6533b7dafe1ef96bd126ec01
RESEARCH PRODUCT
Periapical Microsurgery with an Endoscope and Microscope of Two Upper Central Incisors Already Subjected to Periapical Surgery 25 Years Ago
Miguel Peñarrocha-diagoPablo Glera-suarezBlanca Serra-pastorDavid Peñarrocha-oltraCosme Gay-escodasubject
Mineral trioxide aggregateEndoscopebusiness.industrymedicine.medical_treatment0206 medical engineeringDentistrySoft tissueRK1-715Case Report030206 dentistry02 engineering and technologyMicrosurgery020601 biomedical engineering03 medical and health sciencesstomatognathic diseases0302 clinical medicinestomatognathic systemDentistryApicoectomyMedicineMaxillary central incisorOstectomybusinessBone regenerationGeneral Dentistrydescription
Introduction. The present clinical case describes periapical microsurgery with an endoscope and microscope in a patient already treated 25 years ago due to persistent periapical disease of the two central upper incisors, restored with poorly adapted crowns. Clinical Case. The first periapical surgery had been performed with silver amalgam as a retrograde filler material, causing grayish staining of the buccal mucosa. Periapical surgery was performed raising a submarginal flap with ostectomy and apicoectomy, retrograde cavity preparation with ultrasound tips, and filling with mineral trioxide aggregate (MTA). After soft tissue healing and complete bone regeneration of the lesion, retreatment of the incisors with a fixed prosthesis was carried out, adopting the biologically oriented preparation technique (BOPT). Conclusions. The described periapical microsurgery approach with magnification and illumination of the surgical field was found to be effective, avoiding the need to extract the two central upper incisors.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2020-12-01 | Case Reports in Dentistry |