ADVANCEMENT IN ENDODONTIC MICROSURGERY: A REVIEW OF TECHNIQUES AND OUTCOMES
Main Article Content
Keywords
Endodontics, microsurgery, clinical outcomes, techniques
Abstract
Endodontic microsurgery has undergone significant advancements in recent decades, characterized by the integration of sophisticated technologies and refined surgical techniques. The evolution from traditional methods to microsurgical approaches has notably enhanced procedural precision, minimized tissue damage, and improved healing outcomes. Innovations such as operating microscopes, ultrasonic tips, and laser technology have revolutionized the accuracy and effectiveness of these procedures, allowing for minimally invasive techniques that reduce postoperative discomfort and accelerate patient recovery. A comparative analysis of traditional versus microsurgical endodontic techniques reveals that microsurgical approaches offer superior precision, significantly lower complication rates, and better patient outcomes. The incorporation of digital imaging and cone beam computed tomography (CBCT) into surgical planning and execution further enhances the success rates of these interventions. These advancements are critical in achieving high success rates and ensuring better patient-centered outcomes, including reduced pain, faster healing times, and higher overall patient satisfaction. The integration of biocompatible materials in conjunction with advanced imaging techniques has improved both the efficacy of surgical interventions and the quality of patient care. Such developments have shifted the focus towards techniques that not only address the immediate surgical needs but also prioritize long-term health and functionality of the tooth. Overall, the progressive improvements in endodontic microsurgery have established microsurgical techniques as the standard for endodontic procedures. Continued innovations and research in this field promise to further enhance these methods, ensuring even more effective clinical outcomes and improved patient experiences in the future.
References
2- Tsesis I, Rosen E, Taschieri S, Telishevsky Strauss Y, Ceresoli V. Outcome of surgical endodontic treatment performed by a modern technique: a meta-analysis of literature. J Endod. 2010;36(11):1767-82.
3- Rubinstein RA, Kim S. Short-term observation of the results of endodontic surgery with the use of a surgical operating microscope and Super-EBA as root-end filling material. J Endod. 1999;25(1):43-8.
4- Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic imaging: Part 1. Conventional and alternative radiographic systems. Int Endod J. 2009;42(6):447-62.
5- Molven O, Halse A, Grung B. Observer strategy and the radiographic classification of healing after endodontic surgery. Int Endod J. 1996;29(3):142-9.
6- Torabinejad M, Watson TF, Pitt Ford TR. Sealing ability of a mineral trioxide aggregate when used as a root end filling material. J Endod. 1993;19(12):591-5.
7- Pitt Ford TR, Torabinejad M, McKendry DJ, Hong CU, Kariyawasam SP. Use of mineral trioxide aggregate for repair of furcal perforations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(6):756-63.
8- Velvart P. Ultrasonic root-end preparation. J Endod. 2005;31(11):821-30.
9- Kruse C, Spin-Neto R, Christiansen R, Wenzel A, Kirkevang LL. Cone beam computed tomography for assessment of root canal treatment: factors influencing the diagnostic validity and reliability. Eur Endod J. 2018;33(6):569-79.
10- von Arx T, Jensen SS, Hänni S. Clinical results with two different methods of root-end preparation and filling in apical surgery: mineral trioxide aggregate and adhesive resin composite. J Endod. 2007;33(7):847-53.
11- Vizotto MB, Hanemann JAC, Pereira DL. Outcomes of endodontic treatment and retreatment with and without biomaterials: a retrospective study. Braz Oral Res. 2019;33:e019.
12- Özgür B, Sübay RK, Şahin C. Effects of different ultrasonic root-end preparation techniques on the integrity of root apex. Int Endod J. 2015;48(9):862-9.
13- Carr GB. Microscopes in endodontics. J Calif Dent Assoc. 1992;20(11):55-61.
14- Takeda FH, Harashima T, Kimura Y, Matsumoto K. A comparative study of the removal of smear layer by three endodontic irrigants and two types of laser. Int Endod J. 1999;32(1):32-9.
15- Moritz A, Jakolitsch S, Goharkhay K, Schoop U, Kluger W, Mallinger R, Sperr W. Morphologic changes correlating to different sensitivities of Escherichia coli and Enterococcus faecalis to Nd:YAG laser irradiation through dentin. Lasers Surg Med. 2000;26(3):250-6.
16- Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography in endodontics – a review. Int Endod J. 2015;48(1):3-15.
17- Roba M, Duncan H, Doughty J, Blevins P. Early applications of robotic technology in dentistry: a review. Med Robot. 2018;14(4):485-90.
18- Berman LH. Augmented reality: a change in our perception. J Endod. 2017;43(6):884-7.
19- Dorn SO, Gartner AH. Retrograde filling materials: a retrospective success-failure study of amalgam, EBA, and IRM. J Endod. 1990;16(8):391-3.
20- Kim S, Pecora G, Rubinstein R. The use of a surgical microscope in endodontic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;83(1):97-101.
21- Taschieri S, Del Fabbro M, Testori T, Saita M, Weinstein R. Efficacy of surgical vs. non-surgical endodontic retreatment. Clin Oral Investig. 2011;15(4):569-77.
22- von Arx T. Apical surgery: A review of current techniques and outcome. Saudi Dent J. 2011;23(1):9-15.
23- Maddalone M, Gagliani M. Periapical endodontic surgery: a 3-year follow-up study. Int Endod J. 2003;36(3):193-8.
24- Velvart P, Peters CI. Soft tissue management for primary closure in apical surgery: A review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99(6):614-25.
25- Lin LM, Ricucci D, Lin J, Rosenberg PA. Wound healing of surgical sites in endodontic microsurgery. J Endod. 2007;33(2):129-34.
26- Taschieri S, Weinstein T, Del Fabbro M. Efficacy of a new ultrasonic technique in endodontic retreatment. J Endod. 2008;34(7):590-3.
27- Song M, Kim HC, Lee W, Kim E. A randomized controlled study of the use of ProRoot Mineral Trioxide Aggregate and EndoSequence Bioceramic Root Repair Material in endodontic microsurgery. J Endod. 2013;39(4):473-7.
28- Kim S, Kratchman S. Modern endodontic surgery concepts and practice: A review. J Endod. 2006;32(7):601-23.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Bassam Fayez Rawas
Dental Department, Ministry of Health, Mecca, Saudi Arabia
Heba Tariq Jan
Dental Department, Haql General Hospital, Tabuk, Saudi Arabia
Abbas Hassan Al Alshaikh
Dental Department, Ministry of Health, Qatif, Saudi Arabia
Mohammad Qahtan Alfahhad
Primary Healthcare, Ministry of Health, Buraidah, Saudi Arabia
Amr Mohammed Mohammedkamel
Dental Department, East Jeddah Hospital, Jeddah, Saudi Arabia
Asma Ibrahim AlAmoudi
Dental Department, Ministry of Health, Jeddah, Saudi Arabia
Roaa Mohammed Altumaihi
Alsheraa Primary Healthcare, King Abdullah Medical Complex, Jeddah, Saudi Arabia
Hadeel Ibrahim Abughaniah
Dental Department, Ministry of Health, Taif, Saudi Arabia
Tariq Hassan Alhazmi
Sabya Primary Healthcare, Ministry of Health, Jazan, Saudi Arabia
Yousef Omar Alharthi
Saudiyah Primary Healthcare, Ministry of Health, Alkharj, Saudi Arabia