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Related Experiment Videos

Ultrasonic root-end preparation in apical surgery: a prospective randomized study.

Jan de Lange1, Thomas Putters, Erik M Baas

  • 1Department of Oral and Maxillofacial Surgery, Isala Klinieken, Zwolle, The Netherlands. lotte.jan@wxs.nl

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
|September 29, 2007
PubMed
Summary

Ultrasonic devices significantly improved apical surgery outcomes, especially in molars. This study highlights their benefit for dental treatment success.

Related Concept Videos

Assessment of apical radial pulse01:25

Assessment of apical radial pulse

Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Surgical Technology

Background:

  • Apical surgery aims to treat persistent periapical inflammation.
  • Traditional methods may have limitations in achieving optimal outcomes.
  • Advancements in surgical tools are crucial for improving endodontic treatment success.

Purpose of the Study:

  • To evaluate the efficacy of an ultrasonic device in apical surgery.
  • To compare treatment outcomes between ultrasonic devices and traditional burs.
  • To determine the impact of ultrasonic technology on apical surgery success rates.

Main Methods:

  • A randomized prospective study with a standardized protocol.
  • Patients received treatment with either an ultrasonic device (P-Max Newtron) or a bur.

Related Experiment Videos

  • Outcomes were assessed one year post-treatment by blinded oral and maxillofacial surgeons.
  • Main Results:

    • Adequate follow-up was obtained for 290 out of 399 patients.
    • The overall success rate was 80.5% with ultrasonic devices versus 70.9% with burs (P = .056).
    • A significant difference in success rates was observed in molars (P = .02).

    Conclusions:

    • Ultrasonic devices enhance the outcome of apical surgery.
    • The positive effect of ultrasonic devices is particularly significant in molar treatments.
    • This technology represents a valuable advancement in apical surgery procedures.