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Gepubliceerd in:
Introduction: An Evidence-Based Approach for Prevention and Management of Surgical Complications hoofdstuk lezen eerste hoofdstuk lezen

2014 | OriginalPaper | Hoofdstuk

6. Prevention and Management of Soft Tissue Complications in Endodontic Surgery

Auteurs : Igor Tsesis, DMD, Ilan Beitlitum, DMD, Eyal Rosen, DMD

Gepubliceerd in: Complications in Endodontic Surgery

Uitgeverij: Springer Berlin Heidelberg

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Abstract

Operator-related factors such as preoperative planning of the surgical procedure, correct flap design, and soft tissue management, as well as patient-related factors such as the gingival biotype and the periodontal condition, may influence the risk of soft tissue complications following endodontic surgery. The clinician should be aware of possible anatomical pitfalls during flap procedure, such as adjacent neurovascular bundles. In order to avoid flap dryness and possible tissue necrosis and delayed healing, it is recommended to perform a short-duration surgery with a constant irrigation of the reflected tissues with saline. Different flap designs may be predisposed to different risks of complications. Intra-sulcular flaps are prone to gingival recession, submarginal and semilunar flaps are prone to scar formation, and a controversy exists whether papilla-based incision is prone to gingival recession and if papilla preservation incision may prevent gingival recession.
vorige hoofdstuk Surgical Anesthesia: When a Tool Becomes a Weapon
volgende hoofdstuk Esthetic Complications in Endodontic Surgery
Literatuur
1.
Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod. 2006;32(7):601–23.PubMedCrossRef
2.
Tsesis I, Faivishevsky V, Kfir A, Rosen E. Outcome of surgical endodontic treatment performed by a modern technique: a meta-analysis of literature. J Endod. 2009;35(11):1505–11.PubMedCrossRef
3.
Tsesis I, Rosen E, Taschieri S, Telishevsky Strauss Y, Ceresoli V, Del Fabbro M. Outcomes of surgical endodontic treatment performed by a modern technique: an updated meta-analysis of the literature. J Endod. 2013;39(3):332–9.PubMedCrossRef
4.
von Arx T, Salvi GE, Janner S, Jensen SS. Scarring of gingiva and alveolar mucosa following apical surgery: visual assessment after one year. Oral Surg. 2008;1:178–89.CrossRef
5.
The American Academy of Periodontology. Glossary of periodontal terms. 4th ed. Chicago: The American Academy of Periodontology; 2001.
6.
7.
Trombelli L, Roberto F. Flap designs for periodontal healing. Endod Topics. 2012;25:4–15.CrossRef
8.
von Arx T, Salvi GE, Janner S, Jensen SS. Gingival recession following apical surgery in the esthetic zone: a clinical study with 70 cases. Eur J Esthet Dent. 2009;4(1):28–45.
9.
Ainamo J, Loe H. Anatomical characteristics of gingiva. A clinical and microscopic study of the free and attached gingiva. J Periodontol. 1966;37(1):5–13.PubMedCrossRef
10.
Ferguson MW, Whitby DJ, Shah M, Armstrong J, Siebert JW, Longaker MT. Scar formation: the spectral nature of fetal and adult wound repair. Plast Reconstr Surg. 1996;97(4):854–60.PubMedCrossRef
11.
Fischer KR, Grill E, Jockel-Schneider Y, Bechtold M, Schlagenhauf U, Fickl S. On the relationship between gingival biotypes and supracrestal gingival height, crown form and papilla height. Clin Oral Implants Res. 2013. doi:10.​1111/​clr.​12196.PubMed
12.
Palumbo A. The anatomy and physiology of the healthy periodontium. In F. S. Panagakos & R. M. Davies (Eds.), Gingival diseases: Their aetiology, prevention and treatment (pp. 139–154). Rijeka, Croatia: InTech.
