Details

Microsurgery in Endodontics


Microsurgery in Endodontics


1. Aufl.

von: Syngcuk Kim, Samuel Kratchman, Bekir Karabucak, Meetu Kohli, Frank Setzer

156,99 €

Verlag: Wiley-Blackwell
Format: PDF
Veröffentl.: 26.07.2017
ISBN/EAN: 9781119403654
Sprache: englisch
Anzahl Seiten: 256

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Beschreibungen

<p><i>Microsurgery in Endodontics </i>provides the definitive reference to endodontic microsurgery, with instructive photographs and illustrations.</p> <ul> <li>Provides a definitive reference work on endodontic microsurgery</li> <li>Includes contributions from pioneers and innovators in the field of microsurgical endodontics</li> <li>Describes techniques for a wide range of microsurgical procedures</li> <li>Includes more than 600 instructive illustrations and photographs</li> </ul> <p> </p>
<p>Contributors xiii</p> <p>Preface xv</p> <p>Acknowledgements xvii</p> <p><b>1 The Dental Operating Microscope 1<br /></b><i>Frank Setzer</i></p> <p>1.1 Benefits of the Operating Microscope 1</p> <p>1.2 Key Features of Operating Microscopes 1</p> <p>1.3 Customizing a Microscope 3</p> <p>1.3.1 Light Source 3</p> <p>1.3.2 Documentation 5</p> <p>1.3.3 Individual Microscope Adjustment (Parfocaling) 5</p> <p>Suggested Readings 7</p> <p><b>2 Microsurgical Instruments 9<br /></b><i>SeungHo Baek and Syngcuk Kim</i></p> <p>2.1 Examination Instruments 9</p> <p>2.2 Incision and Elevation Instrument 9</p> <p>2.3 Tissue Retraction Instruments 11</p> <p>2.4 Osteotomy Instruments 14</p> <p>2.5 Curettage Instruments 14</p> <p>2.6 Inspection Instruments 15</p> <p>2.7 Ultrasonic Units and Tips for Root End Preparation 17</p> <p>2.8 Microplugger Instruments 20</p> <p>2.9 Suturing Instruments 20</p> <p>2.10 Miscellaneous Instruments 22</p> <p><b>3 Medication-Related Osteonecrosis of the Jaw and Endodontic Microsurgery 25<br /></b><i>Chafic Safi and Bekir Karabucak</i></p> <p>Suggested Readings 29</p> <p><b>4 Indications and Contraindications 31<br /></b><i>Bekir Karabucak and Garrett Guess</i></p> <p>4.1 Introduction 31</p> <p>4.2 Surgical Success Dependent on Ability to Perform Ideal Protocols 31</p> <p>4.3 Etiology Assessment through Examination and Treatment 31</p> <p>4.4 Periodontal Considerations and Surgery 33</p> <p>4.5 Influential Patient Factors 33</p> <p>4.6 Condition of Previous Endodontic Treatment 37</p> <p>Suggested Readings 38</p> <p><b>5 Anesthesia and Hemostasis 39<br /></b><i>Siva Rethnam-Haug, Aleksander Iofin, and Syngcuk Kim</i></p> <p>5.1 Armamentarium 39</p> <p>5.1.1 Epinephrine 39</p> <p>5.2 Presurgical Phase 40</p> <p>5.2.1 Administration of Local Anesthetic 40</p> <p>5.2.2 Injection Techniques 40</p> <p>5.2.3 Topical Anesthesia 41</p> <p>5.2.4 Additional Techniques 41</p> <p>5.2.5 Maxillary Anesthesia 41</p> <p>5.2.6 Mandibular Anesthesia 43</p> <p>5.2.7 Bilateral Mandibular Surgery 43</p> <p>5.3 Surgical Phase 44</p> <p>5.3.1 Topical Hemostatic Agents 44</p> <p>5.3.1.1 Epinephrine Pellets 45</p> <p>5.3.1.2 Ferric Sulfate 45</p> <p>5.4 Summary of Hemostatic Techniques in Endodontic Microsurgery 46</p> <p>5.5 Postsurgical Phase 46</p> <p>Suggested Readings 48</p> <p><b>6 Flap Design in Endodontic Microsurgery 49<br /></b><i>Francesco Maggiore and Frank Setzer</i></p> <p>6.1 Armamentarium 49</p> <p>6.1.1 Flap Outline 49</p> <p>6.1.2 