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Endodontic surgery

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https://www.readbyqxmd.com/read/28316283/combination-therapies-for-the-treatment-of-recurrent-central-giant-cell-lesion-in-the-maxilla-a-case-report
#1
Jefferson Paulo de Oliveira, Fernanda Olivete, Naylin Danyele de Oliveira, Allan Fernando Giovanini, João César Zielak, Leandro Klüppel, Rafaela Scariot
BACKGROUND: Central giant cell lesion is a non-neoplastic proliferation, usually asymptomatic, of unknown etiology. The purpose of this case report is to report the diagnosis and the treatment of a recurrent central giant cell lesion in the maxilla. CASE PRESENTATION: A 31-year-old Brazilian woman presented to our Surgery Service for evaluation of a cystic lesion in her teeth 13 and 15, although she had previously received endodontic treatment for her teeth 13 and 15 without regression of the lesion...
March 20, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28299251/minimally-invasive-endoscopic-computer-assisted-surgery-technique-and-review
#2
REVIEW
Anand Kumar, Nirma Yadav, Shipra Singh, Neha Chauhan
Endoscopic or minimally invasive surgery popular as keyhole surgery is a medical procedure in which endoscope (a camera) is used, and it has gained broad acceptance with popularity in several surgical specialties and has heightened the standard of care. Oral and maxillofacial surgery is a modern discipline in the field of dentistry in which endoscopy has developed as well as widely used in surgeries and is rapidly gaining importance. The use of different visual as well as standard instruments such as laparoscopic and endoscopic instruments, and high-powered magnification devices, has allowed physicians to decrease the morbidity of many surgical procedures by eliminating the need for a large surgical incision...
July 2016: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28292605/outcomes-of-endodontic-microsurgery-using-a-microscope-and-mineral-trioxide-aggregate-a-prospective-cohort-study
#3
Zu-Hua Wang, Ming-Ming Zhang, Ji Wang, Lan Jiang, Yu-Hong Liang
INTRODUCTION: The aim of this study was to investigate the outcome of endodontic microsurgery and analyze the prognostic factors. METHODS: Our prospective cohort study included 98 teeth in 81 patients. An endodontist performed all surgical procedures using endodontic microsurgical approaches. The treated teeth were recalled and examined clinically and radiographically at least 1 year after surgical treatment. The outcome was determined based on clinical and radiographic results...
March 11, 2017: Journal of Endodontics
https://www.readbyqxmd.com/read/28279057/-long-term-treatment-outcome-and-influencing-factors-of-teeth-receiving-modified-crown-lengthening
#4
C Wang, X T Jia, W J Hu, M Zhen, H Zhang
Objective: To observe the long-term clinical treatment outcome and the influencing factors of the outcome for the teeth receiving modified crown lengthening surgery combined with root canal treatment and post-core crown restoration. To summarize the clinical guidelines of modified crown lengthening surgery in selection of indications and for mulation of treatment planning. Methods: Fifty-seven patients with a total of 67 teeth receiving modified crown lengthening surgery combined with root canal treatment and post-core crown restoration for at least a 6 months' follow-up period between July 2004 and July 2013 were recruited in this retrospective study by phone call interviews...
March 9, 2017: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
https://www.readbyqxmd.com/read/28258275/nonconventional-therapeutic-protocol-for-type-iii-dens-invaginatus
#5
Gustavo G Kunert, Itaborai R Kunert, José Ap de Figueiredo, Fernando B Barletta, Carlos Estrela
This study discusses a nonconventional therapeutic protocol for type III dens invaginatus. This condition is a disorder of dental development, caused by the invagination of enamel into coronal and/or radicular dentin structure. This promotes several structural alterations within the dental organ, which offers challenges and difficulties to perform the endodontic treatment when needed. This article reports a clinical case where a conservative approach was adopted to preserve the invagi-nated tooth, and endodontic treatment was performed in the main necrotic canal...
