Fogorvosi szemle, 2017 (110. évfolyam, 1-4. szám)
2017-06-01 / 2. szám
48 FOGORVOSI SZEMLE ■ 110. évf. 2. sz. 2017. 26. Schmitz JP, Hollinger JO: The critical size defect as an experimental model for craniomandibulofacial nonunions. Clin Orthop Retat Res. 1986; 299-308. 27. Setzer FC, Kohli MR, Shah SB, Karabucak B, Kim S: Outcome of endodontic surgery: a meta-analysis of the literature-Part 2: Comparison of endodontic microsurgical techniques with and without the use of higher magnification. J Endod. 2012; 1-10. 28. Setzer FC, Shah SB, Kohli MR, Karabucak B, Kim S: Outcome of endodontic surgery: a meta-analysis of the literature-part 1 : Comparison of traditional root-end surgery and endodontic microsurgery. J Endod. 2010; 1757-1765. 29. Song M, Kim E: A prospective randomized controlled study of mineral trioxide aggregate and super ethoxy-benzoic acid as root-end filling materials in endodontic microsurgery. J Endod. 2012; 875-879. 30. Testőri T, Capelli M, Milani S, Weinstein RL: Success and failure in periradicular surgery: a longitudinal retrospective analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999; 493-498. 31. Tidmarsh BG, Arrowsmith MG: Dentinal tubules at the root ends of apicected teeth: a scanning electron microscopic study. Int Endod J. 1989; 184-189. 32. Torabinejad M, Corr R, Handysides R, Shabahang S: Outcomes of nonsurgical retreatment and endodontic surgery: a systematic review. J Endod. 2009; 930-937. 33. Torabinejad M, Parirokh M: Mineral trioxide aggregate: a comprehensive literature review-part II: leakage and biocompatibility investigations. J Endod. 2010; 190-202. 34. Tsesis I, Rosen E, Schwartz-Arad D, Fuss Z: Retrospective evaluation of surgical endodontic treatment: traditional versus modern technique. J Endod. 2006; 412-416. 35. Velvart P: Papilla base incision: a new approach to recessionfree healing of the interdental papilla after endodontic surgery. Int Endod J. 2002; 453-460. 36. Velvart P, Ebner-Zimmermann U, Ebner JP: Comparison of longterm papilla healing following sulcular full thickness flap and papilla base flap in endodontic surgery. Int Endod J. 2004; 687-693. 37. Wright HM Jr, Loushine RJ, Weller RN, Kimbrough WF, Waller J, Pashley DH: Identification of resected root-end dentinal cracks: a comparative study of transillumination and dyes. J Endod. 2004; 712-715. 38. Vy CH, Baumgartner JC, Marshall JG: Cardiovascular effects and efficacy of a hemostatic agent in periradicular surgery. J Endod. 2004; 379-383. Fráter M, Antal M, Braunitzer G, Joób-Fancsaly Á, Nagy K An update on endodontic microsurgery - a literature review Surgical endodontic treatment has long been the last resort for saving previously root canal treated teeth with persistent chronic apical periodontitis. Surgical endodontic treatment could be indicated when nonsurgical retreatment seems impractical or unlikely to improve the previous results or when a biopsy is needed. Traditional surgical endodontic treatment is performed with root-end resection with a 45-degree bevel, retrograde preparation of the canal with bur, and root-end filling leading to only a moderate success rate with this technique. This changed with the introduction of the microscope, microinstruments, ultrasonic tips, and more biologically acceptable root-end filling materials (e.g. mineral trioxide aggregate (MTA), bioceramics). By the utilisation of the above mentioned improvements during the procedure, the achieved success rate can be significantly higher (93,5%) compared to the traditional surgical endodontic procedure (59%). Nevertheless it must be emphasized that this increased success rate can only be obtained if all steps with key importance (i.e. root tip resection, retrograde cavity preparation and retrograde obturation) are performed according to the modern, evidence-based methods. The aim of this article is to impart the advancements in this field in the used materials, techniques and theories, providing a contemporary perspective of modern „endodontic microsurgery”. Keywords: endodontic microsurgery, surgical endodontics, apicectomy, retropreparation, microscope, MTA.
