Endodontic microsurgery: An overview

Sumangali, Ananad; Soujanya, E; Raju, Ananda; Aravelli, Swathi

doi:10.4103/2348-1471.159172

Cited by 2 publications

(2 citation statements)

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“…Once the regional anesthesia has been achieved, then a local infiltration of lidocaine 1:50,000 epinephrine is injected over the intended flap extent, concentrating the bulk of the infiltration over the surgical site. 10 The use of 2% lignocaine with 1:80,000 adrenaline for buccal, palatal or lingual infiltrations is considered the gold standard as mentioned by Kim et al in 1997. 11 Unless contraindicated, it is mandatory to use local anaesthesia with a vasoconstrictor component in order to aid haemostasis and achieve a dry operating field.…”

Section: Achieving Anesthesiamentioning

confidence: 99%

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Apicoectomy – A review

Verma¹,

Ahuja²

2021

JDP

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This review article throws a light on the background of theoretical and clinical aspects of apicoectomy procedure. Apicoectomy is also known as root resection, which means amputation of the apex of the root and is considered as a part of peiradicular surgery. The periradicular surgery is a standard oral surgical procedure which includes surgical treatment of area surrounding root and is done when conventional root canal treatment does not suffice the infection. This procedure includes three important steps to eliminate persistent endodontic pathogens: surgical debridement of pathological periradicular tissue, root-end resection (apicoectomy), and retrograde root canal obturation (root-end filling). There is a plethora of literature on the clinical studies and case reports on apicoectomy procedure; our review adds an imperative segment to this standard protocol used in pediatric endodontics and the objective is to give the reader an acquaintance about apical surgery with latest updates.

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Section: Achieving Anesthesiamentioning

confidence: 99%

“…Thus, the osteotomy should be as small as possible, but as large as necessary to accomplish the clinical objective. 10 The soft tissue present in the periradicular region is removed via curettage. The tissue removed from the periapical area should be submitted for histopathological analysis.…”

Section: Osteotomymentioning

confidence: 99%

Apicoectomy – A review

Verma¹,

Ahuja²

2021

JDP

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Endodontic Microsurgical Instruments - A Review

Prathap¹,

Pradeep²

2021

jemds

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Indications for endodontic surgery include failed nonsurgical treatment or retreatment, anatomical problems or iatrogenic errors. Endodontic surgery was considered as the last option with instruments that were unsuitable, surgical sites with inadequate vision and increased incidence of post-operative complication. But today endodontic surgery has evolved into endodontic microsurgery with the advancement in illumination, magnification, instruments and materials. Higher magnification and micro-instruments have increased the clinical outcome of endodontic surgery. Traditional instruments used in endodontic surgery are too large for the small osteotomy sites of microsurgery. Few of the instruments used for microsurgery are the smaller version of the traditional instruments. Endodontic microsurgery represents a minimally invasive treatment option with predictable outcome with the use of micro-instruments. A high success rate of nearly 93.5 % is reported, thus, making microsurgery a predictable option for the management of periapical pathology where surgical root treatment is not possible. The advanced techniques developed to overcome the barriers seen in traditional endodontic surgery have allowed the clinicians to achieve higher success rates. Along with the micro-instruments, the introduction of biomimetic materials has also led to the favourable results after endodontic surgery. This article discusses the different microsurgical instruments available for microsurgical procedures. KEY WORDS Curette, Microblade, Microsurgery, Piezotomes, Retractor, Ultrasonic.

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Endodontic microsurgery: An overview

Cited by 2 publications

References 0 publications

Apicoectomy – A review

Apicoectomy – A review

Endodontic Microsurgical Instruments - A Review

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