MICROSURGERY IN ENDODONTICS
Autor:
ISBN:
978-1-118-45299-8
Ano: 2017
Nº. de Páginas: 256
Idioma: Inglês
Encadernação: Capa dura
Dimensões: 22x29x1
Conteúdo:
1 The Dental Operating Microscope
1.1 Benefits of the Operating Microscope
1.2 Key Features of Operating Microscopes
1.3 Customizing a Microscope
1.3.1 Light Source
1.3.2 Documentation
1.3.3 Individual Microscope Adjustment (Parfocaling)
Suggested Readings
2 Microsurgical Instruments
2.1 Examination Instruments
2.2 Incision and Elevation Instrument
2.3 Tissue Retraction Instruments
2.4 Osteotomy Instruments
2.5 Curettage Instruments
2.6 Inspection Instruments
2.7 Ultrasonic Units and Tips for Root End Preparation
2.8 Microplugger Instruments
2.9 Suturing Instruments
2.10 Miscellaneous Instruments
3 Medication-Related Osteonecrosis of the Jaw and Endodontic
Microsurgery
Suggested Readings
4 Indications and Contraindications
4.1 Introduction
4.2 Surgical Success Dependent on Ability to Perform Ideal
Protocols
4.3 Etiology Assessment through Examination and Treatment
4.4 Periodontal Considerations and Surgery
4.5 Influential Patient Factors
4.6 Condition of Previous Endodontic Treatment
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5 Anesthesia and Hemostasis
5.1 Armamentarium
5.1.1 Epinephrine
5.2 Presurgical Phase
5.2.1 Administration of Local Anesthetic
5.2.2 Injection Techniques
5.2.3 Topical Anesthesia
5.2.4 Additional Techniques
5.2.5 Maxillary Anesthesia
5.2.6 Mandibular Anesthesia
5.2.7 Bilateral Mandibular Surgery
5.3 Surgical Phase
5.3.1 Topical Hemostatic Agents
5.3.1.1 Epinephrine Pellets
5.3.1.2 Ferric Sulfate
5.4 Summary of Hemostatic Techniques in Endodontic
Microsurgery
5.5 Postsurgical Phase
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6 Flap Design in Endodontic Microsurgery
6.1 Armamentarium
6.1.1 Flap Outline
6.1.2 Papilla Management
6.1.3 Incision
6.1.4 Flap Elevation
6.1.5 Flap Retraction
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7 Osteotomy
7.1 Armamentarium
7.2 Osteotomy
7.2.1 Distinction between Bone and Root Tip
7.2.2 Clinical Situations for Endodontic Microsurgery
7.3 Intact Cortical Plate without a Radiographic Periapical
Lesion
7.4 Intact Cortical Plate with a Periapical Lesion
7.5 Fenestration through the Cortical Plate Leading to the
Apex
7.5.1 Optimal Osteotomy Size
7.5.2 Key Hole Osteotomy Modification
7.5.3 BoneWindow Technique
8 Root End Resection
8.1 Armamentarium
8.2 Root End Resection
8.3 Root End Resection: Steep Bevel versus Shallow Bevel
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9 Inspection of the Resected Root Surface: Importance of Isthmus
9.1 Armamentarium
9.1.1 Methylene Blue Staining (MBS)
9.1.2 Isthmus
9.1.3 Types of Isthmus
9.1.4 Incidence
9.1.5 Histological Findings of Isthmus
9.1.6 Clinical Significance and Management
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10 Ultrasonic Root End Preparation
10.1 Armamentarium
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11 MTA and Bioceramic Root End Filling Materials
11.1 Mineral Trioxide Aggregate (MTA)
11.1.1 Advantages of MTA
11.1.1.1 Sealing Ability
11.1.1.2 Biocompatibility and Bioactivity
11.1.2 Drawbacks of MTA
11.2 Bioceramics
11.3 MTA and Bioceramic Application During Apicoectomy
11.4 Other Types of Cements for Root End Filling
11.4.1 Intermediate Restorative Material (IRM)
11.4.2 Super Ethoxybenzoic Acid (SuperEBA)
11.4.3 Geristore and Retroplast
11.4.4 New Types of Cements for Root End Filling
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12 Flap Reposition and Suturing
12.1 Suture Removal
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13 PeriapicalWound Healing
13.1 Principles ofWound Healing
13.2 Healing after Apical Microsurgery
13.3 Incomplete Healing/Scar Formation
13.4 Evaluation of Healing after Apical Surgery
13.5 Healing Evaluation Using CBCT
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14 Cone Beam Computed Tomography
14.1 How CBCT Works
14.2 Indications and Clinical Applications
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15 Mental Nerve Management
15.1 Armamentarium
15.1.1 Mental Foramen and Nerve
15.1.1.1 Location
15.1.1.2 Anterior Loop
15.1.1.3 Number of Mental Foramina
15.1.2 Mental Foramen Detection on Radiographs
15.1.2.1 Periapical Radiograph
15.1.2.2 Panoramic Films
15.1.2.3 Cone Beam Computed Tomography (CBCT)
15.1.3 Neurosensory Alteration
15.1.3.1 Surgical Technique to Avoid Iatrogenic Mental Nerve
Trauma and Injury
15.1.4 Groove Technique Using Piezoelectric Surgery
Suggested Readings
16 Maxillary Posterior Surgery, the Sinus, andManaging Palatal Access
16.1 Maxillary Premolars
16.1.1 Access
16.1.2 Instrumentation
16.2 Sinus Exposure
16.3 Maxillary First Molars
16.3.1 Access
16.3.2 Palatal Approach
16.4 Second Molars
16.4.1 Periodontal Aspects
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17 Surgical Root Perforation Repair
17.1 Possible Challenges to Non-surgical Perforation Repair
17.2 Factors that Enhance Positive Long-Term Prognosis for
Perforation Repair
17.3 Surgical Perforation Repair Techniques
17.4 Surgical Treatment for External Root Resorption
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18 Intentional Replantation
18.1 Armamentarium
18.1.1 Success Rate
18.1.2 Indications
18.1.3 Replantation or Apicoectomy
18.1.4 Extraction
18.1.5 Extraoral Phase
18.1.6 Storage Medium
18.1.7 Replantation
18.1.8 Splinting
18.1.9 Postop Instructions
18.1.10 Cone Beam CT Scan
18.1.11 Repairing Procedural Mishaps
Suggested Readings
19 Guided Tissue Regeneration in Endodontic Microsurgery
Suggested Readings
20 Implants versus Endodontic Microsurgery
20.1 Historical Perspective
20.2 Benefits of Implants
20.3 Long-Term Prognosis of Dental Implants
20.4 Implant Complications
20.5 Long-Term Prognosis of Endodontically Treated Teeth with Root End Surgery
20.6 Conclusion
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21 Prognosis of Endodontic Microsurgery
21.1 Best Available Evidence
21.2 Parameters for Success: Clinical and Radiographic 2D
21.3 Parameters for Success: “Penn 3D Criteria” for Assessing
Healing on CBCT
21.4 Reversal of Success
21.5 TraditionalMethods
21.6 Modern Technique versus the Complete Microsurgical
Approach
21.7 Root End Filling Materials
21.8 Case Selection
21.9 Resurgery
21.10 Summary
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22 Positioning
22.1 Armamentarium
Suggested Readings
EUR: 210,00