Papilla Management 52</p> <p>6.1.3 Incision 54</p> <p>6.1.4 Flap Elevation 54</p> <p>6.1.5 Flap Retraction 55</p> <p>Suggested Readings 56</p> <p><b>7 Osteotomy 57<br /></b><i>Francesco Maggiore and Syngcuk Kim</i></p> <p>7.1 Armamentarium 57</p> <p>7.2 Osteotomy 57</p> <p>7.2.1 Distinction between Bone and Root Tip 57</p> <p>7.2.2 Clinical Situations for Endodontic Microsurgery 58</p> <p>7.3 Intact Cortical Plate without a Radiographic Periapical Lesion 59</p> <p>7.4 Intact Cortical Plate with a Periapical Lesion 60</p> <p>7.5 Fenestration through the Cortical Plate Leading to the Apex 60</p> <p>7.5.1 Optimal Osteotomy Size 61</p> <p>7.5.2 Key Hole Osteotomy Modification 61</p> <p>7.5.3 BoneWindow Technique 61</p> <p><b>8 Root End Resection 67<br /></b><i>Spyros Floratos, Fouad Al-Malki, and Syngcuk Kim</i></p> <p>8.1 Armamentarium 67</p> <p>8.2 Root End Resection 67</p> <p>8.3 Root End Resection: Steep Bevel versus Shallow Bevel 69</p> <p>Suggested Readings 72</p> <p><b>9 Inspection of the Resected Root Surface: Importance of Isthmus 73<br /></b><i>Spyros Floratos, Jorge Vera, Fouad Al-Malki, and Syngcuk Kim</i></p> <p>9.1 Armamentarium 73</p> <p>9.1.1 Methylene Blue Staining (MBS) 73</p> <p>9.1.2 Isthmus 77</p> <p>9.1.3 Types of Isthmus 77</p> <p>9.1.4 Incidence 77</p> <p>9.1.5 Histological Findings of Isthmus 79</p> <p>9.1.6 Clinical Significance and Management 81</p> <p>Suggested Readings 82</p> <p><b>10 Ultrasonic Root End Preparation 83<br /></b><i>Spyros Floratos and Syngcuk Kim</i></p> <p>10.1 Armamentarium 83</p> <p>Suggested Readings 89</p> <p><b>11 MTA and Bioceramic Root End Filling Materials 91<br /></b><i>Sujung Shin, Ian Chen, Bekir Karabucak, SeungHo Baek, and Syngcuk Kim</i></p> <p>11.1 Mineral Trioxide Aggregate (MTA) 92</p> <p>11.1.1 Advantages of MTA 92</p> <p>11.1.1.1 Sealing Ability 92</p> <p>11.1.1.2 Biocompatibility and Bioactivity 92</p> <p>11.1.2 Drawbacks of MTA 93</p> <p>11.2 Bioceramics 93</p> <p>11.3 MTA and Bioceramic Application During Apicoectomy 95</p> <p>11.4 Other Types of Cements for Root End Filling 96</p> <p>11.4.1 Intermediate Restorative Material (IRM) 97</p> <p>11.4.2 Super Ethoxybenzoic Acid (SuperEBA) 97</p> <p>11.4.3 Geristore and Retroplast 98</p> <p>11.4.4 New Types of Cements for Root End Filling 98</p> <p>Suggested Readings 98</p> <p><b>12 Flap Reposition and Suturing 101<br /></b><i>Francesco Maggiore and Meetu Kohli</i></p> <p>12.1 Suture Removal 101</p> <p>Suggested Readings 111</p> <p><b>13 PeriapicalWound Healing 113<br /></b><i>Ingrida Dapkute, Georges Bandelac, Chafic Safi, and Frank Setzer</i></p> <p>13.1 Principles ofWound Healing 113</p> <p>13.2 Healing after Apical Microsurgery 113</p> <p>13.3 Incomplete Healing/Scar Formation 113</p> <p>13.4 Evaluation of Healing after Apical Surgery 114</p> <p>13.5 Healing Evaluation Using CBCT 115</p> <p>Suggested Readings 118</p> <p><b>14 Cone Beam Computed Tomography 119<br /></b><i>Garrett Guess, Fouad Al-Malki,Meetu Kohli, Bekir Karabucak, and Samuel Kratchman</i></p> <p>14.1 How CBCT Works 120</p> <p>14.2 Indications and Clinical Applications 120</p> <p>Suggested Readings 142</p> <p><b>15 Mental Nerve Management 143<br /></b><i>Paula Mendez-Montalvo, Fouad Al-Malki, and Syngcuk Kim</i></p> <p>15.1 Armamentarium 143</p> <p>15.1.1 Mental Foramen and Nerve 143</p> <p>15.1.1.1 Location 