マイクロサージェリーを用いた壊死した根未完成歯のマネジメント

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マイクロサージェリーを用いた壊死した根未完成歯のマネジメント

解説:
For over 30 years, the Apexification procedure was the only treatment modality available for the necrotic immature root. With the introduction of bio active materials like MTA and bioceramics, the one step apical barrier techniques became the standard of care. It seems that recently, the revascularization procedures could provide a better solution for the longevity of the necrotic immature root. The immediate restoration and strengthening of the immature root seems to be crucial for the long term prognosis of such cases. However, there is a fourth treatment available, which is far less invasive and yet rarely mentioned or applied. There are minimal invasive microsurgical techniques that can be applied in selective cases of immature root necrosis with great success and without the need of any restorative effort. In this video, the technique for the microsurgical management of the necrotic immature root is showcased step by step. The advantages and disadvantages of the technique described in the video are also discussed.

追加された日:
2012/01/10

著者:

Antonis Chaniotis, DDS MDSC
Chaniotis Antonis graduated from the University of Athens Dental School (Greece) in 1998. In 2003 he completed the three-year postgraduate program in Endodontics at the Univer...
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オンラインビデオ / General / Endodontics / マイクロサージェリーを用いた壊死した根未完成歯のマネジメント

コンテントディスカッション

Antonis Chaniotis - (2012/04/21 10:56)

Thank you doctor! I am glad you liked it.

abdol samad SHAFIEI KAZEROONI - (2012/04/20 9:20)

THANK YOU.FANTASTIC VIDEO

Antonis Chaniotis - (2012/02/11 13:42)

In this case the key point is to keep the crown intact. Obliteration of the pulp chamber and poor crown root ratio kept me away of trying conventional RCT with MTA plug. Consider this as a surgical MTA plug. Effective hemostasis will prevent the MTA and canal blood contamination. Thanks for the comments. best regards

ASHOK GUPTA - (2012/02/10 9:27)

sir can we do conventional rootcanal with GPpts n resin cement in this case followed by removing GP with a bur n then doing retrograde filling with MTA.During surgery how we will prevent contamination of MTA OR canal from blood . DR A GUPTA

Antonis Chaniotis - (2012/02/06 9:39)

THANK YOU GUYS FOR WATCHING. THE WHITE MATERIAL ITS THE MTA ANGELUS THAT STICKS TO THE INSTRUMENT. HEALING WAS UNEVENTFUL . STAY TUNED FOR MORE ENDODONTIC WEBINARS

apostolos diamantis764 - (2012/02/05 17:08)

Spectacular as usual!

GEORGE GIOKAS - (2012/02/04 18:17)

opea parousiasi ta aspra stikakia ta vazeis kai se akpopizektomes /kai pou ta perneis euxaristo

Antonis Chaniotis - (2012/01/14 2:05)

Thank you iakovos. The total pulp chamber calcification and the periodontal status of this tooth made me choose the surgical option here. This tooth stands there for over 30 years without any problem, I hope it will last another 30.

iakovos monogyios - (2012/01/13 16:55)

Excellent treatment Antonis! Exatly on the cutting edge of science.

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