Microsurgery in Endodontics

Description:

Microsurgery in Endodontics provides the definitive reference to endodontic microsurgery, with instructive photographs and illustrations.

Provides a definitive reference work on endodontic microsurgery

Includes contributions from pioneers and innovators in the field of microsurgical endodontics

Describes techniques for a wide range of microsurgical procedures

Includes more than 600 instructive illustrations and photographs

Table of Contents:

Acknowledgements

1 The Dental Operating Microscope

1.1 Benefits of the Operating Microscope

1.2 Key Features of Operating Microscopes

1.3 Customizing a Microscope

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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

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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

5.2 Presurgical Phase

5.3 Surgical Phase

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

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7 Osteotomy

7.1 Armamentarium

7.2 Osteotomy

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

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

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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)

11.2 Bioceramics

11.3 MTA and Bioceramic Application During Apicoectomy

11.4 Other 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 Periapical Wound Healing

13.1 Principles of Wound 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

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16 Maxillary Posterior Surgery, the Sinus, and Managing Palatal Access

16.1 Maxillary Premolars

16.2 Sinus Exposure

16.3 Maxillary First Molars

16.4 Second Molars

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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

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19 Guided Tissue Regeneration in Endodontic Microsurgery

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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 Traditional Methods

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

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Index

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