143</p> <p>15.1.1.2 Anterior Loop 143</p> <p>15.1.1.3 Number of Mental Foramina 144</p> <p>15.1.2 Mental Foramen Detection on Radiographs 144</p> <p>15.1.2.1 Periapical Radiograph 144</p> <p>15.1.2.2 Panoramic Films 145</p> <p>15.1.2.3 Cone Beam Computed Tomography (CBCT) 145</p> <p>15.1.3 Neurosensory Alteration 145</p> <p>15.1.3.1 Surgical Technique to Avoid Iatrogenic Mental Nerve Trauma and Injury 146</p> <p>15.1.4 Groove Technique Using Piezoelectric Surgery 146</p> <p>Suggested Readings 150</p> <p><b>16 Maxillary Posterior Surgery, the Sinus, andManaging Palatal Access 151<br /></b><i>Garrett Guess and Samuel Kratchman</i></p> <p>16.1 Maxillary Premolars 151</p> <p>16.1.1 Access 151</p> <p>16.1.2 Instrumentation 151</p> <p>16.2 Sinus Exposure 151</p> <p>16.3 Maxillary First Molars 153</p> <p>16.3.1 Access 153</p> <p>16.3.2 Palatal Approach 155</p> <p>16.4 Second Molars 159</p> <p>16.4.1 Periodontal Aspects 161</p> <p>Suggested Readings 162</p> <p><b>17 Surgical Root Perforation Repair 163<br /></b><i>Raed Kasem, Samuel Kratchman, and Meetu Kohli</i></p> <p>17.1 Possible Challenges to Non-surgical Perforation Repair 163</p> <p>17.2 Factors that Enhance Positive Long-Term Prognosis for Perforation Repair 164</p> <p>17.3 Surgical Perforation Repair Techniques 166</p> <p>17.4 Surgical Treatment for External Root Resorption 168</p> <p>Suggested Readings 177</p> <p><b>18 Intentional Replantation 179<br /></b><i>David Li and Samuel Kratchman</i></p> <p>18.1 Armamentarium 179</p> <p>18.1.1 Success Rate 179</p> <p>18.1.2 Indications 179</p> <p>18.1.3 Replantation or Apicoectomy 179</p> <p>18.1.4 Extraction 182</p> <p>18.1.5 Extraoral Phase 183</p> <p>18.1.6 Storage Medium 183</p> <p>18.1.7 Replantation 183</p> <p>18.1.8 Splinting 185</p> <p>18.1.9 Postop Instructions 186</p> <p>18.1.10 Cone Beam CT Scan 186</p> <p>18.1.11 Repairing Procedural Mishaps 186</p> <p>Suggested Readings 191</p> <p><b>19 Guided Tissue Regeneration in Endodontic Microsurgery 193<br /></b><i>Garrett Guess and Samuel Kratchman</i></p> <p>Suggested Readings 202</p> <p><b>20 Implants versus Endodontic Microsurgery 205<br /></b><i>Frank Setzer and Syngcuk Kim</i></p> <p>20.1 Historical Perspective 205</p> <p>20.2 Benefits of Implants 205</p> <p>20.3 Long-Term Prognosis of Dental Implants 205</p> <p>20.4 Implant Complications 206</p> <p>20.5 Long-Term Prognosis of Endodontically Treated Teeth with Root End Surgery 207</p> <p>20.6 Conclusion 209</p> <p>Suggested Readings 210</p> <p><b>21 Prognosis of Endodontic Microsurgery 213<br /></b><i>Meetu Kohli and Euiseong Kim</i></p> <p>21.1 Best Available Evidence 213</p> <p>21.2 Parameters for Success: Clinical and Radiographic 2D 214</p> <p>21.3 Parameters for Success: “Penn 3D Criteria” for Assessing Healing on CBCT 215</p> <p>21.4 Reversal of Success 215</p> <p>21.5 TraditionalMethods 217</p> <p>21.6 Modern Technique versus the Complete Microsurgical Approach 218</p> <p>21.7 Root End Filling Materials 218</p> <p>21.8 Case Selection 219</p> <p>21.9 Resurgery 219</p> <p>21.10 Summary 219</p> <p>Suggested Readings 219</p> <p><b>22 Positioning 221<br /></b><i>Samuel Kratchman and Syngcuk Kim</i></p> <p>22.1 Armamentarium 221</p> <p>Suggested Readings 226</p> <p>Index 227</p>
