Microsurgery In Endodontics

By (author) Syngcuk Kim; By (author) Kim, S
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Microsurgery in Endodontics showcases the most recent advances in microsurgical techniques and instrumentation, with contributions from leading endodontists from around the world.
Description
Microsurgery in Endodontics showcases the most recent advances in microsurgical techniques and instrumentation, with contributions from leading endodontists from around the world. Provides a definitive reference work on endodontic microsurgery Written by pioneers and innovators in the field of microsurgical endodontics Describes techniques for every aspect where microsurgical procedures are recommended Includes more than 600 illustrations and photographs
Table of contents

Contributors xiii

Preface xv

Acknowledgements xvii

1 The Dental Operating Microscope 1
Frank Setzer

1.1 Benefits of the Operating Microscope 1

1.2 Key Features of Operating Microscopes 1

1.3 Customizing a Microscope 3

1.3.1 Light Source 3

1.3.2 Documentation 5

1.3.3 Individual Microscope Adjustment (Parfocaling) 5

Suggested Readings 7

2 Microsurgical Instruments 9
SeungHo Baek and Syngcuk Kim

2.1 Examination Instruments 9

2.2 Incision and Elevation Instrument 9

2.3 Tissue Retraction Instruments 11

2.4 Osteotomy Instruments 14

2.5 Curettage Instruments 14

2.6 Inspection Instruments 15

2.7 Ultrasonic Units and Tips for Root End Preparation 17

2.8 Microplugger Instruments 20

2.9 Suturing Instruments 20

2.10 Miscellaneous Instruments 22

3 Medication-Related Osteonecrosis of the Jaw and Endodontic Microsurgery 25
Chafic Safi and Bekir Karabucak

Suggested Readings 29

4 Indications and Contraindications 31
Bekir Karabucak and Garrett Guess

4.1 Introduction 31

4.2 Surgical Success Dependent on Ability to Perform Ideal Protocols 31

4.3 Etiology Assessment through Examination and Treatment 31

4.4 Periodontal Considerations and Surgery 33

4.5 Influential Patient Factors 33

4.6 Condition of Previous Endodontic Treatment 37

Suggested Readings 38

5 Anesthesia and Hemostasis 39
Siva Rethnam-Haug, Aleksander Iofin, and Syngcuk Kim

5.1 Armamentarium 39

5.1.1 Epinephrine 39

5.2 Presurgical Phase 40

5.2.1 Administration of Local Anesthetic 40

5.2.2 Injection Techniques 40

5.2.3 Topical Anesthesia 41

5.2.4 Additional Techniques 41

5.2.5 Maxillary Anesthesia 41

5.2.6 Mandibular Anesthesia 43

5.2.7 Bilateral Mandibular Surgery 43

5.3 Surgical Phase 44

5.3.1 Topical Hemostatic Agents 44

5.3.1.1 Epinephrine Pellets 45

5.3.1.2 Ferric Sulfate 45

5.4 Summary of Hemostatic Techniques in Endodontic Microsurgery 46

5.5 Postsurgical Phase 46

Suggested Readings 48

6 Flap Design in Endodontic Microsurgery 49
Francesco Maggiore and Frank Setzer

6.1 Armamentarium 49

6.1.1 Flap Outline 49

6.1.2 Papilla Management 52

6.1.3 Incision 54

6.1.4 Flap Elevation 54

6.1.5 Flap Retraction 55

Suggested Readings 56

7 Osteotomy 57
Francesco Maggiore and Syngcuk Kim

7.1 Armamentarium 57

7.2 Osteotomy 57

7.2.1 Distinction between Bone and Root Tip 57

7.2.2 Clinical Situations for Endodontic Microsurgery 58

7.3 Intact Cortical Plate without a Radiographic Periapical Lesion 59

7.4 Intact Cortical Plate with a Periapical Lesion 60

7.5 Fenestration through the Cortical Plate Leading to the Apex 60

7.5.1 Optimal Osteotomy Size 61

7.5.2 Key Hole Osteotomy Modification 61

7.5.3 BoneWindow Technique 61