PROF. BERUTTI & PROF. PASQUALINI EASY MICRO-ENDO BLACK KIT
MODERN SURGICAL MICROENDODONTICS
Fig. 3 - Axial views of CBCT does not evi- dence a detectable residual apical canal patency, increasing the intra-operative risk and worsening the prognosis of a non surgical retreatment procedure.
Fig. 1 - Pre-operative periapi- cal radiograph showing signs of apical periodontitis on tooth 1.5.
Fig. 2 - 3D rendering of tooth 1.5 demonstrates the complexity of the root anatomy.
Saving teeth with peri-radicular lesions of endodontic origin due to failure of previous therapy or peculiar pathological conditions is more predictable and less invasive with modern surgical MicroEndodontics. The use of operative microscopes and magnification tools has increased the success rate of the procedure up to 95% (1) , drastically reducing the post-operative discomfort of the patients and improving their quality of life (2) (Fig. 1-11). Lighting and magnification offer the clinician new options and strategies of treatment planning. The procedure is a well-coded sequence of clinical steps that if undertaken with competency and appropriate instruments is definitely accessible to all clinicians. This is the clinical philosophy behind the design of this easy-to use surgical micro Endodontic kit.
Fig. 4 - A full-thickness muco- periosteal flap is elevated and the ostectomy is performed with burs to evidence the root apex.
Fig. 5 - The root apex is resected with no bevel. The root anatomy is stained with methylene blue to inspect the periodontium, the presence of frac- ture lines and to locate the residual root canal.
Fig. 6 - A retro-cavity is pre- pared with ultrasonic tips.
Fig. 7 - The retro-filling with bioc- eramics is positioned in the cavity.
Fig. 10 - Post-operative periapical radiograph showing adequate positioning of the retro-filling.
Fig. 11 - 1 year follow up recall shows complete healing of the lesion with re- formation of the lamina dura.
Fig. 9 - Final check of the retro-filling with a micro-mirror.
Fig. 8 - And compacted with appropriate pluggers.
(1) Setzer FC, Shah SB, Kohli MR, Karabucak B, Kim S. Outcome of endodontic surgery: a meta-analysis of the literature--part 1: Comparison of traditional root-end surgery and endodontic microsur- gery. J Endod 2010;36(11):1757-65. (2) Iqbal MK, Kratchman SI, Guess GM, Karabucak B, Kim S. Microscopic periradicular surgery: perioperative predictors for postoperative clinical outcomes and quality of life assessment. J Endod 2007;33(3):239-44.
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