Most common reasons for apicotomy

Lazarov, Blagoj and Terzieva-Petrovska, Olivera and Petrovski, Mihajlo (2018) Most common reasons for apicotomy. In: First International Students Congress in Dental Medicine - 2018, 28-29 March 2018, Stip, Macedonia.


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An apicotomy is a small surgical procedure designed to cure an infection at the tip of the root or roots of a tooth. It is indicated when, for a variety of reasons, it has proved impossible for your dentist to cure the infection in the periapical region. The main goal of this study was to determine the most common causes of apicotomy. Material and method: A total number of four specialists in oral surgery, working in four dental offices were included in the research. The research was performed in the period from September to December 2017. The main reasons for surgical intervention from the dental documentation were noted. Results: Most common reasonfor apicotomy from the obtained data were teeth with acute periapical inflammation, despite the satisfactory endodontic therapy in 35.7%. Teeth with periapical inflammation and unsatisfactory endodontic therapy, which can not be retreated because of completely calcified root canal or severely curved root canals were noted in 21.6%.Also in 9.6% indication for apicotomy is breakage of small instrument in root canal.Teeth with periapical inflammation, where endodontic therapy is impossible due to foreign bodies into the periapical tissues were reason in 19.7%. Perforation of inferior wall of pulp chamber or perforation of root were indications in 3.7%. Fracture at apical third of tooth as an indications were noted in 2.6%. Conclussion: Most common reasons for apicotomy in our research were teeth with inadequate endodontic therapy, especially with active periapical inflammation, curved canals or foreign body in the root canals. Keywords Apicotomy, unsuccessful endodontic therapy, periapical inflammation, indications

Item Type: Conference or Workshop Item (Poster)
Subjects: Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Mihajlo Petrovski
Date Deposited: 19 Oct 2018 08:32
Last Modified: 19 Oct 2018 08:32

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