Microsurgical Endodontics. State-of-the-art principles and concepts
Keywords:
APICOECTOMY, MICROSURGERY, ULTRASONICS, ENDODONTICS.Abstract
Introduction: endodontics has had great advances by incorporating tools such as magnification and ultrasound in order to achieve successful conventional treatments, without leaving good clinical practices aside.
Objective: to analyze the state-of-the-art principles and concepts to guarantee the success of this dental procedure.
Methods: this systematic review at a methodological level has the PRISMA procedure, considering 20 original articles that are related to the research topic; the same that were obtained from the electronic search of the following databases: PudMed, Scopus, Web of Science and SciELO.
Development: an endodontic treatment that involves surgical access should consider an adequate management not only of soft tissues but also of hard tissues and periodontal structures in order to achieve a regeneration process, most of the time by means of a first intention healing process to recover the tissue we had before the procedure, the key to achieve this being vascularization, that is, to achieve the permeability of the vessels so that they nourish the tissues.
Conclusions: Endodontic microsurgery has achieved a marked success rate, thanks to the incorporation of the microscope in the procedure sequence, allowing conservative osteotomies to be performed.
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