Evaluation of a combined surgical repair and guided tissue regeneration technique to treat recent root canal perforations
Autor: | Fred L. Lucas, Rebecca A. Lenox, W. Lance Culley, Van T. Himel, John W. Dean |
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Rok vydání: | 1997 |
Předmět: |
Molar
medicine.medical_specialty Time Factors Root canal medicine.medical_treatment Perforation (oil well) Dentistry Wounds Penetrating Surgical Flaps Dogs stomatognathic system Animals Medicine Ostectomy Polytetrafluoroethylene General Dentistry Tooth Nonvital Surgical repair Analysis of Variance Wound Healing Bone Transplantation business.industry Periodontium Combined Modality Therapy Root Canal Therapy Surgery medicine.anatomical_structure Guided Tissue Regeneration Periodontal Distal root Dental Pulp Cavity business |
Zdroj: | Journal of Endodontics. 23:525-532 |
ISSN: | 0099-2399 |
DOI: | 10.1016/s0099-2399(97)80315-9 |
Popis: | This study evaluated a technique that included retrofill to repair molar root canal perforations and guided tissue regeneration to restore the periodontium that was removed from the furcation area for access to the sites. Six dogs had root canal therapy on mandibular fourth premolars and first molars. The distal root of each tooth was perforated on the furcation aspect halfway between the furcation and the apex. Replaced flap surgery was performed for access to prepare and fill the perforation site with intermediate Restorative Material. A bone xenograft was placed in the access ostectomy site and covered with GoreTex Augmentation Material (GTAM). Controls included unfilled perforations and not using bone grafts and/or GTAM. Dogs were killed at 6, 12, and 24 wk postsurgery. Complications were more common when root perforations were left unfilled. Histomorphometry revealed a statistically significant decrease in inflammation and more bone fill when root perforations were filled and GTAM was used, respectively. |
Databáze: | OpenAIRE |
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