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Ultima descărcare din IBN: 2023-11-09 14:42 |
SM ISO690:2012 CIUTAC, Anastasia, ENI, Stanislav, SÎRBU, Dumitru. Apicoectomy in the surgical treatment of periapical lesions. Clinical case. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 535. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | |||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | |||||
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Pag. 535-535 | |||||
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Background. Apical resection is the surgical sectioning and removal of the apical segment of the tooth root, along with the pathological periapical tissues. It is indicated when endodontic treatment is not an option or is ineffective. Objective of the study. Evaluation of the apical resection method by palatal approach and proof of its effectiveness. Material and Methods. Patient A.D., B / 31 years old, came to the „Omni Dent” dental clinic for dental treatment. At the clinical and radiological examination, the diagnosis of maxillary radicular cyst was established at d. 12. At the OPG and CBCT examination, the limits of the radicular cyst were repaired, which have a homogeneous, well-defined, oval-shaped area of radiolucency with an increase towards d. 11 and 13, as well as the lack of cortex towards the palatine. The root canal of d. 12 obturated homogeneously up to the apex 6 months before. Results. During the surgery, loco-regional anesthesia was applied and a horizontal incision was made along the free gingival margin (for the palatal method) with the creation of the gingival flap (in the envelope). Osteolysis of the palatal cortex has been observed. Cystectomy was performed with resection of the dental apex, augmentation of the bone defect with Colapol KP-3LM and suturing of the dental wound. The follow-up medical visit to the clinical and radiological examination after 6 months demonstrated the effectiveness of the method by adequate gingival and bone healing. Conclusion. Through the apical resection, the eradication of the cystic formations with the preservation of the tooth was obtained. |
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Cuvinte-cheie radicular cyst, apicoectomy, cystectomy, augmentation, OPG, CBCT, chist radicular, rezecție apicală, chistectomie, augmentare, OPG, CBCT |
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