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- Title
POST-APIECETOMY RECCURRENCE: ANATOMIC CONDITIONS, ORTHOGRADE RETREATMENT.
- Authors
Mitrea, Mihaela; Lucia Călin, Dorelia; Cârstea, A.; Popescu, B.; Frâncu, L.L.
- Abstract
Orthograde approach of chronic apical periodontitis recurrence after endodontic surgery is a huge challenge for the dentist. Success rates ranging from 25 to 90% for surgical endodontic procedures have been reported in the literature. The causes of failure can be iatrogenic, biological (infection), diagnostic errors, fractures, and adverse reaction to retrograde filling materials. A number of other factors can affect prognosis in periradicular surgery, including patient demographic and systemic condition, tooth involved (type, number and location), amount and location of bone loss, quality of previous root canal treatment or retreatment, coronal restoration, occlusal microleakage, surgical materials and techniques, and surgeon skills. In this article the authors present several cases successfully treated. After clinical and radiological examination of the patient, we discovered several areas of disease recurrence. We disinfected the endodontic system then proceeded to orthograde filling with MTA. Recall radiographs at 6 months confirmed the lesion was diminishing, that is it was healing. The use of magnification may influence outcomes simply by enhancing practitioner.s visual acuity, although there are no data to support this. The availability of a root-end filling material, such as MTA, offers advanced components that promote healing in the periradicular tissues. This report presents three cases of chronic apical periodontitis recurrence after surgical treatment treated by orthograde approach.
- Subjects
PERIODONTITIS treatment; ENDODONTICS; DIAGNOSTIC errors; MICROLEAKAGE (Dentistry); DENTAL fillings; VISUAL acuity
- Publication
Romanian Journal of Functional & Clinical, Macro & Microscopical Anatomy & of Anthropology / Revista Româna de Anatomie Functionala si Clinica, Macro si Microscopica si de Antropologie, 2012, Vol 11, Issue 3, p396
- ISSN
1583-4026
- Publication type
Article