{"id":790,"date":"2012-06-30T19:06:26","date_gmt":"2012-06-30T19:06:26","guid":{"rendered":"http:\/\/endojamaica.com\/?p=790"},"modified":"2012-07-01T18:56:36","modified_gmt":"2012-07-01T18:56:36","slug":"periapical-surgery-march-2008","status":"publish","type":"post","link":"https:\/\/endojamaica.com\/?p=790","title":{"rendered":"Periapical Surgery – March 2008"},"content":{"rendered":"

\"\"Long term success for endodontic surgery is quoted to range from as low as 20+% to as high as over 90%. The weighted average of the success of endodontic surgery can said to be in the 70% range. However, if retreatment precedes endodontic surgery then the success of periapical surgery improves significantly. In day to day endodontic practice, the decision to perform a retreatment or periapical surgery or both is a difficult one to make.<\/p>\n

Retreatment alone shall be the first option for most failing endodontic treatments. However a few times periapical surgery may turn out to be a more practical solution. Patients shall be informed of all the options and the pros and cons of doing surgery alone.<\/p>\n

For example, in the attached case, tooth #8 is failing subsequent to a root canal TX, cast post and core. To attempt a retreament involves disassembly of the restoration which may result in the loss of the very little coronal tooth structure remaining. Root fracture during the post removal process is a possibility as well. Doing surgery alone may result in a late failure if there is coronal leakage. I discussed with the patient all the pros an cons of retreatment\/surgery and we both decided to go ahead with Surgery.<\/p>\n

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A Luebke-Oschenbein style full thickness flap was raised, osteotomy was done on the buccal. Lesion was found eroding the palatal bone, making this a through and through defect. Curettage, root end resection followed by root end filling with MTA were performed under the surgical operating microscope.<\/p>\n

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Flap was sutured with 4-0 monofilament sutures. Sutures were removed in 4 days with uneventful healing.Patient will be recalled periodically to review the bony healing.<\/p>\n","protected":false},"excerpt":{"rendered":"

Long term success for endodontic surgery is quoted to range from as low as 20+% to as high as over 90%. The weighted average of the success of endodontic surgery can said to be in the 70% range. However, if … Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":843,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/endojamaica.com\/index.php?rest_route=\/wp\/v2\/posts\/790"}],"collection":[{"href":"https:\/\/endojamaica.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/endojamaica.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/endojamaica.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/endojamaica.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=790"}],"version-history":[{"count":19,"href":"https:\/\/endojamaica.com\/index.php?rest_route=\/wp\/v2\/posts\/790\/revisions"}],"predecessor-version":[{"id":1121,"href":"https:\/\/endojamaica.com\/index.php?rest_route=\/wp\/v2\/posts\/790\/revisions\/1121"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endojamaica.com\/index.php?rest_route=\/wp\/v2\/media\/843"}],"wp:attachment":[{"href":"https:\/\/endojamaica.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=790"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endojamaica.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=790"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endojamaica.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=790"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}