RESUMO
This case report presents a surgical case in which an accessory branch of the mental nerve exited the mandible distal and slightly superior to the mental foramen. Careful manipulation of the surgical site allowed proper identification of the mental nerve, and the accessory branch and permanent nerve damage was avoided.
Assuntos
Queixo/inervação , Periodontite Periapical/cirurgia , Idoso , Apicectomia/efeitos adversos , Adesivos Dentinários/uso terapêutico , Feminino , Seguimentos , Humanos , Lábio/inervação , Mandíbula/inervação , Nervo Mandibular/anormalidades , Parestesia/etiologia , Periodontite Periapical/diagnóstico , Materiais Restauradores do Canal Radicular/uso terapêutico , Terapia por UltrassomRESUMO
This paper is intended to provide an overview of different endodontic applications in guided tissue regeneration. It is our expectation that using these techniques, where applicable, will increase endodontic surgical success. We have described six different clinical conditions including external resorption, root perforation, dehiscence, palatal grooves, oblique root fractures, and large periapical lesions. We believe the use of guided tissue regeneration techniques will allow us to predictably treat teeth that otherwise might be extracted.
Assuntos
Regeneração Tecidual Guiada Periodontal/métodos , Tratamento do Canal Radicular/métodos , Terapia Combinada , Humanos , Doenças Dentárias/terapia , Raiz Dentária/cirurgiaRESUMO
There are several possible causes of failure following nonsurgical and surgical endodontic treatments. Many of the causes of these failures can be attributed to the presence of endodontic-periodontic bone loss around roots. The development of guided-tissue regeneration (GTR) procedures in periodontal therapy has let to the successful treatment of some types of periodontal bone loss. These GTR procedures can be adapted for use in endodontic surgery to produce success in cases that previously presented a poor prognosis. this study categorizes all of the different clinical situations in which GTR procedures can be used to treat endodontically related bone loss. Case reports of several categories are presented.
Assuntos
Perda do Osso Alveolar/cirurgia , Regeneração Tecidual Guiada Periodontal , Perda do Osso Alveolar/etiologia , Fístula Dentária/etiologia , Humanos , Membranas Artificiais , Doenças Periapicais/complicações , Reoperação , Retalhos Cirúrgicos , Raiz Dentária/cirurgiaRESUMO
The success rate of replanted avulsed teeth has been low. This poor success rate results from the use of only one treatment regimen. This treatment regimen, replantation as quickly as possible regardless of circumstances, ignores much of the dental research that shows this regimen to not be efficacious. In addition, the profession has disregarded much of the research that shows many recommended storage media damaging to avulsed teeth. This article reviews the pertinent research on avulsed teeth and recommends a new treatment philosophy of avulsed teeth that delineates 10 treatment categories based on the type of storage medium used, the length of extraoral time, and the stage of development of the root apex.
Assuntos
Avulsão Dentária/cirurgia , Reimplante Dentário , Ar , Animais , Infecções Bacterianas/prevenção & controle , Sobrevivência Celular , Polpa Dentária/irrigação sanguínea , Humanos , Soluções Isotônicas , Leite , Ligamento Periodontal/patologia , Reabsorção da Raiz/etiologia , Reabsorção da Raiz/prevenção & controle , Saliva , Fluoreto de Sódio/uso terapêutico , Fatores de Tempo , Fluoretos de Estanho/uso terapêutico , Preservação de Tecido/métodos , Raiz Dentária/patologia , ÁguaRESUMO
Proper access is the basis for all endodontic therapy. This article highlights a teaching tool that powerfully demonstrates to all students and dentists the concept of proper access.