Colleagues for
Excellence
Summer 2010
Fall 2010
Contemporary
Contemporary
Endodontic
Endodontic
Microsurgery:
Microsurgery:
Procedural
Procedural
Advancements
Advancements
and
and
Treatment
Treatment
Planning
Planning
Considerations
Considerations
Microsurgery
Sample size
Follow-up
(yrs)
Magnification
Root-end
Preparation
Success
22T
Microscope
Ultrasonic
MTA
96%
100 (59/41)
Endo vs Micro
Ultrasonic
EBA
90%-92%
Kim et al (2008)
192 T
Microscope
Ultrasonic
IRM/EBA/MTA
95.2%
Taschieri et al (2007)
30 T
Endoscope
Ultrasonic
EBA
93%
Tsesis et al (2006)
45 T
1 to 4
Microscope
Ultrasonic
IRM
91.1%
Author/Year
Christiansen et al (2009)
Taschieri et al (2008)
Chong et al
108 T
1 to 2
Microscope
Ultrasonic
IRM/MTA
87%-92%
59 R
5 to 7
Microscope
Ultrasonic
EBA
91.50%
91 R
Microscope
Ultrasonic
EBA
96.80%
Sample size
Follow-up
(yrs)
Magnification
Root-end
Preparation
Success
Tsesis et al (2006)
43 T
1 to 4
None
Bur
IRM
44.2%
Arad et al (2003)
122
11.2 mean
None
Bur
Amalgam/IRM
44.3%
1007
None
Bur
Amalgam
57%
Rahbraran et al (2001)
176
None
Bur
Amalgam/IRM/No fill
19.4%
Haise et al (1991)
474
None
Bur
Amalgam
68.7%
Traditional Surgery
Author/Year
Continued on p. 4
Traditional Apicoectomy
Magnification
Microscope (4-24x)
Illumination
Dental light
Armamentarium
Macro-instruments
Micro-instruments
Osteotomy Size
Bevel Angle
Root-end Preparation
Non-axial
1mm non-axial
3mm axial
None
Always
Amalgam
MTA
Over 90%
Continued on p. 6
References
1. de Chevigny C, Dao T, Basrani B, Marquis V, Farzaneh M, Abitbol S, Friedman S. Treatment Outcome in Endodontics: The Toronto StudyPhase 4:
Initial Treatment. J Endodon 2008;34:258-63.
2. Kim S, Kratchman S. Modern Endodontic Surgery Concepts and Practice: A Review. J Endodon 2006;32:601-23.
3. Rubinstein R, Kim S. Short-term observation of the results of endodontic surgery with the use of a surgical operation microscope and Super-EBA as
root-end filling material. J Endodon 1999;25:43-8.
4. Christiansen R, Kirkevang LL, Hrsted-Bindslev P, Wenzel A. Randomized clinical trial of root-end resection followed by root-end filling with mineral
trioxide aggregate or smoothing of the orthograde gutta-percha root filling1-year follow-up. Int Endod J 2009;42:105-14.
5. Taschieri S, Del Fabbro M, Testori T, Weinstein R. Microscope versus endoscope in root-end management: a randomized controlled study. Int J Oral
Maxillofac Surg 2008;37:1022-6.
6. Taschieri S, Del Fabbro M, Testori T, Weinstein R. Endoscopic periradicular surgery: a prospective clinical study. Br J Oral Maxillofac Surg
2007;45:242-4.
7. 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 Endodon 2008;34:546-51.
8. Tsesis I, Rosen E, Schwartz-Arad D, Fuss Z. Retrospective evaluation of surgical endodontic treatment: traditional versus modern technique. J Endodon
2006;32:412-6.
9. Chong BS, Pitt Ford TR, Hudson, MB. A prospective clinical study of Mineral Trioxide Aggregate and IRM when used as root-end filling materials in
endodontic surgery. Int Endod J 2003;36:520-6.
Also availableTreatment
Options for the Diseased
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Describes endodontic
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Explains the benefits of
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The AAE wishes to thank Drs. Syngcuk Kim, Samuel Kratchman and Garrett Guess for authoring this issue of the
newsletter, as well as the following article reviewers: Drs. James A. Abbott, William T. Johnson, Matthew V. Lindemann,
Clara M. Spatafore and Susan L. Wolcott.
This issue of the ENDODONTICS: Colleagues for Excellence newsletter is available online at www.aae.org/colleagues
with the following exclusive bonus materials:
Full-Text Article: Barone C, Dao TT, Basrani BB, Wang N, Friedman S. Treatment Outcomes in Endodontics: The Toronto
Study Phases 3, 4 and 5: Apical Surgery. J Endodon 2010;36:28-35.
Full-Text Article: Kim S, Kratchman S. Modern Endodontic Surgery Concepts and Practice: A Review. J Endodon
2006;32:601-23.
Full-Text Article: Torabinejad M, Corr R, Handysides R, Shabahang S. Outcomes of Nonsurgical Retreatment and
Endodontic Surgery: A Systematic Review. J Endodon 2009;35:930-7.
Full-Text Article: von Arx T, Penarrocha M, Jensen S. Prognostic Factors in Apical Surgery with Root-end Filling: A Metaanalysis. J Endodon 2010;36:957-73.
All back issues of this newsletter are also available for your ongoing reference online.
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The information in this newsletter is designed to aid dentists. Practitioners must use their best professional judgment, taking into
account the needs of each individual patient when making diagnosis/treatment plans. The AAE neither expressly nor implicitly
warrants against any negative results associated with the application of this information. If you would like more information,
consult your endodontic colleague or contact the AAE.
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