March 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/28221014/value-of-cbct-in-vertical-root-fracture-detection-in-endodontically-treated-teeth
#6
Eshaghali Saberi, Narges F Mollashahi, Zeinab Movasagh, Alireza A Moghaddam, Abbas Mohammadi
BACKGROUND: Vertical root fracture (VRF) is a diagnostic challenge for dentists. Cone-beam computed tomography (CBCT) scans provide accurate three-dimensional images of teeth enabling detection of VRFs. This in-vivo study compared the accuracy of CBCT and exploratory surgery for detection of VRFs in endodontically-treated teeth. METHODS: Forty endodontically-treated teeth of 40 patients with clinical signs and symptoms of VRFs were evaluated. No fracture line was detectable on periapical radiographs...
April 2017: Minerva Stomatologica
https://www.readbyqxmd.com/read/28217544/assessment-of-knowledge-attitude-and-practices-on-fixed-dose-combinations-among-postgraduate-dental-students
#7
Narayana R Vinnakota, V Krishna, V Viswanath, Zaheer Ahmed, Kamal S Shaik, Naveen K Boppana
AIM: To assess the knowledge, attitude, and practices of fixed dose combination drugs among postgraduate dental students. MATERIALS AND METHODS: A cross-sectional study was carried out among postgraduate dental students of dental colleges in coastal Andhra Pradesh. Three colleges were randomly selected and students of all the three years were included. Data was collected from the specialities of oral medicine and radiology, oral surgery, endodontics, pedodontics, periodontics, and public health dentistry...
December 2016: Journal of International Society of Preventive & Community Dentistry
https://www.readbyqxmd.com/read/28161897/persistent-extra-radicular-bacterial-biofilm-in-endodontically-treated-human-teeth-scanning-electron-microscopy-analysis-after-apical-surgery
#8
Bruno Carvalho de Sousa, Fábio de Almeida Gomes, Cláudio Maníglia Ferreira, Márcia Maria de Negreiros Pinto Rocha, Eduardo Bede Barros, Diana Santana de Albuquerque
Biofilms are the main cause of endodontic failures. Even the best executed endodontic treatment can fail, when the infection is resistant to treatment or when it is located in inaccessible areas, such as the external surface of the root apex. The purpose of this study was to evaluate, by scanning electron microscopy, the presence of bacterial biofilm on endodontically treated teeth considered clinical failures and suitable for apical surgery. Root apices were collected from 20 teeth undergoing apical surgery and one negative control and analyzed under SEM...
February 5, 2017: Microscopy Research and Technique
https://www.readbyqxmd.com/read/28139285/guided-modern-endodontic-surgery-a-novel-approach-for-guided-osteotomy-and-root-resection
#9
Georg D Strbac, Albrecht Schnappauf, Katharina Giannis, Andreas Moritz, Christian Ulm
INTRODUCTION: Continuous improvements in techniques, instruments, and materials have established modern endodontic microsurgery as a state-of-the-art treatment method. The purpose of this approach was to introduce a new surgical endodontic technique by using a three-dimensional printed template for guided osteotomy and root resection. METHODS: A 38-year-old patient was diagnosed with periapical lesions of teeth #3 and #4 and extruded gutta-percha material. Three-dimensional radiographic and optical scan files were imported into surgical planning software designed for guided implant surgery...
March 2017: Journal of Endodontics
https://www.readbyqxmd.com/read/28128656/anesthetic-management-of-a-child-with-unspecified-mitochondrial-disease-in-an-outpatient-dental-setting
#10
Taylor R Gordon, Richard J Montandon
Mitochondrial disease (MD) represents a category of metabolic disorders with a wide range of symptoms across a variety of organ systems. It occurs with an incidence of greater than 1:5000 and can be difficult to specifically diagnose because of the variety of clinical presentations and multiple genomic origins. Although phenotypically variable, MD symptoms often include hypotonia, cardiac defects, dysautonomia, and metabolic dysfunction. Mitochondrial disease presents a unique challenge in terms of anesthetic management, as many anesthetic drugs suppress mitochondrial function...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/28088226/use-of-an-intraoperative-navigation-system-for-retrieving-a-broken-dental-instrument-in-the-mandible-a-case-report
#11
Shintaro Sukegawa, Takahiro Kanno, Akane Shibata, Kenichi Matsumoto, Yuka Sukegawa-Takahashi, Kyosuke Sakaida, Yoshihiko Furuki
BACKGROUND: A fracture of root canal instruments, with a fractured piece protruding beyond the apex, is a troublesome incident during an endodontic treatment. Locating and retrieving them represents a challenge to maxillofacial surgeons because it is difficult to access due to the proximity between the foreign body and vital structures. Although safe and accurate for surgery, radiographs and electromagnetic devices do not provide a precise three-dimensional position. In contrast, computer-aided navigation provides a correlation between preoperatively collected data and intraoperatively encountered anatomy...
