Apicoectomy
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Apicoectomy
A root end surgery, also known as apicoectomy ('' apico-'' + '' -ectomy''), apicectomy ('' apic-'' + '' -ectomy''), retrograde root canal treatment (''c.f.'' orthograde root canal treatment) or root-end filling, is an endodontic surgical procedure whereby a tooth's root tip is removed and a root end cavity is prepared and filled with a biocompatible material. It is an example of a periradicular surgery. An apicoectomy is necessary when conventional root canal therapy has failed and a re-treatment was already unsuccessful or is not advised. Removal of the root tip is indicated to remove the entire apical delta ensuring no uncleaned missed anatomy. The only alternative may be extraction followed by prosthetic replacement with a denture, dental bridge or dental implant. State-of-the-art procedures make use of microsurgical endodontic techniques, such as a dental operating microscope, micro instruments, ultrasonic preparation tips and calcium-silicate based filling materials. In ...
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Endodontic
Endodontics (from the Greek roots ''endo-'' "inside" and ''odont-'' "tooth") is the dental specialty concerned with the study and treatment of the dental pulp. Overview Endodontics encompasses the study (practice) of the basic and clinical sciences of normal dental pulp, the etiology, diagnosis, prevention, and treatment of diseases and injuries of the dental pulp along with associated periradicular conditions. In clinical terms, endodontics involves either preserving part, or all of the dental pulp in health, or removing all of the pulp in irreversible disease. This includes teeth with irreversibly inflamed and infected pulpal tissue. Not only does endodontics involve treatment when a dental pulp is present, but also includes preserving teeth which have failed to respond to non-surgical endodontic treatment, or for teeth that have developed new lesions, e.g., when root canal re-treatment is required, or periradicular surgery. Endodontic treatment is one of the most commo ...
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Dental Bridge
A bridge is a fixed dental restoration (a fixed dental prosthesis) used to replace one or more missing teeth by joining an artificial tooth definitively to adjacent teeth or dental implants. Definitions Fixed bridge: A dental prosthesis that is definitively attached to natural teeth and replaces missing teeth. Abutment: The tooth that supports and retains a dental prosthesis. Pontic: The artificial tooth that replaces a missing natural tooth. Retainer: The component attached to the abutment for retention of the prosthesis. Retainers can be major or minor. Unit: Pontics and abutment teeth are referred to as units. The total number of units in a bridge is equal to the number of pontics plus the number of abutment teeth. Saddle: The area on the alveolar ridge which is edentulous where at least one missing tooth is to be reinstated. Connector: Joins the pontic to the retainer or two retainers together. Connectors may be fixed or movable. Span: The length of the alveolar rid ...
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Zinc Oxide Eugenol
Zinc oxide eugenol (ZOE) is a material created by the combination of zinc oxide and eugenol contained in oil of cloves. An acid-base reaction takes place with the formation of zinc eugenolate chelate. The reaction is catalysed by water and is accelerated by the presence of metal salts. ZOE can be used as a dental filling material or dental cement in dentistry.Jack L. Ferracane, ''Materials in Dentistry: Principles and Applications'', 2001, 2d Edition, Lippincott Williams & Wilkins, Richard van Noort, 2002, ''Introduction to Dental Materials'', 2d Edition, Elsevier Health Sciences, It is often used in dentistry when the decay is very deep or very close to the nerve or pulp chamber. Because the tissue inside the tooth, i.e. the pulp, reacts badly to the drilling stimulus (heat and vibration), it frequently becomes severely inflamed and precipitates a condition called acute or chronic pulpitis. This condition usually leads to severe chronic tooth sensitivity or actual toothache an ...
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Mineral Trioxide Aggregate
Mineral trioxide aggregate (MTA) was developed for use as a dental root repair material by Mahmoud Torabinejad. It is formulated from commercial Portland cement, combined with bismuth oxide powder for radio-opacity. MTA is used for creating apical plugs during apexification, repairing root perforations during root canal therapy, and treating internal root resorption. This can be used for root-end filling material and as pulp capping material. Originally, MTA was dark gray in color, but white versions have been on the market since 2002. Portland cement is a term applied to a class of materials covering a range of compositions (between silica alumina and calcia). The composition, fineness, setting time and strength of Portland cement are not controlled or guaranteed. Portland cement is an unsuitable substitute for MTA based on several characteristics that are essential to the performance: freedom from heavy metals, dimensional stability and fineness. The FDA requires dental materials ...
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Dental Composite
Dental composite resins (better referred to as "resin-based composites" or simply "filled resins") are dental cements made of synthetic resins. Synthetic resins evolved as restorative materials since they were insoluble, of good tooth-like appearance, insensitive to dehydration, easy to manipulate and inexpensive. Composite resins are most commonly composed of Bis-GMA and other dimethacrylate monomers (TEGMA, UDMA, HDDMA), a filler material such as silica and in most applications, a photoinitiator. Dimethylglyoxime is also commonly added to achieve certain physical properties such as flow-ability. Further tailoring of physical properties is achieved by formulating unique concentrations of each constituent. Many studies have compared the lesser longevity of resin-based composite restorations to the longevity of silver-mercury amalgam restorations. Depending on the skill of the dentist, patient characteristics and the type and location of damage, composite restorations can have sim ...
