Management of Apico-marginal Defects With Endodontic Microsurgery and Guided Tissue Regeneration: A Report of Thirteen Cases.
Apico-marginal defect
endodontic microsurgery
guided tissue regeneration
periodontal bone loss
Journal
Journal of endodontics
ISSN: 1878-3554
Titre abrégé: J Endod
Pays: United States
ID NLM: 7511484
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
received:
20
05
2023
revised:
06
07
2023
accepted:
09
07
2023
medline:
15
9
2023
pubmed:
20
7
2023
entrez:
19
7
2023
Statut:
ppublish
Résumé
The loss of periodontal tissue support and vertical buccal bone loss in apico-marginal defects can often be mistaken for features indicative of vertical root fractures and this study reports thirteen cases with persistent symptomatic apical periodontitis, apico-marginal defects, and large periapical lesions that were managed with endodontic microsurgery in conjunction with bone grafts and barrier placements with a follow-up period of up to 9 years. At the recall sessions, all cases were asymptomatic with radiographical success with only 2 cases exhibiting residual apical radiolucency, but with evident reduction in the lesion size, indicative of healing. This study highlights the potential of utilizing endodontic microsurgery combined with guided tissue regeneration that proved effective in stimulating the regeneration of periodontal tissue in cases of apico-marginal defects that can lead to favourable long-term outcomes.
Identifiants
pubmed: 37468061
pii: S0099-2399(23)00399-0
doi: 10.1016/j.joen.2023.07.009
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1207-1215Informations de copyright
Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.