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7 Cards in this Set
- Front
- Back
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Objectives of Endo surgery |
Curettage Resection Inspection |
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Indications |
1. Failure of non surgical endo t/t 2.Failure of non surgical re endo t/t 3. Failure of previous surgery 4. Anatomic problems 5. Iatrogenic errors 6. Horizontal apical root fractures 7. Exploratory surgery and biopsy with previous history of malignancies. 8. Hemisection and radisection in periodontal considerations |
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Periradicular surgical flap designs |
Full mucoperiosteal 1. Triangular ( single vertical releasing incision) 2. Rectangular (double vertical releasing incisions) 3. Trapezoidal ( broad base rectangular) 4. Horizontal (envelope) 5. Papilla based flap
LIMITED MUCOPERIOSTEAL 1. Submarginal curved ( semilunar) 2. Submarginal scalloped rectangular (Luebke Ochsenbein) |
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Contraindications of Endodontic surgery |
1. Inadequate periodontal support 2. Poor restorability 3. Lesions situated very close to important anatomical structures like - Inf alv N. - lingual N. - Mental foramen - Maxillary sinus 4. Systemic complications - bleeding disorders - severe cardiac disease (recent episode of MI etc.) - Immunocompromised pt 5. Practitioner skills 6. Inclusion of microsurgical treatment. |
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Complications of Endodontic surgery |
1. Swelling 2. Pain 3. Ecchymosis 4. Paresthesia 5. Stitch abscess 6. Haemorrhage 7. Perforation 8. Iatrogenic 9. Incision failure |
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Apicoectomy |
1. Definition 2. Presurgical consideration 3. Armamentarium 4. Anaesthesia and haemostasis 5. Designing of flap 6. Flap elevation 7. Flap retraction 8. Osteotomy 9. Removal of pathology ( Periradicular curettage) 10. Resection of apex 11. Root end preparation 12. Retrogade filling 13. Wound cleaning and suturing 14. Post surgical care and followups |
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Classification of Endo surgery |
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