January 15, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28050518/revitalization-of-an-immature-permanent-mandibular-molar-with-a-necrotic-pulp-using-platelet-rich-fibrin-a-case-report
#12
Dayalan Subash, Krishnamma Shoba, Shibu Aman, Srinivasan Kumar Indu Bharkavi
Any insult to the pulp during its development causes cessation of dentin formation and root growth. Pulpal status and degree of root development are the decisive factors in the treatment approach. Various treatment options have been tried like surgery with root-end sealing, calcium hydroxide-apexification, placement of apical plug and regenerative endodontic procedures to induce apexogenesis. An ideal scenario for a necrosed tooth with immature root would be continued root development coupled with regeneration of pulp tissue...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27994888/a-rare-malignant-peripheral-nerve-sheath-tumor-of-the-maxilla-mimicking-a-periapical-lesion
#13
José Alcides Arruda, Pamella Álvares, Luciano Silva, Alexandrino Pereira Dos Santos Neto, Cleomar Donizeth Rodrigues, Antônio Caubi, Marcia Silveira, Sandra Sayão, Ana Paula Sobral
Malignant peripheral nerve sheath tumor is a malignant neoplasm that is rarely found in the oral cavity. About 50% of this tumor occurs in patients with neurofibromatosis type I and comprises approximately 10% of all soft tissue sarcomas of head and neck region. Intraosseous malignant peripheral nerve sheath tumor of the maxilla is rare. This article is the first to address malignant peripheral nerve sheath tumor of the maxilla presenting as a periapical radiolucency on nonvital endodontically treated teeth in the English medical literature...
2016: Case Reports in Dentistry
https://www.readbyqxmd.com/read/27986096/comparison-of-mineral-trioxide-aggregate-and-iroot-bp-plus-root-repair-material-as-root-end-filling-materials-in-endodontic-microsurgery-a-prospective-randomized-controlled-study
#14
Wei Zhou, Qinghua Zheng, Xuelian Tan, Dongzhe Song, Lan Zhang, Dingming Huang
INTRODUCTION: This prospective randomized controlled study evaluated the clinical and radiographic outcome of endodontic microsurgery when using iRoot BP Plus Root Repair Material (BP-RRM; Innovative BioCeramix Inc, Vancouver, BC, Canada) or mineral trioxide aggregate (MTA) as the retrograde filling material and analyzed the relationship between some potential prognostic factors and the outcome of the surgery. METHODS: By using strict inclusion and exclusion criteria, 240 teeth were successfully enrolled and randomly and equally allocated to either the MTA or BP-RRM treatment group...
January 2017: Journal of Endodontics
https://www.readbyqxmd.com/read/27979848/unusual-case-of-bilateral-maxillary-fungus-ball
#15
Alessandro Vinciguerra, Alberto Maria Saibene, Paolo Lozza, Alberto Maccari
An otherwise healthy 34-year-old man was referred to our ear, nose and throat (ENT) clinic for a bilateral maxillary radiologic opacity. This condition was accidentally discovered with a panoramic radiography performed during a follow-up visit after a bilateral endodontic treatment. The patient did not report any specific sinonasal symptom such as purulent nasal discharge, loss of smell and cough, apart from an unspecific sinus pressure. The CT scans showed a bilateral inflammatory process into the maxillary-ethmoidal sinuses and an iron-like density within the maxillary sinuses, while nasal endoscopy showed purulent discharge in the ostiomeatal complex...
