Modern Endodontic Surgery Concepts and Practice: A Review

Kim, Syngcuk; Kratchman, Samuel

doi:10.1016/j.joen.2005.12.010

Cited by 667 publications

(669 citation statements)

References 106 publications

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“…Short-term complications such as oedema and pain have previously been reported in the literature [37]. Recurrence occurred at 28 ± 23 weeks (earliest: 5 weeks, latest: 51 weeks), which is in line with Cheung and Lam's findings (12 to 24 weeks) [51].…”

Section: Complications and Recurrence Timesupporting

confidence: 82%

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Success rate and recurrence frequency of periapical surgery: prospective study on 132 cases

Alantar

Bloud²,

Galéazzi

et al. 2010

Med Buccale Chir Buccale

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-Objectives:Primary aim is to quantify the success rate of periapical surgery. Secondary objectives include the determination of the histological nature of the lesions, and the incidence of the different teeth on which this surgery is performed. Study design: This is a prospective cohort study conducted in one centre. The same operator following a standardized surgical protocol performed all surgeries. Follow-up (including clinical examination and periapical X-ray) was conducted at day 7, and months 6, 12 and 18. Statistical analysis included determination of the mean, standard deviation and paired two-tailed Student's t-test, for each of the variables. Results: 132 periapical surgeries were performed on 114 patients. Success and failure rate at 18 months, are 90%, and 6%, and uncertain in 4%. Histopathology confirmed that 72% of the lesions were granulomas, and 28% cysts. Periapical surgery pertains mostly to maxillary (70%) and posterior teeth (70%). Conclusion: Prognosis of conventional periapical surgery is very good. Failure rate peaks at 7 months, written informed consent is paramount.A radiolucent apex after endodontic treatment is a common finding with up to 45% of the treated teeth in certain studies [1,2]. These lesions can be found during a routine check-up, or during an emergency appointment when associated with pain. As orofacial pain is ascribed to periapical abscesses in 25% of the patients [3], these periapical radiolucencies, in the context of periapical surgery, can be a diagnostic challenge. Periapical abscesses are the consequence of a bacterial infection of the root canals [4]. Treatment classically consists of the elimination of necrotic and infected tissue, followed by obturation of the root canal system and a sealed restoration of the crown. Periapical surgery is indicated when root canal retreatment has failed or is contraindicated [4]. An osteo-mucoperiosteal flap followed by the appropriate osteotomy allows access to the apex of the tooth. The lesion is removed and the root canal system sealed [4]. Success rates reported vary between 40% [5] and 97% [6]. Correspondence: alpalantar@wanadoo.fr The main objective of this study is to assess the success rate of periapical surgery using a standardized protocol. Secondary objectives include the determination of the histological appearance of the lesions (granulomas or cysts), the incidence of the different teeth on which this surgery is performed, and the recurrence frequency.

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Section: Complications and Recurrence Timesupporting

confidence: 82%

“…A simple burnish of the root, without resection or retrograde obturation, was only performed on anterior teeth whose endodontic treatment was satisfactory. Apices of molars and premolars with their complex root system (isthmuses and double canals) should all be resected and be obturated [37].…”

Section: Protocolmentioning

confidence: 99%

Success rate and recurrence frequency of periapical surgery: prospective study on 132 cases

Alantar

Bloud²,

Galéazzi

et al. 2010

Med Buccale Chir Buccale

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“…41 With bright illumination and magnifi ca tion under the operating microscope and the added benefi t of many micro instru ments, endodontic surgery has evolved into microsurgery. 8,9 The use of the erbium YAG 2,940 nm laser has been demonstrated to be effective in the surgical ablation of tooth tissue and bone. Advantages of this modality over conventional rotary instrumentation may include precision, bacterial decontamination, less collat eral damage and tactile stimulation.…”

Section: Discussionmentioning

confidence: 99%

“…[5][6][7] Advances in instruments (endodontic microsurgery), materials and techniques have made endodontic surgery a more predictable procedure. [8][9][10] In a review of randomised control led trials to establish the relative effec tiveness of surgical vs. non-surgical endodontic re-treatment, the Cochrane Database System Review 11 concluded that there is no apparent difference between either of the treatments, rather that more significant criteria were risk of complica tions, operator skill, technical feasibility and the extent of the presenting lesion.…”

Section: Introductionmentioning

confidence: 99%

The use of the erbium yttrium aluminium garnet (2,940 nm) in a laser-assisted apicectomy procedure

Reyhanian¹,

Parker

Moshonov

2008

Br Dent J

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“…Yet, any infection of the lesions were observed. Following the altered symptomatology, a root canal treatment of the teeth [5] in contact with the lesions was performed under antibiotic prophylaxis then a resection of the sequestered cementoosseous was done under general anesthesia (Fig. 4).…”

Section: Observationmentioning

confidence: 99%

Florid osseous dysplasia causing sensory disturbances in the area supplied by the inferior alveolar nerve

Melka

Barthélémy

Cousson

et al. 2017

Med Buccale Chir Buccale

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--Introduction: Florid osseous dysplasia is a rare benign pathology, characterized by a multifocal extension, and possibly affecting the four maxillo-mandibular quartors. It is often a fortuitous discovery, and only becomes symptomatic when the lesions are voluminous, deforming mandible or maxillary, or when secondary infections occur. Observation: A 45-year-old African patient is referred for diagnosis of a florid osseous dysplasia. Mandibular lesions are revealed by a CBCT scan. As the patient is asymptomatic, an annual follow-up was established. Six months later, the patient shows neuropathic pain signs on the right side of the chin and the inferior lip: the inferior alveolar nerve seems to be affected. A surgical treatment is then proposed to the patient. Discussion: Affection of the alveolo-dental nerve due to florid osseous dysplasia has never yet been reported in literature. However, our patient showed neuropathic pain symptoms, with no sign of infection, and the CBCT revealed a great proximity of the nerve and the lesions. The surgery was a success: removing the calcified masses has allowed us to amend the neuropathic pain. We can then suppose that the bone lesions were directly responsible for our patient's pain symptoms. Conclusion: Florid osseous dysplasia lesions, when close to the inferior alveolar nerve, can cause a nerve illness, by compression, on its intracanal trajectory or by its foramen.

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Modern Endodontic Surgery Concepts and Practice: A Review

Cited by 667 publications

References 106 publications

Success rate and recurrence frequency of periapical surgery: prospective study on 132 cases

Success rate and recurrence frequency of periapical surgery: prospective study on 132 cases

The use of the erbium yttrium aluminium garnet (2,940 nm) in a laser-assisted apicectomy procedure

Florid osseous dysplasia causing sensory disturbances in the area supplied by the inferior alveolar nerve

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