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Related Experiment Videos

Avoiding the mental foramen during periapical surgery

J R Moiseiwitsch1

  • 1Department of Endodontics, University of North Carolina, School of Dentistry, Chapel Hill 27599-7450, USA.

Journal of Endodontics
|June 1, 1995
PubMed
Summary
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Mandibular periapical surgery near the mental foramen is safe when employing proper diagnostic and surgical techniques. Three steps enhance practitioner confidence and safety during these endodontic procedures.

Area of Science:

  • Dentistry
  • Endodontics
  • Oral Surgery

Background:

  • The mental foramen's proximity often deters endodontists from performing necessary periapical surgery.
  • Fear of neurovascular complications can lead to suboptimal endodontic treatment decisions.
  • Anatomical awareness is crucial but should not compromise patient care.

Purpose of the Study:

  • To present a simplified, three-step approach for safe and confident mandibular periapical surgery.
  • To address endodontist concerns regarding surgical procedures near the mental foramen.
  • To improve the standard of care by facilitating appropriate surgical interventions.

Main Methods:

  • Detailed description of three key procedural steps: presurgical diagnosis, flap design, and surgical execution.

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  • Emphasis on utilizing correct preoperative diagnostic tools and surgical techniques.
  • Focus on enhancing practitioner confidence and patient safety.

    • Main Results:

    • Implementation of the presented techniques minimizes the risk of serious negative sequelae.
    • The three-step protocol increases practitioner confidence in performing surgery near the mental foramen.
    • Appropriate endodontic care is more likely to be offered and successfully completed.

    Conclusions:

    • Mandibular periapical surgery in proximity to the mental foramen can be performed safely and effectively.
    • Proper diagnostic and surgical techniques are paramount to avoiding complications.
    • This approach empowers endodontists to provide comprehensive care without anatomical apprehension.