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Amalgam (dentistry)
Dental amalgam is a liquid Mercury (element), mercury and metal alloy mixture used in dentistry to dental filling, fill cavities caused by tooth decay. Low-copper amalgam commonly consists of mercury (element), mercury (50%), silver (~22–32%), tin (~14%), zinc (~8%) and other trace metals. Dental amalgams were first documented in a Tang Dynasty medical text written by Su Gong (苏恭) in 659, and appeared in Germany in 1528. In the 1800s, amalgam became the dental restorative material of choice due to its low cost, ease of application, strength, and durability. In July 2018 the EU prohibited amalgam for dental treatment of children under 15 years and of pregnant or breastfeeding women. History of use There are, according to Geir Bjørklund, indications that dental amalgam was used in the first part of the Tang Dynasty in China (AD 618–907), and in Germany by Strockerus in about 1528. Evidence of a dental amalgam first appears in the Tang Dynasty medical text ''Xinxiu ben ...
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Tooth Hemisection
Tooth hemisection is a type of endodontic surgery in which a root and its overlying portion of the crown are separated from the rest of the tooth, and optionally removed. It contrasts with root resection, where a root is removed while leaving the crown intact, and an apicoectomy A root end surgery, also known as apicoectomy ('' apico-'' + '' -ectomy''), apicectomy ('' apic-'' + '' -ectomy''), retrograde root canal treatment (''c.f.'' orthograde root canal treatment) or root-end filling, is an endodontic surgical procedu ..., where only the tip of the root is removed. References {{Endodontology Endodontics ...
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Root Resection
Root resection or root amputation is a type of periradicular surgery in which an entire root of a multiroot tooth is removed. It contrasts with an apicoectomy A root end surgery, also known as apicoectomy ('' apico-'' + '' -ectomy''), apicectomy ('' apic-'' + '' -ectomy''), retrograde root canal treatment (''c.f.'' orthograde root canal treatment) or root-end filling, is an endodontic surgical procedu ..., where only the tip of the root is removed, and hemisection, where a root and its overlying portion of the crown are separated from the rest of the tooth, and optionally removed. References {{Endodontology Endodontics ...
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Operating Microscope
An operating microscope or surgical microscope is an optical microscope specifically designed to be used in a surgical setting, typically to perform microsurgery. Design features of an operating microscope are: magnification typically in the range from 4x-40x, components that are easy to sterilize or disinfect in order to ensure cross-infection control. There is often a prism that allows splitting of the light beam in order that assistants may also visualize the procedure or to allow photography or video to be taken of the operating field. Typically an operating microscope might cost several thousand dollars for a basic model, more advanced models may be much more expensive. Additionally specialized microsurgical instruments may be required to make full use of the improved vision the microscope affords. It can take time to master use of an operating microscope. Fields of medicine that make significant use of the operating microscope include plastic surgery, dentistry (especia ...
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Microsurgical Endodontics
Microsurgical endodontics is that aspect of endodontics Endodontics (from the Greek roots ''endo-'' "inside" and ''odont-'' "tooth") is the dental specialty concerned with the study and treatment of the dental pulp. Overview Endodontics encompasses the study (practice) of the basic and clinical ... which evolved after the introduction of the Surgical Operating Microscope (SOM) to endodontics in the early 1990s. The recent addition of SOM's to endodontic therapy can allow better visualization and management of the surgical field by endodontists during endodontic procedures through magnification and greatly improved high intensity lighting. SOM's typically magnify in the 4X to 25X range. The other commonly used magnification aide, through lens eyeglass mounted surgical telescopes, provide 2.5X to 4.5X magnification. Surgical operating microscopes have a steep learning curve and require training, as well as patience and practice to master. Some studies have demonstrated hig ...
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Dental Implant
A dental implant (also known as an endosseous implant or fixture) is a prosthesis that interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture, or facial prosthesis or to act as an orthodontic anchor. The basis for modern dental implants is a biologic process called osseointegration, in which materials such as titanium or zirconia form an intimate bond to bone. The implant fixture is first placed so that it is likely to osseointegrate, then a dental prosthetic is added. A variable amount of healing time is required for osseointegration before either the dental prosthetic (a tooth, bridge or denture) is attached to the implant or an abutment is placed which will hold a dental prosthetic/crown. Success or failure of implants depends on the health of the person receiving the treatment, drugs which affect the chances of osseointegration, and the health of the tissues in the mouth. The amount of stress that will be put on the impla ...
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