Description
Book SynopsisThis book is derived from a series of articles written for dental practitioners and first published in Dental Update. The articles were written as a consequence of running a weekly clinic, concerned largely with the correction of referred endodontic problems. In most cases the 'problems' did not exist and were treated simply by redoing the root filling or by undertaking a straightforward apicectomy. Regrettably, in many other cases, the problem would not have existed had the previously undertaken, and potentially simple, apicectomy been carried out competently. There is no good reason why apical surgery should not be undertaken by the general dental practitioner as part of the patient's overall treatment. After all, the problem will usually have arisen either during, or as a result of, routine dental treatment. In addition, the tooth may require to be restored, either at the time of surgery or fairly soon thereafter. Regrettably, inexperience in the handling of soft tissues, and concern about the risk of damage to associated structures, often deters the dentist from attempting what is, if sensibly approached, an uncomplicated minor dento-alveolar operation. Chapters 1-8 introduce the reader to the basic techniques of apicectomy. Chapters 9, 12, 16 and 17 will, it is hoped, help the interested dentist to develop a competence to treat more complex cases, once he or she has become proficient in the basic skills.
Table of ContentsAcknowledgements.- 1. Principles of apicectomy technique.- 2. Indications for apicectomy.- 3. Operative technique: introduction.- 4. Operative technique: anaesthesia.- 5. Operative technique: flap design; reflection, closure.- 6. Operative technique: the root-tip; identification and resection.- 7. Operative technique: the apical seal.- 8. Operative technique: postoperative recovery.- 9. Operative technique: treatment of specific teeth.- 10. Operative technique: fractured posts and instruments.- 11. Operative technique: repair of perforations.- 12. Operative technique: alternative methods.- 13. Postoperative appointment; review and assessment; restoration.- 14. Correction of failure (re-apicectomy).- 15. Equipment.- 16. Periodontal considerations I.- 17. Periodontal considerations II.- 18. Examination; treatment plan; preoperative preparation; prognosis.
