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Revista Odontológica Mexicana Órgano Oficial de la Facultad de Odontología UNAM

ISSN 1870-199X (Print)
Órgano oficial de la Facultad de Odontología, UNAM
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2015, Number 1

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Rev Odont Mex 2015; 19 (1)

Apical curettage and retrograde obturation without apicoectomy. Clinical case presentation

Hofmann SME, Carrillo VAG, García BJC, Magaña MDY, Zamora ISR, Gaitán CLA
Full text How to cite this article

Language: Spanish
References: 8
Page: 48-50
PDF size: 242.28 Kb.


Key words:

Apical curettage, apicoectomy retrograde obturation, MTA cement.

ABSTRACT

Apical curettage with apicoectomy is a component of many endodontic surgical procedures. It purports the aim of removing any contents present inside the surgical cavity, such as granulation tissue, cystic membrane remnants, or foreign bodies, as well as removing the involved dental apex. Nevertheless, in some cases, performing an apicoectomy can negatively influence the restoration’s stability; in these cases an alternative treatment could be performing apical curettage without apicoectomy. The present article documents a clinical case where apical curettage and retrograde obturation with mineral trioxide aggregate cement were performed on a tooth where previous conventional endodontic treatment had failed.


REFERENCES

  1. Watts JD, Holt DM, Beeson TJ, Kirkpatrick TC, Rutledge RE. Effects of pH and mixing agents on the temporal setting of tooth-colored and gray mineral trioxide aggregate. J Endod. 2007; 33 (8): 970-973.

  2. Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod. 2006; 32 (7): 601-623.

  3. Martí-Bowen E, Peñarrocha-Diago M, García-Mira B. Cirugía periapical con técnica de ultrasonido y obturación retrógrada con amalgama de plata. Estudio en 71 dientes con 100 conductos. Medicina Oral, Patología Oral y Cirugía Bucal. 2005; 10: 67-73.

  4. Baek SH, Lee WC, Setzer FC, Kim S. Periapical bone regeneration after endodontic microsurgery with three different root-endo filling materials: amalgam, SuperEBA, and mineral trioxide aggregate. J Endod. 2010; 36 (8): 1323-1325.

  5. Saunders WP. A prospective clinical study of periradicular surgery using mineral trioxide aggregates as a root-end filling. J Endod. 2008; 34 (6): 660-665.

  6. von Arx T, Peñarrocha M, Jensen S. Prognostic factors in apical surgery with root-end filling: a meta-analysis. J Endod. 2010; 36 (6): 957-973.

  7. Shillingburg HT. Fundamentals of fixed prosthodontics. 4th ed. Quintessence books; USA. 2012.

  8. Damas BA, Wheater MA, Bringas JS, Hoen MM. Cytotoxicity comparison of mineral trioxide aggregates and endosequence bioceramic root repair materials. J Endod. 2011; 37 (3): 372-375.




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Rev Odont Mex. 2015;19