaluated the radiographs for the presence and type of periapical … 1- PERIAPICAL SURGERY (i.e., periradicular) :- includes resection of a portion of the root that contains undebrided or unobturated (or both) canal space. In these cases, periradicular surgery may be required. Surgery is an essential part of endodontics and helps us retain natural teeth as long as possible. For this reason, we will analyse the studies published in Medline and the most important spanish dental magazines. This cement is composed of an aqueous solution of polyacrylic acid and inorganic salts, with zinc oxide as the main ingredient. With dawn of era of minimal intervention in dentistry, surgical management of periapical lesions become controversial. Misconceptions The maximum magnification that can be used in a given situa-tion is a big issue. The etiologic factors are oral contaminants through the root canal or degenerating pulpal tissues. Periapical Surgery vs. Implant Surgery Advancements in delivering periapical surgery have resulted in success rates that can be equivalent to implant replacement when certain guidelines are adhered to. The bone graft serves as a base for new bone formation and will slowly resorb to permit replacement by new bone. 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