13.
Lindhe J, Lang NP, Karring T. Clinical periodontology and implant dentistry. 5th ed. Oxford: Blackwell Publishing Ltd; 2008.
14.
Bowers GM. A study of the width of attached gingiva. J Periodontol. 1963;34:201–9.
15.
Voigt JP, Goran ML, Flesher RM. The width of lingual mandibular attached gingiva. J Periodontol. 1978;49(2):77–80.PubMedCrossRef
16.
Andlin-Sobocki A, Bodin L. Dimensional alterations of the gingiva related to changes of facial/lingual tooth position in permanent anterior teeth of children. A 2-year longitudinal study. J Clin Periodontol. 1993;20(3):219–24.PubMedCrossRef
17.
De Rouck T, Eghbali R, Collys K, De Bruyn H, Cosyn J. The gingival biotype revisited: transparency of the periodontal probe through the gingival margin as a method to discriminate thin from thick gingiva. J Clin Periodontol. 2009;36(5):428–33.PubMedCrossRef
18.
Tsesis I, Rosen E, Tamse A, Taschieri S, Del Fabbro M. Effect of guided tissue regeneration on the outcome of surgical endodontic treatment: a systematic review and meta-analysis. J Endod. 2011;37(8):1039–45.PubMedCrossRef
19.
Enoch S, Moseley R, Stephens P, Thomas DW. The oral mucosa: a model of wound healing with reduced scarring. Oral Surg. 2008;1(1):11–21.CrossRef
20.
Peck S, Peck L, Kataja M. The gingival smile line. Angle Orthod. 1992;62(2):91–100; discussion 1–2.PubMed
21.
Velvart P, Ebner-Zimmermann U, Ebner JP. Comparison of papilla healing following sulcular full-thickness flap and papilla base flap in endodontic surgery. Int Endod J. 2003;36(10):653–9.PubMedCrossRef
22.
Miloro M, Peterson LJ. Peterson’s principles of oral and maxillofacial surgery. 3rd ed. Shelton: People’s Medical Pub. House-USA; 2012.
23.
Kim E, Song JS, Jung IY, Lee SJ, Kim S. Prospective clinical study evaluating endodontic microsurgery outcomes for cases with lesions of endodontic origin compared with cases with lesions of combined periodontal-endodontic origin. J Endod. 2008;34(5):546–51.PubMedCrossRef
24.
Setzer FC, Boyer KR, Jeppson JR, Karabucak B, Kim S. Long-term prognosis of endodontically treated teeth: a retrospective analysis of preoperative factors in molars. J Endod. 2011;37(1):21–5.PubMedCrossRef
25.
Kan JY, Rungcharassaeng K, Umezu K, Kois JC. Dimensions of peri-implant mucosa: an evaluation of maxillary anterior single implants in humans. J Periodontol. 2003;74(4):557–62.PubMedCrossRef
26.
Morrow SG, Rubinstein RA. Endodontic surgery. In: Ingle JI, Bakland LK, editors. Endodontics. 5th ed. Hamilton: Decker Inc; 2002.
27.
Cutright DE, Hunsuck EE. Microcirculation of the perioral regions in the Macaca rhesus. II. Oral Surg Oral Med Oral Pathol. 1970;29(6):926–34.PubMedCrossRef
28.
Cutright DE, Hunsuck EE. Microcirculation of the perioral regions in the Macaca rhesus. I. Oral Surg Oral Med Oral Pathol. 1970;29(5):776–85.PubMedCrossRef
29.
Grandi C, Pacifici L. The ratio in choosing access flap for surgical endodontics: a review. Oral Implantol (Rome). 2009;2(1):37–52.
30.
Selvig KA, Biagiotti GR, Leknes KN, Wikesjo UM. Oral tissue reactions to suture materials. Int J Periodontics Restorative Dent. 1998;18(5):474–87.PubMed
31.
Silverstein LH, Kurtzman GM, Shatz PC. Suturing for optimal soft-tissue management. J Oral Implantol. 2009;35(2):82–90.PubMedCrossRef
Metagegevens
Titel
Prevention and Management of Soft Tissue Complications in Endodontic Surgery
Auteurs
Igor Tsesis, DMD
Ilan Beitlitum, DMD
Eyal Rosen, DMD
Copyright
2014
Uitgeverij
Springer Berlin Heidelberg
Boek
Complications in Endodontic Surgery

Print ISBN: 978-3-642-54217-6

Elektronisch ISBN: 978-3-642-54218-3

Copyright: 2014

DOI
https://doi.org/10.1007/978-3-642-54218-3_6