<p><b> Syngcuk Kim,</b> DDS, PhD, MD (Hon), is Louis I. Grossman Professor and Chairman Emeritus in the Department of Endodontics and Associate Dean for Global Affairs at the University of Pennsylvania School of Dental Medicine in Philadelphia, Pennsylvania, USA, and maintains a private practice in New York, New York, USA. <p><b> Samuel Kratchman,</b> DMD, is Clinical Associate Professor and Assistant Director of Graduate Endodontics and Director of Microsurgery in the Department of Endodontics at the University of Pennsylvania School of Dental Medicine in Philadelphia, Pennsylvania, USA, and maintains three private practices limited to endodontics in Exton, West Chester, and Paoli, Pennsylvania, USA. <p><b> Associate Editors<br> Bekir Karabucak,</b> DMD, MS, is Chair and Associate Professor of Endodontics, Director of the Postdoctoral Endodontics Program, and Director of the Division of Advanced Dental Education at the University of Pennsylvania School of Dental Medicine in Philadelphia, Pennsylvania, USA, and maintains a private practice in Philadelphia, Pennsylvania, USA. <p><b> Meetu Kohli,</b> DMD, is Clinical Associate Professor of Endodontics and Director of the Continuing Education and International Program in the Department of Endodontics at the University of Pennsylvania School of Dental Medicine in Philadelphia, Pennsylvania, USA, and maintains two private practices limited to endodontics in Oaks and Gilbertsville, Pennsylvania, USA. <p><b> Frank Setzer,</b> DMD, PhD, MS, is an Assistant Professor, Clinical Director, and Pre-Doctoral Program Director in the Department of Endodontics at the University of Pennsylvania School of Dental Medicine in Philadelphia, Pennsylvania, USA, and maintains a private practice in Philadelphia, Pennsylvania, USA.
<p><b> The definitive reference to endodontic microsurgery, with instructive photographs and illustrations </b> <p> Written by experts in the field, <i>Microsurgery in Endodontics</i> is an essential resource on endodontic microsurgery, including the most recent advances in microsurgical techniques. Comprehensive in scope, the book's coverage includes microsurgical instruments, case selection, soft tissue management, beveling, root end filling, perforation repair, root amputation, bone grafting, palatal surgery, sinus management, mental nerve management, outcome assessment, post-operative management, and more. Designed to be accessible and practical, the text is accompanied by a wealth of instructive photographs and illustrations that guide readers through each step of the procedures presented. <p> This important text demonstrates how to use the surgical microscope in order to see details that cannot otherwise be detected, leading to more successful outcomes. This reference is filled with the needed information, newest techniques, and clinical approaches. <i>Microsurgery in Endodontics: </i> <ul> <li>Provides a definitive reference work on endodontic microsurgery</li> <li>Includes contributions from pioneers and innovators in the field of microsurgical endodontics</li> <li>Describes techniques for a wide range of microsurgical procedures</li> <li>Includes more than 600 instructive illustrations and photographs</li> </ul> <br> <p><i> Microsurgery in Endodontics</i> offers a key resource that highlights the most current developments in microsurgical techniques and instrumentation.

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