미세 치근단 수술의 성공과 실패
Success and failure of endodontic microsurgery
송민주, 김의성,
소속 상세정보
송민주 ( Song Min-Ju ) - 연세대학교 치과대학 치과보존학교실
김의성 ( Kim Eui-Seong ) - 연세대학교 치과대학 보존과학교실
KMID : 0362320110360060465
Abstract
In current endodontic practice, introduction of operating microscope, ultrasonic instruments, and microinstruments has induced a big change in the field of surgical retreatment. In this study, we aimed to offer key steps of endodontic microsurgery procedure compared with traditional root-end surgery, and to evaluate factors influencing success and failure based on published articles.
Endodontic microsurgery is a surgical procedure performed with the aid of a microscope, ultrasonic instruments and modern microsurgical instruments. The microscope provides magnification and illumination - essential for identifying minute details of the apical anatomy. Ultrasonic instruments facilitate the precise root-end preparation that is within the anatomical space of the canal. Modern endodontics can therefore be performed with precision and predictability, thus eliminating the disadvantages inherent in traditional periapical surgery such as large osteotomy, beveled apicoectomy, inaccurate root-end preparation and the inability to observe isthmus.
Factors influencing the outcomes of endodontic microsurgery may be diverse, but standardization of procedures can minimize its range. Among patient and tooth-related factors, periodontal status and tooth position are known to be prognostic, but there are only few articles concerning this matter. High-evidence randomized clinical trials or prospective cohort studies are needed to confirm these findings.
키워드
Endodontic microsurgery; Periodontal involvement; Prognostic factor; Success and failure; Surgical retreatment; Tooth position
원문 및 링크아웃 정보
등재저널 정보