December 15, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27977869/endodontic-treatment-related-antibiotic-prescribing-patterns-of-south-african-oral-health-professionals
#16
R Lalloo, G Solanki, K Ramphoma, N G Myburgh
AIM: To assess the antibiotic prescribing patterns of South African dentists for patients undergoing endodontic treatment. METHODOLOGY: This study used data from 2013 health insurance claims submitted by South African oral health professionals to determine the antibiotic prescribing patterns related to endodontic treatment. A logistic regression model was used to test the fully adjusted statistical significance of the association between the exploratory variables (gender, age group, event type, abscess treatment, chronic health) and the dependent variable (antibiotic prescription)...
December 15, 2016: International Endodontic Journal
https://www.readbyqxmd.com/read/27938695/feasibility-assessment-for-using-telehealth-technology-to-improve-access-to-dental-care-for-rural-and-underserved-populations
#17
Amy B Martin, Joni D Nelson, Grishma P Bhavsar, James McElligott, David Garr, Renata S Leite
OBJECTIVE: South Carolina Dental Association members were surveyed on telehealth knowledge, need, and interest in using it for access to care improvements. METHODS: Dependent variables were Medicaid patient population size (less than or greater than 10%), career stage (early to middle and advanced), and National Health Service Corps participation (yes or no). Practice and provider characteristics were screener questions. Data were collected electronically and analyzed with SAS...
December 2016: Journal of Evidence-based Dental Practice
https://www.readbyqxmd.com/read/27930461/odontogenic-orofacial-infections
#18
Dario Bertossi, Antonio Barone, Antonio Iurlaro, Simone Marconcini, Daniele De Santis, Marco Finotti, Pasquale Procacci
Acute dental abscess is a frequent and sometimes underestimated disease of the oral cavity. The acute dental abscess usually occurs secondary to caries, trauma, or failed endodontic treatment. After the intact pulp chamber is opened, colonization of the root canals takes place with a variable set of anaerobic bacteria, which colonize the walls of the necrotic root canals forming a specialized mixed anaerobic biofilm. Asymptomatic necrosis is common. However, abscess formation occurs when these bacteria and their toxic products breach into the periapical tissues through the apical foramen and induce acute inflammation and pus formation...
January 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27912820/modern-endodontic-microsurgery-concepts-a-clinical-update
#19
REVIEW
Spyros Floratos, Syngcuk Kim
Increased use of the surgical operating microscope in endodontic surgery has elucidated many shortcomings of previous techniques and along with microsurgical instruments and new more biologically acceptable root-end filling materials has started the new microsurgical era in surgical endodontics. Endodontic microsurgery is a minimally invasive technique that results in less postoperative pain and edema and faster wound healing. It offers a significantly higher success rate than traditional apical surgery technique...
January 2017: Dental Clinics of North America
https://www.readbyqxmd.com/read/27869974/-evaluating-productivity-targets-achievement-in-dental-specialty-centers-from-maranh%C3%A3-o-state-brazil-2011
#20
Erika Bárbara Abreu Fonseca Thomaz, Grazianne Medeiros Carvalho de Sousa, Rejane Christine de Sousa Queiroz, Liberata Campos Coimbra
OBJECTIVE: to evaluate productivity targets achievement (PTA) in Dental Specialty Centers (DSCs) from Maranhão State, Brazil. METHODS: this was an ecologic study using secondary data; an indicator for PTA was created for each subgroup of procedures. RESULTS: 25 DSCs were evaluated; the PTA was higher for basic procedures (n=19), followed by endodontics (n=11), oral surgery (n=9) and periodontics (n=8); the best results were obtained at DSCs type II; higher PTA was associated with financial anticipation (basic procedures) and higher Human Development Index, life expectancy and social exclusion rate (endodontics); lower PTA was associated with larger population (endodontics/oral surgery), adherence to the Pact for Health (periodontics/endodontics), larger number of specialties (periodontics) and bigger DSC (oral surgery)...
October 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
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