- Email: [email protected]
Apicoectomy in maxillary molar teeth. Postoperative findings in the bone and maxillary sinus
148
Abstracts
ing. F. Khoury, A. Schulte, R. Becker and T. Hahn, MOnster.
A prospective study was caried out to assess whether endodontic treatment, caried out either before or during apicoectomy made any difference to healing of the apical bone environment. Bone healing following peroperative endodontic treatment was initially retarded, but eventually became comparable to bone healing following presurgical endodontic treatment.
The Stutz pin-and-sleeve system for apicoectomy. A. Dtrr, Malente
The Stutz pin-and-sleeve system for apicoectomy provides a useful instrument for saving teeth that otherwise would inevitably have to be extracted, thus rendering a more favorable prosthodontic management. After the production had been stopped, the surgical results and the success of the treatment were evaluated in a final post-treatment study. Clinically relevant and radiographically obvious failures were not found. It would be desirable if the production of this system, could be continued.
SEM and direct light microscopic comparative studies on the configuration of the marginal seal obtained with different sealing techniques in apicoectomy. H. R. Sauer, K. F. BOrring, C. U. Fritzemeier and J. Lentrodt, DOsseldorf
The marginal seal of different root filling techniques and materials was examined under direct light and scanning electron microscopes in 72 in vitro apicoectomies. The best results were found with metallic points, i.e., silver and titanium, when an orthograde filling technique was applied. In the case of retrograde filling, Bowen's resins exhibited better results than amalgam which, in our opinion, should be discarded for its surface properties, toxicity and tissue tolerance characteristics.
Possibilities, limitations and experience with the bone lid method in apicoectomies in the mandibular molar area. F. Khoury, MOnster
From 1982 to 1985, apicoectomy was performed on 121 mandibular molar
teeth using the "bone lid" approach and regular postoperative follow-up was caried out. In only 3 cases was revision necessary to wholy or partly remove the bony lid because of infection. The surgical outcome was successful in about 90% of the cases by 9 months. The factors which have contributed to these good results include excellent visualisation of the operative site permitting exact apical surgery and the terminal bony deficit which encourages early and effective bone union in the operated area.
Apicoectomy of molars with surgical root filling using titanium: technique, clinical and radiographic results. V. Cordes, H. Schubert and J. Bier, Hamburg
After many years good experience when using silver points for apicectomies, we have recently started using the Kit according to Schilli with standardized, apical titan cones, because of corrosion and bin-compatibility, of missing metallosis and a certain transdental character of fixation by the titan cones. According to sufficient experience, no complications of the neighbour anatomic structures are to be expected. Due to 2277 root resections we did at molars and due to the small risk, the time spent and the satisfactory results, we can also encourage the apicectomy of molars as a routine. The use of titan cones shows advantages over the silver points used up to now.
maxillary sinus. S. A. Geiger and M. Peuten, Karlsruhe
Apicoectomy of maxillary molars is a successful method of surgical tooth preservation. It was performed 55 times in the outpatient department of the clin ic of Karlsruhe with continuously good results and a complication rate of only 5.5%. In most of the cases, the reossification of the periapical areas was good although the maxillary sinus had to be perforated in half of the cases. There were no other additional sinus problems, and the pain experienced preoperatively was considerably reduced. The postoperative findings were documented clinically, radiographically and sonographically.
Periapical reossification in apicoectomized teeth with silver cone application. R.-P. Koeser and B. Steegmann, K61n
A total of 109 teeth treated in 76 patients with apicoectomy and the intraoperative insertion of a short silver cone within a period of 5 years were the subject of a post-treatment evaluation. When strict indications were applied, this method has proven successful.
Long-term results of apicoectomies with intraoperative apical silver conefilling. P. Mohr, P. Tetsch and D. Schaudig, Mainz
90 out of 306 patients treated between 1980 und 1985 with apicoectomy in their maxillary buccal regions could be re-evaluated. The maxillary sinuses were perforated intraoperatively 44 times. The reaction of the sinuses to apicoectomy of molars and premolars is good; there was no maxillary sinusitis requiring surgery as a long-term complication. 82% of the patients were painfree clinically, and had no pathological radiographic findings.
From 1979 to 1983, a total of 956 teeth were apicoectomized and the roots filled with standardized silver cones in 799 patients at the outpatient clinic for dental surgery in Mainz. Within the framework of a clinical study, 116 patients with 135 apicoectomized teeth were reevaluated and examined clinically as well as radiographically. 11 out of the 135 teeth treated had been extracted, and another 19 required further resection. In 16 cases, the radiographical examination revealed no bone regeneration. Thus the clinical success rate amounts to 77.8%, and the radiographical success rat 69.06/o. For root filling, silver should be replaced by a more bincompatible material.
Apicoectomy in maxillary molar teeth. Postoperative findings in the bone and
5 years of clinical experience with standardized apical titanium cones in
The reaction of maxillary sinuses to apicoectomy of molars and premolars. J. Th. Lambrecht and F. H&r/e, Kiel
Abstracts
ing. F. Khoury, A. Schulte, R. Becker and T. Hahn, MOnster.
