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Apicoectomy with retrograde gutta-percha root filling
1First Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University, Japan.
Oral Surgery, Oral Medicine, and Oral Pathology
|September 1, 1989
Summary
A novel apicoectomy technique using specialized instruments and retrograde gutta-percha filling achieved a 95.3% success rate in treating 64 teeth. This simple procedure offers excellent clinical outcomes for endodontic treatment.
Area of Science:
- Dentistry
- Endodontics
- Surgical Procedures
Background:
- Apicoectomy is a surgical endodontic procedure to treat persistent periapical inflammation.
- Traditional retrograde filling techniques can be challenging and may yield variable success rates.
- Development of innovative instruments is crucial for improving surgical endodontic outcomes.
Purpose of the Study:
- To evaluate the efficacy of a newly developed set of instruments for apicoectomy with retrograde gutta-percha filling.
- To assess the clinical success rate of this novel technique in a cohort of patients.
Main Methods:
- Sixty-four teeth requiring apicoectomy were treated using a novel technique.
- The technique involved retrograde gutta-percha filling facilitated by newly devised instruments: a biangle explorer, angle reamers, and angle files.
- Standardized follow-up protocols were employed to assess treatment outcomes.
Main Results:
- The apicoectomy technique demonstrated a high success rate of 95.3% (61 out of 64 treated teeth).
- No significant complications were reported during or after the procedures.
- The newly developed instruments facilitated a straightforward and efficient surgical process.
Conclusions:
- The devised technique for apicoectomy with retrograde gutta-percha filling is simple and effective.
- This method offers excellent clinical results, representing a significant advancement in endodontic surgery.
- The specialized instruments contribute to the high success rate and procedural ease.