Análise clínica e radiográfica de dentes submetidos a cirurgia parendodôntica há mais de 10 anos

• Autor(a) principal: Pipa, Camila Barbosa [UNESP]
• Data de Publicação: 2015
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://hdl.handle.net/11449/149644; http://www.athena.biblioteca.unesp.br/exlibris/bd/capelo/2017-01-30/000867347.pdf
• topic: Microcirurgia; Obturação retrógrada; Endodontia; Apicectomia; Microsurgery

The endodontic surgery should be considered as the last treatment option and should be used when conventional endodontic treatment did not provide the desired result. The presence of microorganisms in periapical region is a determining factor in the failure of endodontic treatment and, consequently, lack of repair of periapical tissues. The objective of this study was to evaluate, through clinical and radiographic analysis, the success of apical microsurgery performed for over 10 years in Araçatuba Dental School in 10 patients. In all patients was performed apicoectomy and the preparation of cavities with the aid of ultrasonic tips. For back-filling was used MTA Pro-root Sealapex or cement plus zinc oxide powder. After 14 years of post-operative patients were evaluated clinical and radiographic point of view about the success of the procedure employed. Clinically, no patient had pain on percussion and / or palpation. Radiographically, there was a periapical tissue for repair of bone deposition in the periapical region and restoration of periodontal ligament space in nine patients. In one case, we observed partial repair of periapical tissues with small radiolucent area juxtaposed to the dental apex without clinical symptoms. It can be concluded that the endodontic surgery, and when indicated, may be an alternative to promote the repair of periapical tissues in cases where the conventional endodontic treatment did not provide the desired result