Microsurgical Endodontics

Description

Microsurgical Endodontics, a term coined by the author himself, is a branch of Endodontics that allows to save dental elements otherwise lost and intended to be replaced with implants. The study of it means adding precious information to your knowledge in endodontics. Cover Half Title Page Title Page Copyright Table of Contents The Author Co-Authors From a lecture of Prof. Herbert Schilder in Florence at the local section of the Italian Dental Association in November 1987 Foreward Preface and Acknowledgements Dedication Chapter 1: Why Microsurgical Endodontics? Surgical Advances in the Last Decades and Their Positive Effects on Outcome Chapter 2: Diagnosis and Treatment Plan Informed Patient Consent Diagnosis and treatment plan Indications and Contraindications False Indications True Indications Contraindications Chapter 3: Microsurgical Instruments Examination Instruments Incision and Elevation Instruments Retraction Instruments Osteotomy and Root-end Resection Instruments Curettage Instruments Inspection Instruments Ultrasonic Units Ultrasonic Tips Stropko Irrigator Retrofilling Materials Retrofilling Carriers Microsurgical Pluggers Sutures and Suturing Instruments Needle Holders Scissors Chapter 4: The Surgical Operating Microscope Introduction to the Surgical Operating Microscope Magnification. Loupes and Microscope Loupes Microscope Root Canal Anatomy and Anatomical Complexities Anatomy of the Surgical Operating Microscope The Supporting Structure The Body of the Microscope The Light Source Accessories Positioning the Microscope Operator Positioning Rough Positioning of the Patient Positioning of the Microscope and Fine Focus Adjustment of the Interpupillary Distance Fine Positioning of the Patient Parfocal Adjustment Fine Focus Adjustment Assistant Scope Adjustment Ergonomics and the Microscope Preparation of the Patient Selection of Different Magnifications Chapter 5: Local Anesthesia The Role of Vasoconstrictors in Surgical Endodontics Technique Mandibular Anesthesia Inferior Alveolar Nerve Block Local Infiltration Maxillary Anesthesia Local Infiltration Local Hemostatic Agents Systemic Medications Anticoagulant Therapy Bisphosphonates Postsurgical Recommendations Chapter 6: Anatomic Considerations and Danger Zones Access to Surgical Site Danger Zones Chapter 7: Soft Tissue Management Stabilization of the Surgical Site The Incision Flap Design Semilunar Flap Submarginal Flap (Ochsenbein-Lubke) Marginal Flap Papilla Base Flap Flap Elevation Flap Retraction Closure of the Surgical Flap Chapter 8: Hard Tissue Management No Periradicular Lesion and Intact Cortical Bone Periradicular Lesion and Intact Cortical Bone Periradicular Lesion and Fenestrated Cortical Bone Crypt Management Chapter 9: The Cortical Window Ultrasonic Osteotomy Cortical Window Technique Piezotome Osteotomy Conclusion Chapter 10: Root-end Resection Root Resection versus Periapical Curettage Root-end Resection. Indications and Rational Inspection of the Resected Root Surface Evaluation of the Apical Seal The Isthmus Evaluation of Fracture Lines Chapter 11: Ultrasonic Root-end Preparation Advantages and Disadvantages of Ultrasonic Tips Dentinal Cracks Chapter 12: Root-End Filling Materials Amalgam Intermediate Restorative Material (IRM) SuperEBA Composite Materials Mineral Trioxide Aggregate Bioceramics Membranes and Bone Grafts Chapter 13: The Use of Cone Beam Computed Tomography (CBCT) in Microsurgical Endodontics Basic Principles of CBCT Indications Root anatomies and canal abnormalities Maxillary and Mandibular Anatomy: A Radiographic Analysis Concluding Remarks Chapter 14: Sutures Reapproximation and Compression Selection of the Suture Needle Holders Suturing Technique Postoperative Instructions Suture Removal Healing Mechanism of Surgical Wounds Chapter 15: Prognosis of Microsurgical Endodontics Overview of Longitudinal Studies in Microsurgical Endodontics Long-term Clinical and Radiographic Evaluations Recall Time Clinical and Radiological Recall Evaluations Concluding Remarks