A prospective study was caried out to assess whether endodontic treatment, caried out either before or during apicoectomy made any difference to healing of the apical bone environment. Bone healing following peroperative endodontic treatment was initially retarded, but eventually became comparable to bone healing following presurgical endodontic treatment.
The Stutz pin-and-sleeve system for apicoectomy. A. Dtrr, Malente
The Stutz pin-and-sleeve system for apicoectomy provides a useful instrument for saving teeth that otherwise would inevitably have to be extracted, thus rendering a more favorable prosthodontic management. After the production had been stopped, the surgical results and the success of the treatment were evaluated in a final post-treatment study. Clinically relevant and radiographically obvious failures were not found. It would be desirable if the production of this system, could be continued.
SEM and direct light microscopic comparative studies on the configuration of the marginal seal obtained with different sealing techniques in apicoectomy. H. R. Sauer, K. F. BOrring, C. U. Fritzemeier and J. Lentrodt, DOsseldorf
The marginal seal of different root filling techniques and materials was examined under direct light and scanning electron microscopes in 72 in vitro apicoectomies. The best results were found with metallic points, i.e., silver and titanium, when an orthograde filling technique was applied. In the case of retrograde filling, Bowen's resins exhibited better results than amalgam which, in our opinion, should be discarded for its surface properties, toxicity and tissue tolerance characteristics.
Possibilities, limitations and experience with the bone lid method in apicoectomies in the mandibular molar area. F. Khoury, MOnster
From 1982 to 1985, apicoectomy was performed on 121 mandibular molar
teeth using the "bone lid" approach and regular postoperative follow-up was caried out. In only 3 cases was revision necessary to wholy or partly remove the bony lid because of infection. The surgical outcome was successful in about 90% of the cases by 9 months. The factors which have contributed to these good results include excellent visualisation of the operative site permitting exact apical surgery and the terminal bony deficit which encourages early and effective bone union in the operated area.
Apicoectomy of molars with surgical root filling using titanium: technique, clinical and radiographic results. V. Cordes, H. Schubert and J. Bier, Hamburg
After many years good experience when using silver points for apicectomies, we have recently started using the Kit according to Schilli with standardized, apical titan cones, because of corrosion and bin-compatibility, of missing metallosis and a certain transdental character of fixation by the titan cones. According to sufficient experience, no complications of the neighbour anatomic structures are to be expected. Due to 2277 root resections we did at molars and due to the small risk, the time spent and the satisfactory results, we can also encourage the apicectomy of molars as a routine. The use of titan cones shows advantages over the silver points used up to now.
maxillary sinus. S. A. Geiger and M. Peuten, Karlsruhe
Apicoectomy of maxillary molars is a successful method of surgical tooth preservation. It was performed 55 times in the outpatient department of the clin ic of Karlsruhe with continuously good results and a complication rate of only 5.5%. In most of the cases, the reossification of the periapical areas was good although the maxillary sinus had to be perforated in half of the cases. There were no other additional sinus problems, and the pain experienced preoperatively was considerably reduced. The postoperative findings were documented clinically, radiographically and sonographically.
Periapical reossification in apicoectomized teeth with silver cone application. R.-P. Koeser and B. Steegmann, K61n
A total of 109 teeth treated in 76 patients with apicoectomy and the intraoperative insertion of a short silver cone within a period of 5 years were the subject of a post-treatment evaluation. When strict indications were applied, this method has proven successful.
Long-term results of apicoectomies with intraoperative apical silver conefilling. P. Mohr, P. Tetsch and D. Schaudig, Mainz
90 out of 306 patients treated between 1980 und 1985 with apicoectomy in their maxillary buccal regions could be re-evaluated. The maxillary sinuses were perforated intraoperatively 44 times. The reaction of the sinuses to apicoectomy of molars and premolars is good; there was no maxillary sinusitis requiring surgery as a long-term complication. 82% of the patients were painfree clinically, and had no pathological radiographic findings.
From 1979 to 1983, a total of 956 teeth were apicoectomized and the roots filled with standardized silver cones in 799 patients at the outpatient clinic for dental surgery in Mainz. Within the framework of a clinical study, 116 patients with 135 apicoectomized teeth were reevaluated and examined clinically as well as radiographically. 11 out of the 135 teeth treated had been extracted, and another 19 required further resection. In 16 cases, the radiographical examination revealed no bone regeneration. Thus the clinical success rate amounts to 77.8%, and the radiographical success rat 69.06/o. For root filling, silver should be replaced by a more bincompatible material.
Apicoectomy in maxillary molar teeth. Postoperative findings in the bone and
5 years of clinical experience with standardized apical titanium cones in
The reaction of maxillary sinuses to apicoectomy of molars and premolars. J. Th. Lambrecht and F. H&r/e, Kiel