Apicoectomy of maxillary anterior teeth through a piezoelectric bony-window osteotomy: two case reports introducing a new technique to preserve cortical bone
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Two case reports describing a new technique of creating a repositionable piezoelectric bony window osteotomy during apicoectomy in order to preserve bone and act as an autologous graft for the surgical site are described. Endodontic microsurgery of anterior teeth with an intact cortical plate and large periapical lesion generally involves removal of a significant amount of healthy bone in order to enucleate the diseased tissue and manage root ends. In the reported cases, apicoectomy was performed on the lateral incisors of two patients. A piezoelectric device was used to create and elevate a bony window at the surgical site, instead of drilling and destroying bone while making an osteotomy with conventional burs. Routine microsurgical procedures - lesion enucleation, root-end resection, and filling - were carried out through this window preparation. The bony window was repositioned to the original site and the soft tissue sutured. The cases were re-evaluated clinically and radiographically after a period of 12 - 24 months. At follow-up, radiographic healing was observed. No additional grafting material was needed despite the extent of the lesions. The indication for this procedure is when teeth present with an intact or near-intact buccal cortical plate and a large apical lesion to preserve the bone and use it as an autologous graft.
Abstract
Two case reports describing a new technique of creating a repositionable piezoelectric bony window osteotomy during apicoectomy in order to preserve bone and act as an autologous graft for the surgical site are described. Endodontic microsurgery of anterior teeth with an intact cortical plate and large periapical lesion generally involves removal of a significant amount of healthy bone in order to enucleate the diseased tissue and manage root ends. In the reported cases, apicoectomy was performed on the lateral incisors of two patients. A piezoelectric device was used to create and elevate a bony window at the surgical site, instead of drilling and destroying bone while making an osteotomy with conventional burs. Routine microsurgical procedures - lesion enucleation, root-end resection, and filling - were carried out through this window preparation. The bony window was repositioned to the original site and the soft tissue sutured. The cases were re-evaluated clinically and radiographically after a period of 12 - 24 months. At follow-up, radiographic healing was observed. No additional grafting material was needed despite the extent of the lesions. The indication for this procedure is when teeth present with an intact or near-intact buccal cortical plate and a large apical lesion to preserve the bone and use it as an autologous graft.
참고문헌 (26)
- Song M, "Comparison of clinical outcomes of endodontic microsurgery: 1 year versus long-term follow-up", J Endod, 40, pp.490~494 (2014)
- Setzer FC, "Outcome of endodontic surgery: a meta-analysis of the literature-part 2: comparison of endodontic microsurgical techniques with and without the use of higher magnification", J Endod, 38, pp.1~10 (2012)
- Setzer FC, "Outcome of endodontic surgery: a meta-analysis of the literature-part 1: comparison of traditional rootend surgery and endodontic microsurgery", J Endod, 36, pp.1757~1765 (2010)
- Kim S, "Modern endodontic surgery concepts and practice: a review", J Endod, 32, pp.601~623 (2006)
- Kang M, "Outcome of nonsurgical retreatment and endodontic microsurgery: a meta-analysis", Clin Oral Investig, 19, pp.569~582 (2015)
- Tsesis I, "Effect of guided tissue regeneration on the outcome of surgical endodontic treatment: a systematic review and meta-analysis", J Endod, 37, pp.1039~1045 (2011)
- Taschieri S, "Efficacy of guided tissue regeneration in the management of through-and-through lesions following surgical endodontics: a preliminary study", Int J Periodontics Restor Dent, 28, pp.265~271 (2008)
- Skoglund A, "A follow-up study of apicoectomized teeth with total loss of the buccal bone plate", Oral Surg Oral Med Oral Pathol, 59, pp.78~81 (1985)
- Wesson CM, "Molar apicectomy with amalgam root-end filling: results of a prospective study in two district general hospitals", Br Dent J, 195, pp.707~714 (2003)
- Rud J, "A follow-up study of 1,000 cases treated by endodontic surgery", Int J Oral Surg, 1, pp.215~228 (1972)
- Rud J, "A study of failures after endodontic surgery by radiographic, histologic and stereomicroscopic methods", Int J Oral Surg, 1, pp.311~328 (1972)
- Andreasen JO, "Modes of healing histologically after endodontic surgery in 70 cases", Int J Oral Surg, 1, pp.148~160 (1972)
- von Arx T, "Rationale for the application of the GTR principle using a barrier membrane in endodontic surgery: a proposal of classification and literature review", Int J Periodontics Restor Dent, 21, pp.127~139 (2001)
- Lin L, "Guided tissue regeneration in periapical surgery", J Endod, 36, pp.618~625 (2010)
- Abella F, "Applications of piezoelectric surgery in endodontic surgery: a literature review", J Endod, 40, pp.325~332 (2014)
- Vercellotti T, "The piezoelectric bony window osteotomy and sinus membrane elevation:introduction of a new technique for simplification of the sinus augmentation procedure", Int J Periodontics Restor Dent, 21, pp.561~567 (2001)
- Kocyigit ID, "Piezosurgery versus conventional surgery in radicular cyst enucleation", J Craniofac Surg, 23, pp.1805~1808 (2012)
- Schlee M, "Piezosurgery:basics and possibilities", Implant Dent, 15, pp.334~340 (2006)
- Degerliyurt K, "Bone lid technique with piezosurgery to preserve inferior alveolar nerve", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 108, pp.e1~e5 (2009)
- von Arx T, "Correlation of bone defect dimensions with healing outcome one year after apical surgery", J Endod, 33, pp.1044~1048 (2007)
- von Arx T, "Evaluation of new cone-beam computed tomographic criteria for radiographic healing evaluation after apical surgery:assessment of repeatability and reproducibility", J Endod, 42, pp.236~242 (2016)
- Chen I, "Healing after root-end microsurgery by using mineral trioxide aggregate and a new calcium silicate-based bioceramic material as rootend filling materials in dogs", J Endod, 41, pp.389~399 (2015)
- Jansson L, "Relationship between apical and marginal healing in periradicular surgery", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 83, pp.596~601 (1997)
- Douthitt JC, "Histologic assessment of healing after the use of a bioresorbable membrane in the management of buccal bone loss concomitant with periradicular surgery", J Endod, 27, pp.404~410 (2001)
- Ettl T, "Jaw cysts -filling or no filling after enucleation? A review", J Craniomaxillofac Surg, 40, pp.485~493 (2012)
- Patel S, "The potential applications of cone beam computed tomography in the management of endodontic problems", Int Endod J, 40, pp.818~830 (2007)